@Morgaine
I read your post and can’t help but to see similarities in my last relationship. I suffer from BPII and didn’t know it at the time. If you are going into this relationship with your eyes wide open, you’re making a life long commitment to a person with a disorder that can be managed really well, but that is very serious and can be fatal. So, it’s not just up to your partner to get better, but for you to skill up yourself.
I have a few thoughts about what worked for my family to work with me better, and me to get healthy. I hope you might be able to use it as a check list to help you out.
I think it’s important to preface all of this by saying that consistency and routine are key for any of this to work, and you’ve got to both want this to work. It’s a hard road but well worth it.
Step 1: medication - manage the extreme mood cycles of BPD as the cornerstone of a broader treatment plan.
This might also include getting some help for setting and maintaining a good sleep schedule.
Step 2: Alcoholics Anonymous - this illness is the next beast to tame. You can take your partner to the AA rooms where you and your partner will both find support in her recovery.
Let me be clear, if you don’t get Steps 1 & 2 right, nothing else will matter much. You need to form a baseline to treat the bipolar and alcoholism, otherwise you won’t find a lasting peace that will allow for healing in other areas.
Step 3: Educate yourself. Read the “Bipolar Disorder Guide” by David Miklowitz. If you haven’t already, go onto YouTube and watch Dr Tracey Marks videos on bipolar. Find other resources that work for you. Take power in knowledge over BPD. Encourage your partner’s support network to do the same. An uneducated support network makes a person with BPD feel more misunderstood, so get smart!
Step 4: Counselling and support groups - you need to put your life jacket on first before you can help someone else. There are a ton of support groups for family and carers, go and get involved! If you want specific recommendations let me know in a reply.
If possible, your partner should find a good psychologist to work with who specialises in speaking to people with bipolar and other kinds of mood disorders.
Step 5: medical team - Your partner should have a good Psychiatrist and GP in her medical support team. If crap hits the fan, you’ll need these guys in your corner to help get symptoms in check quickly and with as little fuss as possible.
I hope that’s a helpful start. Very happy to help in any other ways too. I applaud you for trying to find a way to be with your partner despite her disorder, and hope you can both find a way to stabilise and move past this phase in your lives.