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Relationship Girlfriend With Ptsd Will Be Homeless In Months

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Aelwen

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I'm really not looking for any relationship advice right now - as you'll soon read, I already know the major problems in our relationship, and I know how to "solve" them. Right now, I just want to hear some ideas - ANYTHING, please - on how to help her, or things she can do to help herself, because I don't know what else to do.

I'll start at the beginning of the story, with the beginning of the relationship. It began freshman year of college after we'd had a class the previous semester. We'd talked a bit, and she shared several personal things about her past: how she'd struggled with depression since she was 15, how she'd been in several psychiatric facilities, how she had a history with self-harming, and how she'd watched someone she loved kill herself. That's not to say we only ever talked about her heavy past - most often, we just joked around. She has a fantastic way with puns that still admire. And then one day she told me that she couldn't be alone that day, so she came to my dorm room and we talked about nothing for a while until eventually, she told me she'd been raped the previous night. Having already heard about her self-harming, I told her to stay with my sister and I in our dorm, because I was too afraid to let her be on her own for any amount of time. Two weeks and a bottle of tequila later, we were dating. Looking back now, I just want to shake myself by the shoulders until past-me sees some sense. The very foundation of my and Rachel's (renamed girlfriend for anonymity) relationship was me "taking care" of her.

Anyway, about six months later, Rachel came out to me as transgender (she'd previously been identifying as male, but now identifies as female). I fully supported her transition and helped pay for hormones for a while. However, she ended up losing the last few members of her family who didn't already ostracize her for her depression. Now, two years later, her father and grandparents are still not speaking to her, and her mother and brother are not comfortable with the idea. I am the only person on this planet who fully supports her decision to be who she is.

This past June, we signed a lease for an apartment together, after quickly growing bored with the school dorms. When we signed the lease, I was under the impression that she would find a job; she never once indicated that she wouldn't be able to do so. She never once told me that she wasn't okay. It's March now, and while my financial aid (thank goodness) is enough to cover rent, I am solely responsible for paying all the bills on my minimum-wage paycheck, as well as go to school, and keep up with dishes and general cleaning.

Rachel has completely sunken in to her depression and PTSD. She has fallen so far down that she doesn't even know where "up" is anymore, much less actually see it. She has lost absolutely everything; she doesn't even have herself anymore. Her life consists of sleeping and playing Counterstrike at 3am. She doesn't even eat regularly anymore, and may or may not have developed an eating disorder as means of gaining some twisted sense of control. I made the decision to move out of the apartment when the lease is up - I have to look after myself, as horribly guilty and selfish as I feel about saying as much. I will be living in a house with a few other girls while continuing my education.

Rachel, on the other hand... Isn't. The landlord of our current apartment has already found a new (paying!) tenant to live here once I move out, so she certainly can't stay here. She can't move back in with her mother, and her father would never have considered that option for even a fraction of a second. She struggles with PTSD too much to even step outside long enough to grab the mail, and so she certainly is not capable of employment. She has no where to go. What's worse is that she doesn't care. She has given up on herself so much that she knows she is going to end up on the streets and she is doing nothing about it.

I keep trying to talk to her, to help her come up with some kind of plan, or something that will help her through this, but there just isn't anything. She's just given up; while she isn't outright suicidal (due only to fear of death, as I'm told), she has expressed that she's perfectly content to live on the streets and wait for death to come to her on its own time.

Right now, I'm trying to come up with some practical move she can make to help her. Telling her vague, big-picture things like, "You just need to find a purpose!" and "Decide to make a change in your life," are useless. Abstract bits of advice are just that: they're too abstract. I'm looking for something that she can actually act on; some small, baby step on the road to recovery that she can hold on to, and that is actually manageable for her. I suggested she try walking outside, just to grab the mail or take out the trash, but she doesn't "see the point." Does anyone else out there have any thoughts?
 
