A lot of attention has been given to Robin William's tragic death. As late as yesterday I saw a magazine at the store with the headline "He could have been saved". I am glad to see that this sad event brings some attention to the issue of mental health and to the tremendous suffering that persons with mental illness go through regularly. Williams was a brilliant man, so very gifted, so very deep and thoughtful, and he gave us much to ponder in his highly energetic performances on screen. I loved his Dead Poet Society performance. It is a movie I want to revisit one of these days. However, my favorite role for him was in the irascible Genie in the cartoon Aladdin. His energy is contagious, his cheer and his spirit leave us laughing and asking for more. He is/was truly tremendous in what he could deliver to us. We are inspired when we see him at work
Now, while I lament his sad ending, and while I wish as much as anyone else that he could have been saved, there is a lot more to the story from the perspective of those who may supposedly been within reach to 'save him'.
Those of us who have lived with family members who are mentally ill know the toll it takes on everyone in the household. (I am going to designate the mentally ill person as 'he' in this blog, but it could just as well be a 'she'). The mentally ill person is immeasurably difficult to live with, both in his manic phases as well as during his depressive episodes.
During the manic phases, anything is possible if he just puts in enough effort, nothing is impossible as long as he just keeps pushing and trying, and while the person's energies seem inexhaustible, while he tries to fix all he neglects during his depressive episodes, the family members surrounding this person are not in possession of those quantities of energies, and they just stand by mutely watching him steer the Titanic into yet another iceberg. They know it is just a matter of time. They know the sinking of the ship is imminent, but they are powerless to stop him, to help him see reason, or to get him to calm down and channel his energies rationally. Rationality is not part of the picture and often during this manic cycle much that will later be difficult to repair is effected and put into action.
During the depressive cycles, all that manic energy is spent, and the person can barely get up in the morning, the family walks on eggshells for fear of triggering what little energy of anger he can muster while he defends his inactivity, lays back down, unable to sleep and unable to get even the most basic tasks done.
In the depressive phase, the person has almost no sense of how he is affecting the rest of the household. His burden of pain is so excessive that he is not able to consider the feelings of others, their needs, or how he is taxing the resources of whomever he is living with. His inability to stay employed due to his cycling energy levels can result in additional pressures on the family as they go through yet another job loss, followed by an even more severe depression before the manic energies return in sufficient quantities to secure employment for said individual.
I am not criticizing Robin Williams or what he suffered. May God rest his soul. What I am trying to say is that for all that many think he could have been saved and that there were 'someones' around him who dropped the ball and did not rise to the occasion of delivering what he needed when he himself had nothing to give, those around him were likely exhausted. They had likely lived through multiple cycles with him. During those cycles, they had tried this and that and the other, over and over again. At some point, as a significant other to a person who cycles, one steps aside, sits down, perhaps even cries. Then one takes a breaker to watch (with fear and trembling) and see what the loved one with mental illness will do during this time.
There is a strong desire on the part of the family of a person with mental illness to break the cycle, and to urge the person with mental illness to be responsible for his own behavior and for his own well-being. Breaking the cycle means taking risks. Breaking the cycle means that the family is responding to a depressive cycle by not doing the same thing they did last time (and the time before, and the time before, and the time before). It also means that the mentally ill person will flip out and do new things to act out to get the attention he feels he needs, since the pattern he is comfortable existing in has been denied him, and that is scary! His cycles, while erratic and unbearably painful to the family, are predictable to him. He is the one that generates the behavior, and he feeds on the emotional ups and downs these cycles produce.They are an essential part of his existence. A complete downer is followed by soaring into another manic phase. THIS is euphoria to him... while it lasts. But this time ... because the family suddenly responds differently to his cycle , the person with mental illness must write a new script for how to get through this cycle. They have denied him what he needs most!! It is like drug withdrawal to him. It is time to do something radical to teach them how they must respond. He can't live without this regularity. If they act like this, they don't love him. Nobody cares. The whole world hates him. -- Sometimes this is where the suicide (or suicide attempt, or suicide threat, or harm to self) comes in--- yes, the cycle was broken, but not the way anyone intended it to be.
I am not discounting that we need to have sympathy for the person with mental illness, but .... the cost to the spouse, the cost to the children, to the immediate family and friends is prohibitive. Sometimes the family members are no longer able pay that price, and sometimes the person with mental illness is unendurable to live with.
I guess I am discounting unconditional love. With mental illness comes a great deal of emotional abuse for the rest of the family. The home may not be an emotional safe place to exist in. If the episodes of manic or depressive moods are cycling fast and furiously, there is no respite for the family, just a constant unpredictable roller coaster ride, and that takes unspeakable toll as the mentally ill person is extremely difficult to reason with and may require so much of his surroundings that often children suffer and may, in some of the worse cases, develop their own form of mentally ill coping mechanisms in response to the constant pressure, neglect, and lack of reality they are surrounded by.
In short, the Robin Williamses of this world, are gifted and talented, and to those of us who do not live with them, we--the public--enjoy the fruits of the productive labor that the Robin Williamses of this world create, when they function well enough to produce something. But the close friends and families of a Robin Williams suffer greatly, suffer unpredictably because of the massive and varying needs of his erratic genius.

