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How to deal with my mentally ill adult sibling

65 replies

Carly944 · 03/06/2024 16:25

I'm 38 and my brother is 42. He has always had mental health issues. But lately he's been getting worse.

We both had very bad childhoods.
We didn't have a dad and our mother was abusive. So we have suffered.

However as an adult I am now working full time and living by myself.

He is not working , he is on disability allowance for mental health issues.

We have an entangled relationship. In that I know he had a really bad childhood and I feel sorry for him, and i feel a bit responsible to help him....yet I also feel like he is making my life a misery as an adult. There's only so much I can do for him. I have to look after myself. Any suggestions I make, he ignores. He says he's isolated. I say "why don't you go and join this group you went to ages ago, you liked it there' but he won't go. He has one part time support worker that goes round and helps him.

He has talked about suicide and death many many times to me. Nearly on every third phone call he says he wants to die. . He has never attempted suicide that i know of. So I believe that when he says he wants to die, it is how he is expressing his suffering in words, it doesn't mean he's actually going to go out and kill himself.

However him saying it to me all the time, is causing me a huge amount of stress.

He also expects me to jump to help him whenever he wants me. And it is really stressing me out. Especially as he talks in such extreme ways. He never says 'I'm feeling bad". It's always "I want to die

Ill talk about two issues in particular.

For example three weeks ago he felt he had a panic attack late at night, and he called an ambulance to bring him into hospital. he started ringing me at 11.30 pm. I was in bed. I had to get up to go to work the next day at 6am. I have a very stressful job. I didn't answer his calls.

He then left me voicemails saying

"contact me now. I'll be dead soon!"

I did start crying at this. He was discharged the next day. And i rang him back the next day and I said he upset me and that I had to get up for work very early the next morning. And he said "eh are you aware i nearly died".

He's angry with me and said "you didn't care that I had a psychotic break' and "are you aware that I nearly died" and he called me cold. And be said that I wasn't there for him.

and I tried to explain that I have to work very early.

I said "you called me at nearly midnight. I had to get up to work the next day at 6am".

He doesn't work.

The whole next week during every one of my lunchbreaks, I spent every one of my lunchbreaks calling some therapists and support services to go and help him. He's my older brother. I didn't get any thanks or acknowlegement for this

Then last week I was on booked annual leave, and I went on holiday abroad. This is the only holiday I will get all year. I called him on the last day of my holiday, yesterday, I was there (more fool measto say hello.

The first thing he said was "I think we should go our separate ways and not talk to each other anymore. " I said " why" and he said " because you weren't there for me when i was in hospital". I said again to him "I had to work early the next morning". As soon as I had time to help you the next week , I called lots of support services for you. I did that on my lunchbreak. He has said before to me at various times that he won't talk to me again, because I've "done something wrong"

He can never grasp that I have to work. He never thinks about my day. Its all about him.

Then in the same phonecall he said "I want to die. There's no point in living. I'm going to do euthansia".

This is obviously upsetting to listen to whem im on my holiday. I did burst out crying after the call. Like i feel i cant even go to spain without listening to the most awful things. Like he will say the most extreme things. Until I feel dead with stress.

I got off the phone with him yesterday, and I was roaring crying. I was thinking "this is my only holiday all year from my really stressful job, and I have to listen to him talking about death and dying again. It's terribly stressful to listen to. Hearing someone say they want to die over and over, is incredibly upsetting to listen to. It makes me feel ill to hear it.

I rang him this morning and I said "it's my only holiday all year, can you not talk about death and dying for once.

And he said "well don't ask me how I am then" and hung up on me.

And I know if I ever ring him in the future, he will say I was nasty to him

I'm just not sure what to do. I just feel absolutely ill with stress from it all. We have no other siblings.

Sometimes it feels like I can't escape. I don't know how to handle him.

OP posts:
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Frangipanyoul8r · 08/06/2024 05:33

“Rethink” the mental health charity do siblings support and meet up groups (although it’s area dependent).

Frangipanyoul8r · 08/06/2024 05:29

I have been in a very similar situation. The only difference is my sibling was never aggressive or rude or demanding of my time. Yes your brother has serious mental health issues, but he’s also selfish and rude and manipulative on top - maybe things he learnt from his upbringing.

If I were you I would say you need a break from contacting him for a year and he needs to line up some additional support for himself during this time. You aren’t walking away, you just need to take a huge step back for a fixed period of time for your own mental health and personal recovery. He won’t like it but it needs to happen for your relationship to survive longer term.

