When you are the child of a suicidal parent

The death of my Mother is something which I have been prepared for since a young age. When you are the child of a suicidal parent you learn how to make preparations for yourself for the worst, spending years thinking of how you will cope, what this will mean for your future and how it is possibly your fault that your “caregiver” is so sad that they don’t want to live. For a child this is confusing at best and life shattering at worst. Understanding the complex nature of suicide is something most adults are unable to cope with, let alone a child still developing their own grasp on existence and surviving what life throws at them.

My Mother has Bipolar which is a mood disorder – a severe mental illness with mood swings including manic highs and depressive lows, alternating episodes of mania and depression are pervasive throughout an individuals life. Bipolar increases the risk of suicide by 20 times and The World Health Organisation identifies bipolar as one of the top causes of lost years of life and health by 15 to 44 year olds. 

My mother has always seemed to think I am oblivious, however from the age of 8 I began to see my mother slip away and her illness start to take grip of everything that made my Mother my Mother. Her moods became erratic, her temper – palpable and her tongue sharp with abusive slurs, yet still I saw nothing wrong with her, she was my Mummy and had stayed when my Father had abandoned me, so she had to be the best mother in the world , no?

The day I realised my Mother wanted to die was the day I saw her in the bath with cuts all over her, it was the time period that my mother didn’t get out of bed and the curtains didn’t get drawn, it was when she fully left me as my mother and attempted suicide several times, it was when she was put into a psychiatric hospital but left me at 11 years old with a teenager, who was unwell herself. It was when I was raped at 15 and put into an NHS psychiatric hospital and my Mother abandoned me and checked herself into a private psychiatric hospital because she was at risk, she didn’t want to save her child and care for her, she wanted to die.

Defending herself and her bad parenting jumping back and forth when it suites her, blaming everything as a consequence to her illness, attempting to let herself off the hook for just “being there” and not walking out (which I was made to feel was a tremendous task). Adults, including doctors – regularly stated to me throughout my childhood and teens: “do you realise you are the victim of circumstance Charlotte?” or asking “do you resent your Mother for being this way with you?”. My answer was always the same – no! Some adults even suggested she was abusive to me, which I was in no way ready to accept or believe, I did not understand this, admitting this would mean both my parents were unable to love me or care for me in a healthy way.

The truth is I felt sorry for my mother, I still do have an overwhelming amount of empathy for her. I feel she is stuck in a loop, a romanticised view of loneliness and melancholy has hold of her and is never going to let her go. In a perpetual spin, blaming everyone else for life’s disappointments and suffocating me with her negativity. Love doesn’t seem to be at the forefront of my Mothers focus, having been told repeatedly that life gives us choices and that no one else is responsible for our choices (advice she is never able to take herself). I was told that if she upsets me that it is “my problem”, that if I take offence that she or others have not given offence. Telling me I am too sensitive, high maintenance, a drama queen, a baby or just lacking a sense of humour. I believed these labels for a long time, occasionally these judgements come flooding back, which triggers my BPD – leading me to be unable at regulating my emotions and becoming highly unstable as a consequence.

In amongst my Mothers suicidal ideation I too started to see the allure of death and my first suicide attempt was at 12 years old, whilst my Mother was in hospital after a suicide attempt and breakdown. For 5 years I stood over the edge of a cliff, attempting to jump, still remembering the feelings that consumed me; that life was pain and death was the cure.

Children with a parent who has attempted suicide have nearly a five-fold increased risk of attempting suicide themselves, new research shows. Results from a longitudinal, prospective study showed a direct effect of a parent’s suicide attempt on a suicide attempt by their child, even after taking into account a history of previous suicide attempt by the offspring and familial transmission of a mood disorder.

Bipolar is a serious illness, as are my illnesses: borderline personality disorder, complex post traumatic disorder and psychotic depression (just to name a few), however my Mother sees her Bipolar as a badge of honour, as a get out of jail card and an explanation for everything. Never taking my illnesses seriously, suggesting that I was mimicking her, when I first showed signs at 11 – ironically relinquishing herself from all responsibility and diminishing my experiences and pain. Getting angry at me for being suicidal – the cheek! For most of my life she has made it abundantly clear that I am not worth living for or taking care of when it comes to the big stuff.

