Tricky
I understand your dh’s compassion and concern and to be quite honest it doesn’t sound as if the relative is being overly demanding to me. 6 weeks is a fair amount of time between “crises” and even a fortnight isn’t too bad.
I also suffer with mental illness and am extremely grateful to those who provide emotional support when needed.
WRT the relatives resistance to treatment that’s not uncommon and is likely part of their pathology, nobody WANTS to keep feeling the way they do.
But meds can be scary (mh meds are not to be taken lightly and while they can be very helpful they also have quite a high risk of making things worse depending on exact meds) has dh discussed with them why they don’t want to take the meds prescribed? Have they asked dr or whoever to prescribe something else if what they’ve been prescribed is “strong” or has major side effects they might be wary of?
In terms of therapy, wouldn’t work anyway if they’re not at a point where they’re “ready” to engage. But again yes dh could discuss concerns with them and perhaps even advocate for them with their hcp in explaining concerns.
Does the relative know about/use relevant Helpline’s?
There are quite a few. I don’t get on particularly well with Samaritans as they aren’t really well trained in my experience and tend to just basically go “Oh you poor thing that must be so hard” which I don’t think actually helps!
But there are others both mh and perhaps ones particularly geared to whatever the triggering incident was?
I had great support from the miscarriage association when that was still very raw for me.
It might also be useful for your dh to access support of his own, even professional therapists “debrief” themselves and maintain their own mh.
The other people in this relatives life may not be as patient or understanding as your dh.
It’s really very subjective who you can connect with in a positive way on these matters.
I have a HUGE family and lots of lovely friends but by no means are they all the right people to understand and help.
My best friend is absolutely lovely and has been there for me on occasion but she doesn’t really “get it” not having suffered mental illness herself nor having anyone else in her life who does. She’s very kind but her ideas of what might “help” are quite outdated.
Relatives I was actually very close to as a vibrant, outgoing and confident youngster have turned out to be the worst options for this as, again, not having experienced anything like it themselves (in 2 cases they’ve literally never been ill with ANYTHING beyond a cold in their whole lives!) they just can’t relate. They sympathise and are kind in their way, but they’re unable to provide support.
And some people can actively make things worse! When I had my first major breakdown I had a few people I previously thought of as good friends who were very impatient with me and at times cruel.
It’s definitely one of those situations where you find out who your true friends are.
A few other people who until that point were really only “acquaintances” really came through for dd and I at a very difficult time. From just sitting talking with me, to giving lifts, fetching shopping and even taking dd out to play and on one occasion one literally sat with me all night awake as mh team had let me down and I was in a state. They just sat with me chatting nonsense and helping me do breathing exercises when I was panicky. Will forever be grateful to them for that! Absolutely priceless people like that.
In terms of timing, could it be those occasions are particularly difficult?
Eg For people who’ve lost a child certain “family” occasions/holidays can be especially difficult.
Anniversary of the event can be too.
“No question of suicide or being admitted or anything like that.” What are you basing that on? Some aren’t suicidal...until they are!
“Relative works and has a family so is fairly high functioning.” Again doesn’t mean they don’t need the support.
“Their partner works odd shifts, and they are very protective over their family time when the partner is home, DH is never called up then”
But that makes sense! They’re calling on dh when he’s available and their partner isn’t.
Family therapy or therapy with dh would be a good idea.
It is a case of getting the balance right. It’s great your dh supporting this person but he needs to also support you and maintain his own mh.