Our expert says:
Thanks, Maria. Yes, though the obvious misery of depressions is clear, people often under-estimate the misery caused by manic episodes, both to the individual and to family and friends. And yes, aint it awful how many hospitals who fail to control and properly nurse and treat such episodes, just neglect their duty and blame the patient. IN my experience this can often happen with elderly patients who, for the convenience of the nurses, get vastly over-sedated, and then blamed if they become confused, as who would not !
I agree, too, that much kudos is owed to the many families who somehow cope with all such difficulties. We forget that severe psychiatric illnesses, like a cancer does, metastasize to the family as well. I think the marital issue isn't so much about trusting the individual again, as about trusting the illness, or at least the interaction between the illness and the person. And this is one reason why all doctors SHOULD, but sadly too many don't, actively involve the spouse and family in the care plans and long-term planning.
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