Seeing my Mother as a human being , not just a parent is possible for me, I realised that she did not choose to be severely ill when I was around 18. My Mother did not realise she married a child abuser (my Father) or could she have predicted her own illness, however she did choose to have me, I was actually planned, now this choice is one that seems to be brushed under the carpet, yet – this is the choice which I judge. They weren’t children, uneducated or religious, they made a very conscious decision, one that in hindsight was a hideous mistake.

However I am able to be grateful to my Mother for doing the basics, for giving me valuable advice and for helping me be the activist I am today. For introducing me to art, literature and my French heritage, there have been lovely times, we have laughed. The holidays we took or the deep discussions we had about life, politics, philosophy and social injustice. I admire my Mother for many reasons and I have never stopped loving her.

Is love enough? It could have been, if the foundations of my life had been maintained, cared for and not left to rot. But now? No. Love is not enough. At 34 with the relentless stress of fearing most days that I shall receive a phone call – telling me my Mother has taken her own life, I am unable to have a relationship with her. She has taken my ability to function when around her and has left me a hollow shell of inabilities. As I write this I imagine her response to this statement, she would say: “I did not take anything from you, you chose to give it away”. Mind fuckery at every corner, a grand manipulator of logic and a riddler with words.

To this day she taunts me with her last will and testament which she has be preparing for nearly 10 years, maybe longer – it feels like longer. The “death file”( which I named), is referenced at every opportunity, making it seem that she is continually putting her affairs in order so that she can take the next step. My husband and friends are understandably complaisant and reassure me that she is just being manipulative and trying to control me. This I don’t doubt to be true – however my Mother has bipolar and is at risk.

In an ideal world there would be enough support for those wishing to start a family and established parents with mental illness, there would be intervention at appropriate times, that patients who are parents within the private psychiatric services are treated as those in the NHS services with children – social workers being made aware of any dependants and assessing the safety of the child within the home. There is no doubt in my mind that my Mother needed more support when she was raising me – I feel for her with this. However she has a part to play, she had choices and she certainly could have learnt by now, after 34 years, that the psychological warfare she has taken against my mental health could have stopped before now.

Still my heart stops every time the phone rings…

Make it Stop - Art and Poetry by Charlotte Farhan
Make it Stop – Art by Charlotte Farhan

 

This is how it feels to be the child of a suicidal parent

There hasn’t been a day since being 11 years old that I wasn’t prepared for my Mother to die. There is no scenario in which my mind has not investigated or planned; from her funeral, what I shall say, how I will feel, who will judge me as the cause of her death. This is not due to a macabre obsession or a morbid wish, this is how it feels to be the child of a suicidal parent.

My Mother has Bipolar Disorder, she was diagnosed when I was a toddler after seeking help because she couldn’t connect with me and feared she didn’t love me. My awareness of her illness was not completely realised until attending secondary school, before this point my Mother was a workaholic and never cried, she was a passionate, opinionated, clever woman who people loved to be around, the life and soul of most parties and fancied by most men. Always doing what she wanted when she wanted and never apologised for living her life. Even when she would drop me off to friends so she could meet men on trips away or when she made fun of my weight or told me I was too sensitive or too serious – my adoration for her was impenetrable, thinking of her as the best Mother in the world and wanting to be just like her.

However my Mother had a sever break down. Suddenly this vibrant woman was in bed, unable to get up, dress herself or wash, her room was dark and filled with cigarette smoke. This made no sense to me, I did not understand why she had changed; it was like Invasion of the Body Snatchers – this wasn’t my Mother. Suddenly she was crying all the time and she didn’t want to do anything, she would watch daytime TV in bed and would be surrounded by books, paper and food wrappers.

Life hadn’t been easy up until now for many reasons for both of us, having experienced depression and loneliness at the age of seven, this new darkness took it’s toll and this was when I started self harming. After seeing a program on a TV talk show about self harmers, after hearing of how these people felt the pain go away and that they actually felt even better whilst cutting, this seemed like the ideal relief. Knowing my Mother had lots of books on psychology and psychiatry I asked her if she had anything on self harm and said it was for a school project, (which for the early 90’s would have been very progressive). My Mother found me a book on self harm and I took it to my room and started to plan my first cut.

