A patient of mine has a mentally ill brother who’s depressed and anxious, as well as manipulative and stubborn. He often refuses to take medication that’s helped him in the past and as a result often ends up lying at home in his bed, unwashed and unkempt, for days at a time. When my patient discovers him in this state, she tries various things: taking him to the ER (which she’s learned leads nowhere), contacting his therapist (which sometimes helps, sometimes not), and even walking away, both figuratively and literally. She struggles with how much she may be enabling his behavior and with how unhappy his unhappiness is making her. Continue reading…






