Hi @Jacob2019 ,
I'm sorry to hear that you're going through a tough time right now. I hope things get better for you soon. There's no need to apologise or feel selfish, how you feel is completely understandable given the situation. It doesn't matter what's happenening for everyone else here, I'm sure no one here sees it as a competition or sees anyone as having gone through less than them, mental ill health is tough full stop.
I can totally understand you feeling anxious and annoyed when your partner does something that doesn't help (or actively damages) their mental health.
My partner used cannabis for a long time for stress relief and to help him cover his mental ill health (was not diagnosed at that time). My partner has since been diagnosed with schizophrenia. He knows that cannabis and other drug use may have led to psychotic episodes and worsened his schizophrenic symptoms, but he still used cannabis for stress relief and pleasure. He has also used cigarettes and vape juice containing nicotine. It's frustrating because he knows that these all increase his symptoms. Especially cigarettes as they affect his medicine as they stop the concentration of the medicine in his blood being high enough to be having a positive effect on him.
It's frustrating when he does things that he knows are damaging his mental health. But at the same time, I try to not stress about it too much. We're all human, we all make mistakes, regardless of mental health.
When I talk to him I try to not accuse him, but gently remind him that it's not good for him. I try to find out what has triggered him to use that crutch, eg: hanging out with certain friends, stressful situations, wanting an escape, wanting life to be how it was before mental ill health, wanting to be like everyone else. If it's a once off event and doesn't seem to cause much damage, I just leave it be. When I can see that smoking has worsened his symptoms and that he seems to be doing it more than once, or it is becoming a regular pattern, I talk to him. I find out the reason why, we discuss it and how he feels and if there's any alternatives. At times talking to him can be tricky because he can be aggitated or he may be delusional or just not interested in talking. But I slowly get him to question his behaviour - think about what are his goals and is his behaviour helping or hindering him in achieving his goals. When he sees that his behaviour is hindering his goals, he is more responsive and ususally stops the behaviour.
He's currently in university, so he's often under stress, especially around exam time. I just have to realise sometimes that he's going through something difficult himself. He just wants to relax, he's not doing it to worsen his symptoms or hurt me.
It can definitely be traumatic thinking about tougher times when your partner was ill, but being aware of it and triggers is important. Use all of your support system to make sure that you're okay, talk to friends and family or counsellors, or whatever you do to help yourself. Then make sure that your partner is using their support system to get back on track.
It sounds like you've been an amazing and really supportive and caring partner. I hope your partner is getting better, and I hope you take some time to relax and care for yourself.
Plant Lady xxx