A few weeks later I caught my Mother in the bath weeping and cutting herself with razor blades, a mess of tears and blood through the crack of the bathroom door. Shocked that she did it too, shocked that she was in pain and devastated that I had possibly caused it or was going to cause more. In hindsight this is when my Mother and I truly severed our relationship, it was the beginning of the end, even though we were almost on the same page, my need for a parent and stability and her need to be alone and have no responsibilities was like a knife slicing our family tie.

Soon after this my Mother tried to kill herself and she was admitted to a psychiatric hospital, I was left at home alone with our 18 year old lodger (who was very unwell herself) and was allowed to do what I wanted, structure and adult care went out the window. Upon turning 12 I stole some sleeping pills from our lodger and tried to kill myself, instead of dying, sleep was all that was achieved for almost two days and awaking to the realisation that the darkness still existed, there were still no adults or safety.

From this point on, again and again, my Mother tried to kill herself or self harmed to the point of needing hospital treatment. This is when preparation for the inevitable was my only solus – her death. Having lost my best friend to suicide and many other friends; suicide became such a possible outcome that I started being unable to determine when my Mother was actually in danger.  She would say “If I didn’t have you I would die” or “I want to die – there is no point”, always reminding me of how much I didn’t understand, how no one understood – when all the while I understood more than she knew.

After several hospital admissions, 17 ECT sessions and continued private therapy from her psychiatrist on Harley Street in London, it was clear my Mothers condition was getting worse, no cocktail of drugs seemed to help and the bipolarity of her disorder caused havoc on our lives. My Mother experiences mixed states with her Bipolar Disorder which cause her to be irritable, to have high energy, racing thoughts and speech, and over-activity with agitation and becomes an even higher risk of suicide.

This effected me as a child and teen and still does now as an adult. The instability of her impulsiveness, her recklessness and her allowing me freedoms that other children envied, which I did not like or want, I envied the children who sat down for dinner, who had curfew, got money for chores, did homework with their parents, had rules; whose parents wouldn’t discuss anal sex with your friends or discuss their many sexual escapades. In mixed states of mania she would become aggressive, argumentative and so unkind that this emotional abuse still causes me sever pain till this day; name calling, screaming, mental abuse and belittling me with the advantage of not remembering what she had said or done when she was feeling “better”.

There is one act which however hard I try – my mind cannot understand it. When I was raped at 15 and hospitalised as suicide is all I wanted, my Mother made my rape about her and ended up abandoning me and admitting herself to a private hospital (with room service, massages, ice cream) whilst she had stopped my private health insurance (as you do) so I had to go into a mixed boy/girl NHS adolescent unit situated on an old Victorian asylum ground. How could my Mother consider suicide when her baby had been violently raped, operated on due to the rape and then hospitalised? The doctors would ask me how I felt about her doing this, I would always protect her regardless of the fact I was so hurt and felt so unloved.

At 17 she became physical with me on the day I was moving out as I could not take living with her anymore, this truly became my only option to survive, she began to shake me, she slapped me and then she tried to push me into a single pane glass window on the fourth floor of our apartment building. In amidst of this she was shouting at me that I was a whore and that I had probably made up my rape. My boyfriend (who is now my husband) had to pull her off me and at the age of 19 had to confront her with some very stern words and managed to get me out of there.

Another aspect of her mixed states is that of mass overspending which she has done to the extent that all our family money is gone – to be fair my Father contributed to this too with his mental break down. However my Mother seemed to have plenty of money to buy Louis Vuitton bags and accessories, take long haul trips and buy expensive cars, but when money started to get tighter and tighter as the money became less and less, she became selfish and from 17 to 22 let me be homeless, go hungry and I had no access to medical care or dental care, I was very unwell at this time so needed a lot of extra support – but her need to keep up appearances and maintain some of her luxurious lifestyle came before my needs. Anyway it was my own fault after all for being a bad child.

