Parenting

Help me with my sister (trigger warning)

I'm a long time lurker, but I really need advice. I'll try to not make this tl/dr. My little sister has a host of mental health issues (bi polar, depression, anxiety). She's struggled her whole life. She was in and out of jail frequently as a teenager, abused hard drugs, in rehab, etc. she got her shit together and got a full ride to UC Berkley, where she is now.
She recently broke up with her boyfriend who she was with for 5 years. She's been on a spiral. She texted me last week saying she was jumping off a bridge. I contacted the Berkley mental health office and they contacted PD. She eventually made her way to her psych's office, who declared her fine and not a threat to herself, he's also 85 years old, and my sister admits that he isn't good, he's just nice to her so she's sticking with him. Her medication hasn't been adjusted in a year because he thinks it's working for her.
Today my sister texts me that she's getting married. I call my mom. Apparently she is getting married to her drug dealer, so obviously she's using again. He sells coke and possibly heroin. I didn't respond to my sister. I don't even know what to say. She's destroying my family. My mom is becoming depressed over the situation. When my sister is manic, she calls my mom and screams at her, any time day or night. When my mom came to visit myself and DD, she spent the entire visit on the phone with my sister.
I've sent my sister tons of information about where she can get help. I've had the psyc at Berkley contact her but she won't contact them back, even though she promises me she will. I don't know what to do. I really feel like she's going to die or end up in jail. What else can I do?

TL/DR- my sister needs help and I don't know what to do.

Re: Help me with my sister (trigger warning)

  • Oh wow. That's hard.

    I would check out support groups for lived ones of users. I'm blanking on the name.

    Others here have more intimate knowledge and experience. Hopefully they will chime in
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  • I don't have a lot of advice, but I do have a sister in a very similar state.

    Honestly, there isn't much you can do because until she wants to get help or change she won't. You can't change her. You can't make her stay sober. It is terrifying to see this happening to someone you love and be unable to stop it. It truly is. To worry that every call is a notice of a death. It's heart wrenching, but you can't do anything more than you've done and if the unthinkable happens, it is absolutely NOT your fault. You can't make her choices for her.

    I'm so sorry you're going through this.

    And I know this. I know she has to want the help. I can throw every resource at her but if she doesn't want the help it's a fruitless effort. It's just so hard to accept. It's so hard to understand. She has so much potential to do great things, she's brillant and she's overcome so much already-mental health issues are such a bitch.
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  • Everything you're typing I could type about my sister. She has the same type of illness and uses the same drugs you mentioned. She is an amazing person and has so much talent. @LindsRockies put it best "Mental illness fucking sucks".

    I don't have any great advice, but if you ever want to PM me to rant or talk you can feel free to do so.

    Thank you. I'm literally crying, so kind of you. It's nice to know someone else has gone or is going through something similar.
  • Where are you relative to your sister? Here a person can be 302'd if they are a danger to themselves or others. That means that family can commit them to a facility. One place I worked was with kids and they had the option to sign the 201 when coming in instead of having a 302 on their record. Can you contact the local Psych hospital or Crisis center? A lot of our referrals come from the Crisis center and we work to keep people out of the hospital. 

    I'm in Arizona, she's in CA. I was hoping to do that last week, but I think she figured out what I was trying to do and went in to her psych voluntarily. When the police called the psych's office, he said she wasn't a threat to herself. After she met with her psyc she texted me saying that she wasn't going to a mental hospital.
    She primarily threatens suicide when talking to my mom. I'm going to talk to my mom about the hold. Thank you for the information.
  • So sorry. Hugs to you. I am struggling with something similar. I suspect my brother may have schizo affective disorder (we have a lot of mental illness in our family). He is 40 and just moved back in with my mom. My mom has been attending classes at NAMI that have helped. I strongly suggest contacting your local NAMI. They have many support groups for family members. Also, reading has helped us. I have 2 book suggestions: "Stop Walking on Eggshells" and the best book of the sort that I have come across is "I'm Not Sick, I Don't Need Help". Please feel free to inbox me if you ever want to talk more.
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  • So sorry. Hugs to you. I am struggling with something similar. I suspect my brother may have schizo affective disorder (we have a lot of mental illness in our family). He is 40 and just moved back in with my mom. My mom has been attending classes at NAMI that have helped. I strongly suggest contacting your local NAMI. They have many support groups for family members. Also, reading has helped us. I have 2 book suggestions: "Stop Walking on Eggshells" and the best book of the sort that I have come across is "I'm Not Sick, I Don't Need Help". Please feel free to inbox me if you ever want to talk more.

