The Niagara Falls Review

When should I disclose my invisible disability?

- ELLIE Advice Columnist When to Speak Up? Over-counselled Ellie Tesher is an advice columnist for the Star and based in Toronto. Send your relationsh­ip questions via email: ellie@thestar.ca.

Q: I’m a single man, 50-plus, diagnosed at 47 with multiple sclerosis — an incurable, irreversib­le and progressiv­e condition. Yet I seem normal and capable of being in a loving relationsh­ip.

Most people with MS have spinal damage that disables them.

However, in my case, it affected my brain, causing stammering and wrong use of words. My memory was also damaged.

Those problems have now almost completely abated. But the possibilit­y of another relapse looms.

When I start a relationsh­ip, should I break the news about my invisible disability, and if so, when?

Past cases have indicated that the possibilit­y of a relapse decreases when the patient reaches the mid 50s.

Also, my diagnosis was unusual because of my gender, age and ethnicity. Yet I know the effect of my having MS on potential partners.

When I told one woman I was dating that I had MS, I never heard from her again.

To lessen the possibilit­y of relapses, doctors prescribe medication­s with unpleasant side-effects that make it very apparent that you’re ill. I don’t take such treatments now. Since there’s a possibilit­y that I might get very sick, should I reveal the diagnosis at the start of a relationsh­ip or when it’s on the verge of becoming a serious and committed relationsh­ip?

A: As soon as you’ve had a few dates and feel mutually attracted — but before feelings are discussed — is the time for honesty about your illness.

Share your informatio­n about the disease/treatment as well as the particular­s that make your case different and hopeful of periods of relief from any worse symptoms.

With that openness between you, a woman who’s come to like you may still be comfortabl­e with a relationsh­ip and willingnes­s to see how things go.

However, if you wait to speak up about this until the person you’re dating is ready to be exclusive, it may be seen as unfair deception. And that’s a deal-breaker.

Q: We got engaged after five months’ dating, moved in together and had a son, now aged three.

We encountere­d conflict shortly after moving in. We’ve been attending three different couples’ counsellor­s over three years, and my partner’s felt that two of them were biased in my favour and the other wasn’t experience­d enough.

He’s also been attending counsellin­g on his own. I’ve been seeing another counsellor for two years due to my estrangeme­nt from my toxic mother.

My partner wants to find a new couples’ counsellor. I’m emotionall­y and mentally exhausted from talking about the same issues with no resolution.

When does relationsh­ip counsellin­g become redundant?

Nothing changes, and there’s also the cost of ongoing counsellin­g. Should I agree to his finding a fourth counsellor, or is pulling the plug the only solution?

A: I usually recommend counsellin­g a lot to help resolve problems. However, without some resolution and benefits over time, the purpose is lost and, as in your case, it can become counterpro­ductive.

Yet “pulling the plug” isn’t the next step, when taking a defined, purposeful and limited break can give you both the distance needed to do some thinking on your own.

By “defined” I mean mutually agreed, “purposeful” means thinking hard about what you respect and admire about each other, whether there’s love left or able to be revived, and whether breaking up is a real choice or just giving up. Ellie’s Tip of the Day: Don’t wait too long when dating to confide a personal illness. It can be seen as deceit.

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