My Mother withdrew from life, hers and mine and as a consequence her sadness took over our relationship and her own guilt for how she has treated me – chokes her just enough to say what a terrible Mother she was or is, something which makes me want to protect her, deny and tell her all is fine, I am fine and she is fine. But her withdrawal made me withdraw from her more an more emotionally, so to not get hurt when she eventually kills herself. Hugging her is painful, when she cries I want to stuff a sock in her mouth – when she complains about her life I want to be anywhere but near her.

Loving my Mother is not hard, liking her is impossible at this point and wanting to have a relationship with her is damaging. However the feeling that at any moment I shall get a call telling me she has died is always there, the preparations are always in place and the guilt consumes me. The illness, the Bipolar Disorder is not my Mother however her core personality and ability to care and love for me is a mixture of narcissism and emotional blackmail.

Who knows what will happen with our relationship, all that is evident to me at this point is for anything to be possible with regards to my Mother is a question of recovery and acceptance. Not forgiveness, we do not need to forgive abuse, however accepting it happened, and that it was not my fault is probably a better focus than my obsession that she will take her own life.


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Why is Severe Mental Illness left untreated in the NHS Mental Health Services

Art By Charlotte Farhan
Art By Charlotte Farhan

The mental health system in the UK which is provided by the NHS is failing people like me everyday; so lets see why?

Here is what the NHS have to say about accessing mental health services in the UK:

Mental health, emotional wellbeing and resilience is all about how we cope with what life throws at us. It concerns the way we feel about ourselves, conduct relationships, handle stress or deal with loss.

Good mental health and resilience are fundamental to good physical health, relationships, education and work, as well as being key to achieving our potential.

This is just an opening statement on the NHS website and already there are many issues:

  • The first sentence implies that mental illness is only from environmental factors around us such as “what life throws at us” and completely negates to say that mental illness can also be a neurological condition which is visible to us on MRI scans. So for people like myself who have C-PTSD, BPD and suffer from periods of psychosis or someone who has schizophrenia, bipolar-disorder, dissociative disorders and many more are left already feeling like this does not include us.
I Am Still Bleeding - By Charlotte Farhan
I Am Still Bleeding – By Charlotte Farhan
  • It goes on to say, that in order to maintain a good life: mental health, emotional wellbeing and resilience are paramount. When someone like me sees this, the complete lack of effort to include severe mental illness appears as if the NHS caters to an exclusive group which myself and others are not welcome in. Some mental illness is not “fixable” in that there is no cure and the assumption and misinformation is irresponsible and suggests that those with mental illness can be healed with a one size fits all solution.

 

 

  • For us with severe mental illness the world is very different , we do not have the privilege of those who suffer from situational depression and anxiety solely. The world expects and allows us as people to feel depressed after death, or anxious after a car crash and what ever else “life throws at you”.  This was not always the way, society has come leaps and bounds in the last 30 years to accept depression and anxiety in a mainstream way. This help is now widely available to the general public and society is more and more open to those who suffer from depression and anxiety as most people have had it or know someone who has. With celebrity faces, depictions in modern film, TV and literature as well as many charities and campaigns continuously running to educate the world about depression and anxiety, the world is still silent about those like myself still viewed as “crazy” or “psychotic”. Due to complex sever mental illness which are still only referenced in horror films, crime dramas, documentaries about “the criminally insane” murderers, news reports where “someone with a personality disorder has killed someone” or referenced as the go to insults for people displaying “weird” behaviours.
Art By Charlotte Farhan
Art By Charlotte Farhan

The NHS go on to say:

Less common conditions, such as psychosis, can make you experience changes in thinking and perception severe enough to significantly alter your experience of reality. These conditions include schizophrenia and affective psychosis, such as bipolar disorder, and can have the same lifelong impact as any long-term physical condition.

 

 

The issue here is that even within the severe mental illnesses there are some which will be focused on above so many others. With an over emphasis on  Bipolar disorder, schizophrenia and a general reference to psychosis. There is no mention of the most common of these disorders; C-PTSD or PTSD, there is no mention of personality disorders, dissociative disorders or to the disorders which have psychosis as a symptom. It is as if the world is not prepared to let go of the label “crazy” and still needs some of us to be under this stigmatising label so that we can be scapegoated as the deranged creatures of nightmares so that fingers can be pointed and there is a face to the monster.