    I am going to find both of those books, as well as pass on the titles to my mom. I am also going to look up NAMI. Thank you so much!
  • Spooko said:

    Oh there are so many dynamics at play when you're ready to be done but another family member is still swept up in the addict's life. There was a major strain on my relationship with my mom in the beginning years.


    From my sister's issues, we ended up adopting her little boy. It was after that finalized that I was finally able to come around and conjure up some sympathy for her. I was angry for a long, long time. There are still times I get frustrated because I want more for her than she does.

    I would ALWAYS call for help if someone threatened suicide. That's NEVER the wrong choice. 

    I will say, it's very difficult to get a mental health hold to go through. And with being out of state, I'm not sure you could realistically make it happen. 

    I don't have any insight into your relationship with your sister, so IDK if it would work, but after all these years, my sister and I have an unspoken agreement that she stays away for the most part when she's unwell. She knows that I always love her and pray for her and think of her from afar, but that I can't have all of that in my life, especially with the young kids. There are still times where she isn't the greatest and her and I will stay in contact, but she definitely leaves my kids out of it. She is welcome whenever she is well, but that is at my discretion. 

    I'm really, truly sorry. I wish no one else knew what this was like :(
    I think my sister and I have a similar relationship. She knows I love her and care about her, but when she's manic we don't have much contact. I have a hard time establishing a consistent relationship with her, there definitely is some built up anger and resentment I have towards her. When we do have a relationship, there is little give and take, it's usually centered around her, whether it's the good or bad in her life. I struggle with that, so my contact with her is sketchy at best. I want her in my life, and in my daughters, but obviously not like this.
  • I didn't realize there were so many of us with similar sister issues here. My sister has anxiety and depression (not diagnosed with bipolar but it's a possibility). Our parents died young (my sister was 17 when my mom died and 19 when my dad died, I was 4 years older) and that definitely played a part in her turning to drugs. She has been free of heroin for the last 2.5 years only because she is on methadone.