I may sound incredibly harsh by saying this, but perhaps she needs to hit rock bottom (on her own) in order to rebound and start healing. I don't want to label you as an enabler, but up until this point she has been able to live off of you. She has had the "luxury" of not having to push herself simply because she didn't have to as she's had you there to provide her basic needs (food, shelter, etc). This may sound harsh, but, I was at a similar point a few years ago. I could barely function. However, if I didn't push myself, I wouldn't have even been able to eat as I didn't have friends or relatives nearby to help me. If I wanted something, I had to literally PUSH myself to do it. That meant mentally preparing myself starting the day before, waking up and getting ready, being sure to leave an hour or more for the inevitable panic attack and needed recovery time, finally leaving my apartment for maybe a half an hour to do necessary errands, etc, then returning to my apartment only to collapse and sleep the rest of the day. It sucked and it was hard, but I didn't have people to do things for me. If I did, I know I wouldn't have gotten better because I would have just relied on everyone else.

You may just have to let things go and let whatever happens happen. You can't force her to get help, find housing, etc, and if you do it for her, she may just reject it anyway. Bottom line, she needs to start the healing process (which involves everything else regarding self-care, ie housing) on her own.
 
I can tell how much you deeply care for her. You are already doing one thing very right - taking care of you. That really is one of the best things you can do to help her.

What about a transgender support group? Are there any advocacy agencies in your town around that? There also is the RAINN online hotline (for sexual abuse survivors, or in the US there is Trevor Hotline, geared towards LGBTQ issues. I know the PTSD is the real challenge, but getting her any kind of support might help her feel safer to reach out for professional help for the PTSD. That might be a "baby step" that might be something she can hold onto. In the end, if she is not ready for help, she isn't ready.

If she is can't eat, and has too strong of PTSD symptoms to go outside to get the mail or go outside at all... she sounds like she would qualify for hospitalization based on being "gravel disabled" alone - at least in the US. Especially if she is about to live on the street and yet can't even go outside to buy groceries. That just sounds like a disaster waiting to happen. If you are in the US, you can call any local police station and for most towns and cities, they have mobile crisis teams or specially trained officers who can come out and assess her and see if she qualifies for hospitalization. It is an option of last resort, and I don't think anyone is a fan of having to use that option, but it is an option out there for situations like this and this sounds like a pretty serious situation if she can't care for herself in the most basic ways.

In the end, it may be the pain of homelessness that pushes her to finally get help.

Do you have any support for you? Part of her healing may involve letting her hit her rock bottom. It is painful... I sure do hope things turn around soon!
 
I have to look after myself, as horribly guilty and selfish as I feel about saying as much.

I don't think that any of what you shared is harsh nor do I think you should feel guilty. Solara said it well:

perhaps she needs to hit rock bottom (on her own) in order to rebound and start healing.

She needs to do things on her own. You can't carry her on your back your whole life.
 
Thank you for responding, Solara.
I have absolutely been enabling her. I am the worst offender in enable-dom. She's actually gotten so much worse ever since moving into the apartment with me - she was always capable of going outside before. It wasn't until I started taking over daily life necessities that she slunk into her hole beneath the blankets, and I do own up to my mistake. Unfortunately, it's difficult to go back now. I know exactly what you're saying though - I've already started setting my alarms back so that I have enough time in the morning to contemplate getting up before actually doing it. What is hardest for me right now is avoiding that conversation... Because I think Rachel and I both know that this relationship was never a healthy one to begin with. I think we both know that at it's very core, we were just two lonely people looking for someone to hold onto; there was never any spark to begin with, and what little there might have been if we'd allowed it to grow has been crushed by dependence. I know I'm going to have to talk to her about this, but I know it's only good for me - and for her as well, if she's honest with herself - if we just break up. We're hardly "dating" as it is. I definitely still would like ot be involved in her life, because I do love her and care very much about her, but only in a platonic way.