Firefly1987 · 08/06/2024 02:15

Carly944 · 06/06/2024 14:03

No that's incorrect. He did call me. He rang me on day 1 and day 2 of my holiday. I told him that I would be turning my phone off for the rest of my holiday as I needed a rest. I did explain to him several times that I was on holiday before I went and when I just got there

Then I called him back on the last day of my holiday, i wanted a normal chat, i just wanted to tell him id done some nice things on my hols, and that's when he spoke about death and dying again on that call

Ah ok in that case YANBU. You are a good sibling and I'm sorry you have to deal with this alone. Sounds like you need to either have a discussion about clearing the air and forgiving each other for things that happened in the past or moving on.

Carly944 · 06/06/2024 21:00

JLou08 · 06/06/2024 20:35

You are a carer, not many people recognise that they are carers. You are giving emotional support and it seems practical support when ringing services above what a normal person would. Look for local carer support groups, any ones specific to mental health would be good. There's a massive lack of understanding of just how emotionally difficult it is to care for someone with mental health problems. I don't think anyone really appreciates it unless they've been there.
I have. Some things that helped me, although it took some strength, was being firmer with boundaries. If I don't feel emotionally strong enough for a call I don't take it. Face to face when conversations get too intense and I'm not in the right mind to deal with it I have said "I cannot deal with these conversations right now, I need to go".
I have my phone on silent over night.
I take time for myself to do things I enjoy and do it guilt free, you can't pour from an empty cup! If you carry in like this you will break and then you won't be able to provide help to your brother or anyone else and your own mental health could spiral.
I wouldn't have took a call on holiday. I would have contacted his support worker if I was concerned to check all was well.
I had councelling, it was quite open but based mainly around CBT and also mindfulness. It did help build my resilience and help me stop getting overwhelmed with worry.
Please do take care of yourself, you deserve to be happy and well.

Thanks for that. I'm going to work on putting more boundaries in place. And on putting myself first. You're right. I can't give from an empty cup.

I've only one life, and I need to live my own life.

Thanks for listening and thanks for that. Have a great day

OP posts:
Carly944 · 06/06/2024 20:59

Actually even before that, now i think of it, it seems to hard to totally block someone.

I had blocked his number before, and even when I blocked him, he was still able to leave me voicemails.

OP posts:
Carly944 · 06/06/2024 20:57

JLou08 · 06/06/2024 20:35

You are a carer, not many people recognise that they are carers. You are giving emotional support and it seems practical support when ringing services above what a normal person would. Look for local carer support groups, any ones specific to mental health would be good. There's a massive lack of understanding of just how emotionally difficult it is to care for someone with mental health problems. I don't think anyone really appreciates it unless they've been there.
I have. Some things that helped me, although it took some strength, was being firmer with boundaries. If I don't feel emotionally strong enough for a call I don't take it. Face to face when conversations get too intense and I'm not in the right mind to deal with it I have said "I cannot deal with these conversations right now, I need to go".
I have my phone on silent over night.
I take time for myself to do things I enjoy and do it guilt free, you can't pour from an empty cup! If you carry in like this you will break and then you won't be able to provide help to your brother or anyone else and your own mental health could spiral.
I wouldn't have took a call on holiday. I would have contacted his support worker if I was concerned to check all was well.
I had councelling, it was quite open but based mainly around CBT and also mindfulness. It did help build my resilience and help me stop getting overwhelmed with worry.
Please do take care of yourself, you deserve to be happy and well.

Thank you for that. I actually didn't mean to take a call on holiday from him.

I had originally blocked his number, then I lost my phone and got a new phone a couple of days before the holiday.

I forgot to block him, that's how he got to call me a couple of times at the start of the holiday. I then blocked him for the rest of the holiday

OP posts:
JLou08 · 06/06/2024 20:35

You are a carer, not many people recognise that they are carers. You are giving emotional support and it seems practical support when ringing services above what a normal person would. Look for local carer support groups, any ones specific to mental health would be good. There's a massive lack of understanding of just how emotionally difficult it is to care for someone with mental health problems. I don't think anyone really appreciates it unless they've been there.
I have. Some things that helped me, although it took some strength, was being firmer with boundaries. If I don't feel emotionally strong enough for a call I don't take it. Face to face when conversations get too intense and I'm not in the right mind to deal with it I have said "I cannot deal with these conversations right now, I need to go".
I have my phone on silent over night.
I take time for myself to do things I enjoy and do it guilt free, you can't pour from an empty cup! If you carry in like this you will break and then you won't be able to provide help to your brother or anyone else and your own mental health could spiral.
I wouldn't have took a call on holiday. I would have contacted his support worker if I was concerned to check all was well.
I had councelling, it was quite open but based mainly around CBT and also mindfulness. It did help build my resilience and help me stop getting overwhelmed with worry.
Please do take care of yourself, you deserve to be happy and well.

herownworstenemy · 06/06/2024 20:22

a shot across your bow. FFS.

AtrociousCircumstance · 06/06/2024 20:11

It will be better for him if you step back too. Old patterns are keeping you both stuck. Good luck OP and claim your own space and your own peace.