    Having gone through many periods of her using and going through rehab, and being a long term care RN case manager who has had several patients like my sister, I can only tell you what the others have said. Help but do not enable and encourage your mom and other loved ones to do the same. It was only when my sister ran out of money and supports that she made the change.
    imageimage
  • Hugs. You've gotten some really great advice. My best friend went through this with her daughter. My best friend had to reach that point on her own where she was ready to stop enabling her daughter and cut off all contact. She knew she needed to stop for both of their sakes, but it was very hard to turn off the mom switch. It's a rough thing for a family to go through. She joined a support group for family members, but I'm not sure which one. It did help her with coping mechanisms and gave her a supportive outlet for the guilt and anger she felt.
    https://s-media-cache-ak0.pinimg.com/236x/1e/60/2a/1e602a4261a90b9c761ebe748b780318.jpg    https://s-media-cache-ak0.pinimg.com/236x/47/2c/07/472c076006afed606241716dd0db828a.jpg 
  • Thank you everyone for all the ideas and resources. I forwarded the information about Al-Non and NAMI to my mom. I know I'll be seeking help for myself, and I'm hoping my mom does the same, and sticks with it. We need to be a consistent, united front for my sister, and I need my mom to realize this. I really appreciate the kind words and support.
  • So sorry. Hugs to you. I am struggling with something similar. I suspect my brother may have schizo affective disorder (we have a lot of mental illness in our family). He is 40 and just moved back in with my mom. My mom has been attending classes at NAMI that have helped. I strongly suggest contacting your local NAMI. They have many support groups for family members. Also, reading has helped us. I have 2 book suggestions: "Stop Walking on Eggshells" and the best book of the sort that I have come across is "I'm Not Sick, I Don't Need Help". Please feel free to inbox me if you ever want to talk more.
    I work for NAMI. Your recommendation is high praise. I had a really rough day today, and I'm seriously misty-eyed over here.
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  • Hugs. You've gotten some really great advice. My best friend went through this with her daughter. My best friend had to reach that point on her own where she was ready to stop enabling her daughter and cut off all contact. She knew she needed to stop for both of their sakes, but it was very hard to turn off the mom switch. It's a rough thing for a family to go through. She joined a support group for family members, but I'm not sure which one. It did help her with coping mechanisms and gave her a supportive outlet for the guilt and anger she felt.
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    I think this is where my mom struggles. The last time my sister went to jail my mom had her arrested for DUI. There was so much anger and resentment from my sister, I don't think my mom wants to go through that again. Every time my mom tells me what's going on (which is usually a day or two after the fact) I tell her that she needs to be calling the authorities, etc. My moms reply is always "my hands are tied". It's so frustrating. I'm hoping if she attends support groups she will see she's not alone in this struggle and gain some coping strategies.

  • emi619 said:

    Hugs. You've gotten some really great advice. My best friend went through this with her daughter. My best friend had to reach that point on her own where she was ready to stop enabling her daughter and cut off all contact. She knew she needed to stop for both of their sakes, but it was very hard to turn off the mom switch. It's a rough thing for a family to go through. She joined a support group for family members, but I'm not sure which one. It did help her with coping mechanisms and gave her a supportive outlet for the guilt and anger she felt.

    Al-anon will definitely help with this. Your mom needs to realize that in calling not calling the police, etc she is really hurting your sister more than helping. Of course your sister will be upset, and I know it's way easier said than done, but if she gets through to the other side and stays clean and on her meds, she will understand and be grateful (at least that's how it usually goes but there are no guarantees). Plus this codependent relationship is not good for your mom's health and well - being either. I have been there and still am at times as my sister is still dealing with her past and has a crisis of the week all the time (I'm her only sibling, so with no parents, I'm pretty much it for her).

    Thoughts and prayers for your sister.
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  • emi619 said:

    Where are you relative to your sister? Here a person can be 302'd if they are a danger to themselves or others. That means that family can commit them to a facility. One place I worked was with kids and they had the option to sign the 201 when coming in instead of having a 302 on their record. Can you contact the local Psych hospital or Crisis center? A lot of our referrals come from the Crisis center and we work to keep people out of the hospital. 

    I'm in Arizona, she's in CA. I was hoping to do that last week, but I think she figured out what I was trying to do and went in to her psych voluntarily. When the police called the psych's office, he said she wasn't a threat to herself. After she met with her psyc she texted me saying that she wasn't going to a mental hospital.
    She primarily threatens suicide when talking to my mom. I'm going to talk to my mom about the hold. Thank you for the information.
    @emi619‌
    In CA it's a WI (welfare and institutions code) 5150 hold for 72 hours. She can go herself, be committed by her doc or the police. She must be considered a danger to herself and others and t sounds like she's already gone through this part of the process. However, they often times won't even hold for 72 hours and having gone to Berkeley for undergrad and knowing the area I doubt Alta Bates hospital (where she would go) would hold her for long, but if she meets criteria, something is better than nothing.
    Unfortunately the only way you can get some enforced services is when the criminal justice and mental health systems intersect. I agree with PP you need to work on getting services for yourself and your family.
    Please pm me. I work in criminal justice and I am across a bridge from Berkeley/Alameda county and can look into resources for you. I have done a lot of work with our mental health courts and it's one area that means a lot to me.
    Big hugs.

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