I appreciate your response, Justmehere,
Rachel was actually discharged from her most recent stint with a psychiatric facility a month or so ago. She was admitted after she called the police on herself for suicidal thoughts. She tried to stay there after informing them of her eating disorder, but they didn't believe she had one. I don't mean to sound harsh, but I honestly think she just takes advantage of these facilities in the same way that she (perhaps unconsciously) takes advantage of me: it's a place to stay where all needs are catered to. I agree with Solara about Rachel's needing to hit rock bottom first - I think she needs to be aware of the fact that people will not always be able to take care of her, and that she needs to learn to take care of herself. Before that, though, she needs to learn that she is worth taking care of, that it is possible to move on, and that attempting to do so is worth it as well. I wish I could convince her these things are true, but I guess that's a conclusion she'll have to come to on her own.
 
Thank you for your response as well, Ayesha. And I do agree, I just have a very nurturing personality - it's hard for me to watch that bird plummet off the nest, even though I know it's necessary for her to learn how to fly.
 
I agree with Solara about Rachel's needing to hit rock bottom first - I think she needs to be aware of the fact that people will not always be able to take care of her, and that she needs to learn to take care of herself. Before that, though, she needs to learn that she is worth taking care of, that it is possible to move on, and that attempting to do so is worth it as well. I wish I could convince her these things are true, but I guess that's a conclusion she'll have to come to on her own.

If she really thought she had an ED, and she was ready to heal from it, then she would go find an ED counselor and facility. But those places require a lot of work and taking responsibility. I totally agree on her needing to face some of the pain of her actions, or rather her inaction, to seek out help. I didn't think I was worth being helped but I still went for help because it was either death, living in severe pain, or getting help I didn't think I deserved.

It is great you have the insight to know you are enabling her. Often people enable other people out of not wanting to see the other person suffer. Are you ready to let go and let her hit her rock bottom? I say this as someone who has helped a friend who had a drug addiction. When myself and two other friends let her hit her rock bottom, she stepped up her attempts to pull us in back to the small ways we were enabling her. If it wasn't for the support of others, I might have gone back to the unhealthy enabling patterns myself. It's something to maybe keep in mind. It may get harder to let go and her symptoms may get worse as the time draws closer to her impending homelessness, and if you are the one person in the way of her hitting rock bottom and facing the reality of the situation, it might be really essential for you to get support for yourself. Then again, this may not apply to your situation at all. Just a thought.
 
I just want to add that I feel for both you and Rachel. Neither of you are in a great position, and I think that you are making the best of the situation by putting yourself first after realizing that you need to take care of your own needs. I wish there was more that could be done for Rachel as homelessness can be very hard to rebound from even without having to deal with PTSD. It really sucks that many of us need to hit rock bottom in order to get better. (My own rock bottom was a suicide attempt that landed me in the critical care unit of the hospital.) I HATED the experience of hitting rock bottom but I can see it for what it is---the catalyst that really got my healing moving in the right direction.
 
It may get harder to let go and her symptoms may get worse as the time draws closer to her impending homelessness, and if you are the one person in the way of her hitting rock bottom and facing the reality of the situation, it might be really essential for you to get support for yourself. Then again, this may not apply to your situation at all. Just a thought.
Thank you for the warning. I know that stepping back and watching her fall further is going to be hard - I just want to wrap my arms around her and protect her from all the pain, even though I know that doing so is exactly the opposite of what she needs. I've always been burdened with an extra large dose of empathy, even for inanimate objects. Watching real people suffer is even worse. I feel terrible about it, but I've reached a point where I just can't feel that sympathy anymore. It hurts to much to see her be in pain, so I've started shutting her out before she can shut me out first. I know she doesn't deserve this and I'm not doing it intentionally. I just can't stand it anymore. I've been considering taking advantage of the free counseling services that my school provides. I've heard nothing but praise about the services, and I know it can only help, but I just can't quite get myself there. I'm not sure why. I really wish these services were available for Rachel to use, but they're only offered to students and Rachel dropped out last year.