Carly944 · 06/06/2024 18:07

He can be nasty as well.

Because he asked me to look up a private caring company and send him their number.

I send him a Facebook message with the number and he deleted my message.

Because he's annoyed at me about something.

So when I try to help him, he doesn't accept the help.

I'm going to take a step back and have a good rest

OP posts:
herownworstenemy · 06/06/2024 17:56

Take it as a sign.

You love your DB, can see he is mentally ill and want to help him but your self-imposed role of rescuer is suffocating and breaking you, while solving nothing. Honestly I'd seek counselling for yourself, from your posts its going to take more than a thread on the internet to work through.

Calling you on holiday is one thing, laying on guilt and fear by punishing you with 'what could have happened' while you were away is coercive control, the psychological threat of "look what you made me do" if you do it again. A shot across your bough so you'll fear going on holiday in future, its not worth the stress, what if something happens and I wasn't there? See how that works?

Have you considered having him sectioned?

ARichtGoodDram · 06/06/2024 17:41

I had an abusive childhood and there came a point where I had to walk away from my siblings.

It’s a hard, horrible choice, but the other choice was to end up in a horrific place that I wouldn’t be able to get out of.

You can’t pour from an empty glass and if you need to walk away - either for a while or permanently- to protect yourself then that’s what you have to do.

It’s not his fault that your childhood has affected him in the way it has, but it’s also absolutely not your fault either. And it’s not your fault that you’re doing better mentally than he is. It’s also perfectly okay to protect yourself.

ThisNoisyTealLurker · 06/06/2024 17:35

I think you need to put some firm boundaries in place and communicate these to him, maybe with his support worker present? You are not responsible for him, regardless of your history and bond, you can be there for him and help him but only when YOU are able to do so. It's going to be very hard for both of you and you're going to feel awful about it, but at the end of the day you're absolutely not responsible for his life x

Carly944 · 06/06/2024 17:32

.

OP posts:
Carly944 · 06/06/2024 17:21

Baaliali · 06/06/2024 14:09

2 things I suggest you do as soon as you can

Don’t JADE with him, justify, argue, defend, explain anything to him where he is demanding your time and energy.

A low level very private relationship where you share very little would probably be best.

You cannot save other people and serious mental health issues require professional treatment which you are not equipped to give. Keep the relationship to a level you can tolerate it at not what a healthy family relationship might look like. It is not possible to achieve.

It's interesting that you wrote that , because Jade is actually my name.

That's a coincidence.

Maybe that's a sign from the universe.

OP posts:
Carly944 · 06/06/2024 17:18

Yeah it's very hard because obviously I'm worried all the time that he will kill himself.

Yet at the same time he has said it to me so many times that he is going to do it, that I don't jump now at every time he says it.

And then I feel desperately guilty afterwards.

I just have nothing left to give him.

He went into hospital that time and i wasn't kind to him and now I feel bad about it.

But the reason I wasn't super kind was i had gone to visit him a week before at his flat - and he wasn't very nice to me when I went to visit him

So when he rang me from the hospital late at night a week later, I wasn't very nice to him. I wasn't nasty to him, I just wasn't kind and supportive. But I was so desperately tired.

And now I feel guilty about that.

He keeps saying to me that i wasn't there for him when he was in hospital.

But I just have nothing left to give him

He asked me to look up private caring companies for him.

I did that and I sent him a Facebook message yesterday with the name and phone number of the private caring company.

And I just looked today and I saw that he had deleted my message, because he's still annoyed at me for not being there for him when he went into hospital.

I don't think me and him are good for each other, cuz I've had to deal with him for so long that I have absolutely nothing left to give him. And I end up getting frustrated and snappy with him. But I gave him the number of a private caring company and I know he probably won't ring them.

I'll just try and take a step back for a while

OP posts:
SquirrelBlue · 06/06/2024 14:19

You say you're not a carer but you are taking on some elements of a caring role so you'd be entitled to seek support for yourself as a carer. It might be helpful to link in with carer organisations and get support from them. Action for Carers is one but it depends on your location. It doesn't mean you have to take on more responsibility for him at all! That would not be expected. It might be helpful in terms of seeking support for yourself. Talking to other people who are in similar situations can be helpful.
Just a thought.
Look after yourself

Baaliali · 06/06/2024 14:09

2 things I suggest you do as soon as you can

Don’t JADE with him, justify, argue, defend, explain anything to him where he is demanding your time and energy.

A low level very private relationship where you share very little would probably be best.

You cannot save other people and serious mental health issues require professional treatment which you are not equipped to give. Keep the relationship to a level you can tolerate it at not what a healthy family relationship might look like. It is not possible to achieve.