This next paragraph from the NHS is misleading:

Mental illness is treatable and, with appropriate support and treatment, people do recover. Many move on with their lives and are able to care for their family, contribute to the local community, and get back into employment or training.

Vulnerability - By Charlotte Farhan
Vulnerability – By Charlotte Farhan

The sweeping statement that “mental illness is treatable” is an insult to many, it should instead read ” some mental illness can be treatable and severe mental illness is manageable with continued support and treatment”. This goes back to the generalised view that depression and anxiety are the only illnesses affecting the masses and that people can only have mental illness which is subject to your own psychological resilience.

Also some with severe mental illness like myself have symptoms from our illnesses which are depression and anxiety, so you will be offered in the NHS to have these treated rather than the severe illness which caused the symptoms of depression and anxiety. for example, I have C-PTSD, BPD and psychotic depression and due to these severe illnesses I have other illnesses which are symptoms of these, such as: GAD, agoraphobia, OCD, Adult ADHD and BDD.

And then lastly the NHS tell you what is needed but only provide one option in reality:

But this may not always be a straightforward journey. Many people only need a short course of psychological therapy or six months of medication, while others will need much more support and intensive treatment, be it medication or extended therapy.

The issue with this paragraph is again how the less complex and severe your illness is the more you are taken care of. Most people will only need a short course of medication and some focused counselling like 6 weeks of CBT if they suffer from anxiety and depression if caused by general life’s ups and downs, they may then need this again and it will be available to them throughout their lives.

Neurosis and Psychosis - By Charlotte Farhan
Neurosis and Psychosis – By Charlotte Farhan

However when it brushes us “the complex cases” under the carpet with the statement “while others will need much more support and treatment” this makes me very angry. As they imply they “the NHS” will provide this for us, but in fact this is NOT the case as all. You will be offered drug treatment of archaic psychotropic drugs, you will be offered short term therapy (6 weeks) and then once you have had this treatment you can not re-apply for treatment until after 6 months. So if you are not “cured” after 6 weeks, tough luck! Which as you have read is impossible for complex and severe mental illnesses.

There is no after care, the emergency lines (crisis support) they allow you to have whilst in treatment are then closed to you, (not that they answered when you were allowed to call them). Finally the pièce de résistance is that you will be told (like I have been told 3 times over the last 21 years) with no uncertain terms that “there is nothing we (the NHS) can do for you now, sorry”.

Agoraphobia - By Charlotte Farhan
Agoraphobia – By Charlotte Farhan

The devastation that is felt by people like me, who are unable to be part of society due to our mental illnesses due the stigma attached to us, is so overwhelming that in most cases it leads to a relapse and more often than not self-injury, suicide attempts or death. When this last happened to me last year, I suffered a further breakdown and relapse, this meant I did not take care of myself for over 6 months resulting in more ill health. If I did not have a husband who takes care of me when ill, I would have died. So what about all of those alone? What about my husband who has to deal with this on his own?

Now I ask you, is the mental health system working effectively?

Source: http://www.nhs.uk/NHSEngland/AboutNHSservices/mental-health-services-explained/Pages/accessing%20services.aspx#

Next time I shall be sharing my timeline of treatment within the NHS from age eleven to now. So follow my blog to keep up to date on my future posts.

 

My colleague from ART SAVES LIVES INTERNATIONAL and dear friend Jade Bryant is also exploring the NHS and its failings within the Mental Health System, please follow this link to read more and get involved by sharing your stories.

Attitudes Of The Mental Health System – By Jade Bryant 

 

Find more art from Jade; HERE

This is the beginning stages of a campaign which ASLI (our non -profit) will be running in the near future. We hope to elevate our voices and others and then we hope to take this to the government; to bring about change as well as running workshops and programs which will aim to engage better understanding within communities, so that people like myself and Jade and so many others can be included properly in society which will inturn help us with our mental health.

Thank you for your time.

Pain and Detachment - By Charlotte Farhan
Pain and Detachment – By Charlotte Farhan

If you have anything to say on this subject, or your own story please get in touch via this contact form: