Penticton Herald

Brain injury plus addiction equals disaster

- ELLIE TESHER

DEAR ELLIE: I was in a threeyear relationsh­ip with a man I met online. He had a good job then and a nice place to live.

But his alcohol addiction, compounded by a traumatic brain injury from an alcoholic binge, caused massive personalit­y problems.

He lost his job last year, went to rehab, but relapsed. We broke up several months later.

He has unemployme­nt insurance but he’s now no longer employable, and can’t properly care for himself or his home. He’s facing eviction very soon.

I care for him. We maintained contact but he became increasing­ly hopeless, then abusive and hostile.

He says he doesn’t expect me to help him but contacts me frequently about losing everything.

I’m concerned that he’ll expect me to rescue him. I advised him to get profession­al help, but his commitment to sobriety is very erratic.

He’s alienated all family and friends. I don’t want him to end up on the street but have no capacity to care for him.

I fear he’ll show up at my home asking for help and I won’t have the courage to turn him away. — Concerned

ANSWER: Do the research, now, and connect him to all the resources you can track down for him in your location.

(I can’t be specific because, to keep promised anonymity, I don’t identify locales.)

Contact community services, the Salvation Army, and Al-Anon for any help you can steer him towards.

Attending an Al-Anon support group session yourself can be helpful because others will have faced these same questions.

Also, you need your own support to know that until he’s ready to commit to sobriety, he’ll lean on anyone who listens.

I’m hoping that readers will also have suggestion­s for you.

DEAR ELLIE: A friend in his late-60s is “losing it.” He’s always been active — sports, and community work — and was excellent at his job.

But he’d started to second-guess his decisions and couldn’t keep up with the technology that was constantly increasing in his field.

So he retired. He’s staying home way too much, and communicat­ing less with friends.

During phone conversati­ons, he loses his train of thought, gets flustered, and hurriedly hangs up.

I tried to discuss this with his wife but she blocked that conversati­on, saying, “He’s just tired,” or “fighting a cold,” etc.

As a longtime close friend, should I be raising the topic of possible dementia, and urging him to see a doctor? — Worried Pal

ANSWER: The responsibi­lity to address cognitive changes lies within himself and his own family, first.

Unless you’re a doctor, for you to “diagnose” dementia could be perceived as intrusive and insulting.

Many seniors have some difficulty with memory, especially if they’re feeling depressed by other changes.

Also, there may be some health factors, affecting his energy for going out as well as his concentrat­ion.

Meanwhile, this man’s retreated abruptly from an active, engaged life involved with people. He may well be feeling insecurity about his life now, making him sad as well as lonely.

Encourage him towards gentle get-togethers with you and other friends — lunch, a movie, etc.

Open the topic of the changes in his life. If he responds, suggest he talk to his doctor about how to make the “transition” to this new phase.

If that doesn’t work, try talking to his wife about your worries for him, and therefore for her too, regarding his “low spirits.”

The conversati­on should naturally lead to the idea of an overall health check, and the possibilit­y that she accompanie­s him.

DEAR ELLIE: I’m getting married in August and wanted to do some pre-marital classes. Can you recommend any?

We don’t have a lot of money with a wedding coming and a two-year-old child. — Seeking Direction

ANSWER: Like many couples, you entered into a full-on relationsh­ip including child rearing well before getting married.

In some ways, that puts you ahead in terms of “pre-marital” informatio­n, because you’ve already learned some of the pitfalls.

Examples: Particular situations and stresses that cause arguments, your differing points of view, the clash of different ways in which you each were brought up by your own parents.

Seeking pre-marital classes now is a wise way to have your wedding give you both a fresh start. Many faith communitie­s offer free pre-marital courses, so look for an appropriat­e one in your area.

Also, your local YWCA, family services associatio­n, and/or community services agency may be able to direct you to inexpensiv­e or subsidized courses.

TIP OF THE DAY Finding available help for someone is more beneficial than taking on what you can’t handle.

Ellie Tesher was born in Toronto and has been working as a journalist for 25 years. She studied sociology at the University of Toronto before landing her first job at Children’s Aid as a case worker with foster children. Email ellie@thestar.ca. Follow @ellieadvic­e.

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