Lavengro · 06/06/2024 14:06

I think you need to rethink the idea that he's behaving badly only because he's mentally unwell, and consider instead whether he's behaving badly as well as being mentally unwell.

Because I think you are taking too much on here and for as long as you are willing to do that, he has no incentive to take responsibility for himself.

Can you think back to a time, any time, when he was more psychologically stable and yet still behaved badly towards you? A time when he was unkind or manipulative, that you can see clearly was just him being him, rather than him being in the grip of mental illness?

I just think you need to find a way to harden your heart a bit, or you're going to end up going pop.

Carly944 · 06/06/2024 14:03

Firefly1987 · 04/06/2024 01:24

I know threats of suicide are seen as manipulative but I really do wonder when some posters think it's an acceptable time to talk about being suicidal, ever. Literally everyone is encouraged to open up but any hint of "I want to die" and they're a manipulative abusive bully etc. yeah depressed people often know their behaviour is horrible, that's one of the many reasons they think their family will be better off without them. People who are hurting so much are often not the nicest souls, big surprise there. And society pretends to care about these people.

He had a panic attack and called an ambulance. He did not 'nearly die'. He did not 'have a psychotic breakdown'. He was taken to A&E and discharged the next day. As you say, he has never attempted suicide, but even if he did, it wouldn't be your fault. It would be his and his alone.

Panic attacks can be really scary and make you think you're dying, he didn't call an ambulance for shits and giggles did he? At the least it was a cry for help.

No offence OP but a lot of what I'm seeing is how this is making you feel, how upset you are, how it's ruined your holiday and it's the only holiday you get. You decided to call him from that holiday, he had left you alone by the sounds of it. I'll bet he doesn't get to go on holiday at all and then you're calling him from Spain to basically have a go at him again. You are the one that keeps ringing him, and he hung up. Just stop doing it if you can't listen to what he has to say about how he feels.

No that's incorrect. He did call me. He rang me on day 1 and day 2 of my holiday. I told him that I would be turning my phone off for the rest of my holiday as I needed a rest. I did explain to him several times that I was on holiday before I went and when I just got there

Then I called him back on the last day of my holiday, i wanted a normal chat, i just wanted to tell him id done some nice things on my hols, and that's when he spoke about death and dying again on that call

OP posts:
ColourMeBlue · 06/06/2024 14:03

I absolutely understand how you feel.My partner has CPTSD.Latest suicide attempt was last night.He took an overdose,I had to ring the police as an emergency.I spend hours of my day ringing doctors,therapists and sorting out all of his medical needs.Its never ending.We also have 3 kids and a baby here,and I do all of the caring for them.Its exhausting.If you can put boundaries in place,absolutely do it.You need to put yourself first xx

DuckEggy · 06/06/2024 14:01

💐 this sounds tough

Carly944 · 06/06/2024 13:56

I also have to work in a job where I have a lot of responsibility, so if I don't get sleep, get stressed late at night, I'll make mistakes the next day.

I just always feel so terribly guilty.

But I have to put myself first to survive

OP posts:
Carly944 · 06/06/2024 13:53

The thing is I know he is genuinely unwell and I feel desperately sad for him,

And at the same time, I feel like he is going to make me have a complete breakdown myself.

I constantly feel desperately stressed.

And it's a confusing one, because it's like where do you set the boundary.

Because obviously he's acting terribly because he is desperately mentally unwell.

So i feel really guilty any time I'm not there for him. He certainly makes me feel guilty.

But also I'm not his carer and I need to look after myself, before I have a total breakdown myself.

I just feel so sad about it all

OP posts:
herownworstenemy · 04/06/2024 12:18

I'm so sorry to read your posts OP, and those of others who've experienced similar. And I feel sorry for your DB too, sounds like you've both been through a lot.

It's impossible for anyone here to know whether your DB genuinely intends to harm himself or if it's to keep you enmeshed. You have worked hard to move on from your past and he hasn't and he sees that, so it could all be to make sure your wings remain cropped.

What I can tell you is that my DM has been threatening me with killing herself for 50 years, yet she's in her 80s and still very much alive. For someone like DM the threats are all about dominance and control through your terror and guilt, and I'm not sure if people like this can change. Like OP with DB, my DM made me very ill but instead of any flicker of self-awareness or willingness to change she was determined it was nothing to do with her and carried on heaping on the fear and guilt. Ask yourself OP, if your DB pushes you to a breakdown would he finally realise what he was doing to you & stop? Would he change?

Your shared past cannot be altered so the only thing that matters right now is that your DB is making you ill. Your first responsibility must be to yourself. My advice:
Drop the rope.

Don't set yourself on fire to keep someone else warm.

As airlines tell you - put your own mask on first before you help others.

Limit contact, even block his number if you need a break. Every death threat call social services and report him. It will either call his bluff & he'll pack it in or get him in front of people who are qualified to help him.

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