I think something I’ve learned over the years from several harsh breakups and big time abandonment issues, is that the pain you’re feeling is an actual physiological response to the loss of someone you are chemically bonded to. This is old biology at play, older than civilization, older than our species, because apes and various other animals exhibit grief.

There is no easy way out of it. Your brain has to unravel connections that once provided positive happy chemicals from your proximity to that person. It makes sense, oxytocin and other hormones reinforcing pair and family bonding, as they were once critical to survival. You just have to let it hurt, until it doesn’t anymore. It could take a long time, but one day you’ll be at peace with it.

The part about preferring mania? Super accurate. During the year or so of dialing in the meds, my wife alternated between numbness and depression, and eventually climbed her way up to “Normal”

She hated normal. I had to explain that this is how life is for everyone else. Sure there’s highs and lows, but not every day is an explosive rollercoaster of emotions, and that’s a good thing. Stay here with me a while and see if you can learn to love it. Well, she did. And life is good. But there really has to be a lightbulb moment where it clicks that life without the meds is chaotic, destructive, and unsustainable.

My wife of 3 years, together 6, I could basically copy and paste your explanation here and it would be 100% true.

We work together making sure the meds are on track, therapy and psych appointments are regular, and she’s a lovely, bustling, fun individual and our relationship couldn’t be better. We have contingency plans in case things go off the rails. I have phone numbers to her care providers for worst case scenarios.

My greatest fear is economic or political turmoil limiting access to meds, because the meds are key.