Thank you for sharing some of your experiences Solara, and I applaud you for coming so far (that didn't come across as patronizing, did it? :P). You have no idea what a comfort your words are to me. I can only hope that after Rachel experiences her own rock bottom, she will choose the same path and learn how to rise.
 
Update:

I just overheard a phone conversation between Rachel and her mom, who wants her to go back home for a while so that she can be more closely monitored. Rachel refused because "there's no point", she mentioned how she would just engage in the same nothingness there that she does here. I could almost hear her mother's frustration from the other room. Anyway, after she hung up, Rachel came out and basically summarized the whole talk, so I gently tried asking her if she planned on moving back home after our lease was up in June. I knew it was a question she didn't want to answer, so I was neither surprised nor hurt when she brushed me off and mumbled something about not thinking that far ahead. She then proceeded to storm around and whine about having no access to alcohol or cigarettes (a problem she had also discussed with her mother). I just ignored her - I was very irritated about the fact that she's complaining about not having any money when it's her own fault (which I know is an unfair statement, but it's how I felt).

By the time I started getting ready to leave for a meeting with my schools LGBT group (which she has stopped attending) she was actually on the phone with SSI. She applied several months ago, but didn't send the right documentation or something and has since neglected to return a phone call to correct it. It's been MONTHS that she has refused to make this phone call, but as soon as she is consumed with an overwhelming desire to drink... THAT is when she finds the motivation to call a government agency to gain financial support. I really don't know much about how that system works, but I know she was trying to get money on the grounds that she suffers from depression.

When I came back from my meeting, she somehow managed to wrestle cigarette money out of me with promises to pay me back tomorrow as her mother is sending her some money. I'm too tired to go back out any more tonight, so she is currently on her way to Walgreens as I'm writing this to buy cigarettes and some bread. She's walking by herself in the dark. If this had happened just one week ago I would have been ecstatic and overflowing with pride, and yet now I just find myself exasperated.

The main reason I wanted to update everyone, though, is to share a few realizations:

1) Rachel is a bit of a drama queen (and I don't mean that as mean-spirited as it sounds). The situation about her homelessness somehow got blown wildly out of proportion - her mother's couch is clearly open, as was demonstrated by the phone conversation. That's one huge load off my shoulders.

2) I wonder how much of her PTSD is also blown out of proportion. I've suspected for a while now that it's not as bad as she tells me it is (at least in certain circumstances; I am not trying to invalidate her suffering). I think it's depression that keeps her indoors, not PTSD-related anxiety and panic attacks. However, I will not make any definite assumptions, because I can't read her mind. I can't help but wonder, though, especially when she is suddenly capable of walking (at NIGHT, no less) when she gets rewarded with a nicotine fix at the end.

3) I really REALLY need to learn how to say no. I'm tired of financing her bad habits, of cooking for her, cleaning the entire apartment, doing all the dishes, and walking the mile to the laundromat and the mile back every week, all on my own. I'm tired of picking up her slack all of the time. It's not the work that frustrates me - I love doing laundry and cleaning the apartment. IT's the fact that she's not doing her share that really gets to me. But instead of trying to correct her behavior, I just sigh and take over myself, and just let her get away with doing nothing. It's not good for either of us.

Does anyone have any pointers on how you stand your ground?
 
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Sorry, I don't have pointers... I just wanted to remark on how moving your compassion for her is.

You sound like a really wonderful person.

From your 3rd "Realization", it's obvious that this situation is taking a toll on you and that maybe your self-care is overdue. I wonder if it would be ok to seriously put your foot down...

I was in a similar situation as Rachel. I was mightily depressed with full-blown PTSD, married.

He took care of almost everything except for laundry and dishes. Often I had trouble doing laundry. I sunk really deep into a hole with seemingly no end in sight. He became emotionally abusive as a way to cope. I saw that I had to improve via baby steps, so I got a therapist, went on an anti-depressant which gave me some energy, found a small job and got myself out of the house, somehow.Eventually I moved out.

In other words - you risk burning yourself out!
 
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