Sister’s anxiety becomes wedge

DEAR AMY » I’m the middle of three sisters. We all live with anxiety disorders. My younger sister and I are very close. She and I both live far from home.

We’re having problems with our older sister, “Clare.” She’s always let her anxiety and depression lead her life. Instead of seeking help, she has the attitude of, “Well, I have anxiety, so you need to deal with it.” Clare frequently uses it as an excuse to be mean or start a fight.

The only time we are all together is over holidays. Clare’s pattern is to start a huge fight at any holiday.

There’s never any discussion or apology; we’re just expected to reach out to Clare and let it all go.

I’m almost 30 now, and I’m tired. She says and does hurtful things to me and the people I love, and then expects us to back her up. It’s an unhealthy relationship that has caused me setbacks in my own mental health journey.

After her last flip-out at Christmas, I didn’t reach out. She’d acted like a child and then got offended when we didn’t come chasing after her.

She’s sent my younger sister and me an email outlining why we’re horrible people. It reads like a high schooler’s revenge letter. I won’t be replying for a few days.

We both need to get mentally healthy before we can try this again. I’m currently waitlisted to see a therapist.

How do I navigate this relationship from here? — Anxious

DEAR ANXIOUS » Anxiety does not make people mean. Because “Clare” refuses to seek help, you could assume that she is laboring under a self-diagnosis, or a misdiagnosis.

I understand why you are waiting to contact Clare, but I’m wondering why you feel the need to contact her at all. She has had her say. She thrives on accusation and drama. Now might be a good time to work on accepting her limitations, detaching from her problems and making a choice to send her silent sister-love from a distance, but declare to yourself that you’re just not going to play.

You could try to retrain her and reframe your relationship over time. When she behaves decently, you’ll always respond positively and have a decent relationship. When she doesn’t, you won’t.

The assumption is that sisters should be close, comforting and supportive friends. But it doesn’t always work out that way.

This is an ideal issue to explore in therapy. You’ll feel much better about yourself — and her — when you can detach without bitterness.

DEAR AMY » You missed something responding to “Worried Sick.” Worried’s husband had recovered from serious heart surgery and was now drinking.

Depression is common after heart surgery. Thank you for recommending Al-anon for her, but this needs to be addressed. — Been There

DEAR BEEN THERE » Several readers made the same important observation regarding the link between heart surgery and depression.