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In need of advice

Lotus7's picture

Hello! I am new here but already so grateful for the existence of this platform for connecting with other step-parents. My 26 yr old step-daughter was diagnosed years ago with Schizoaffective Depressive Disorder when my husband was still married to his ex-wife. For a while, when she was much younger, my husband & ex-wife were diligent with her treatment. Soon after their divorce she went off to college and somewhat continued with treatment (inconsistent) and she experienced much depression. Over the course of the past few years she has gone off her meds (her choice), barely any therapy... and after visiting her dad and I for 2 weeks it has been become urgently clear she is struggling A LOT now with depression, delusions, cutting, poor hygiene, lying, and risky behavior. I spent a lot of time talking with her about returning to therapy, about her triggers, about medication etc. but I’m not sure she really heard me. She lives with her mom who my step-daughter says “doesn’t see anything being wrong right now... no real need for therapy or medication”. My step-daughters symptoms and current state is obvious. She is calling out for help and this situation is urgent, in my eyes. I don’t have a relationship with her mom at all whatsoever. In the 7 years I’ve been married to my husband I have only met his ex-wife 3 times in passing. My husband is also concerned about his daughter but has an avoidant, non-confrontational personality type and has more or less avoided much of these conversations with his daughter. If I put pressure on him to act on this situation he gets upset with me for judging his daughter too harshly and then assures me he will talk with her but that she’s an adult and makes her own choices. I have pushed for him to contact his ex-wife, who lives with their daughter, and check in with her about the status of treatment. He is hesitant to do so because he says “she will just say everything is Ok”. In the meantime, I am worried and sad and frustrated. This young woman needs the adults around her to step up and help get her back on track with treatment. I feel alone here - like the only one seeing her breaking down and yet disempowered within the family dynamics as her step-mom. Help! I’m also needing good resources on this issue - books, videos, journal articles, etc. Thank you. 

tog redux's picture

My advice is that your SD is 26, a legal adult, and doesn't live with you.  I don't mean this harshly, but honestly, it's not your business how she handles her mental illness.  I know you may be concerned, but your DH is right.  She's an adult and can manage her own choices.

You just need to stay out of it - I get that you are doing this out of concern, but to everyone else, it will seem very controlling.

Lotus7's picture

Thanks - I appreciate your advice here. Very much. Is this also true in the face of her self-harming (cutting)? It’s heart breaking for me to be in her life and feel like I can’t intervene. I would feel like an enabler. What advice do you have in this regard? ... and thanks again, really! 

tog redux's picture

She's an adult, you have no legal standing to intervene.  All you and your DH can do is let her know you love and care for her, and are willing to help (but not enable). 

She has to choose to make changes on her own.

Lotus7's picture

I get it, it’s a tough one to swallow but I get it. Thanks, I appreciate your advice here.