Counterpoint to the "Splitters," anger and bipolar disorder

by Peter J. Dorsen, M.D., LADC

I thought this response to my challenges with Billy would be interesting counterpoint to my own thoughts on anger in someone with bipolar disorder.

Dr Gove Hambidge, an unique psychoanalyst who prefers to go in depth with his clients, emphasizes that it is crucial for Billy to "self discover." He further adds that there is implicit danger if you " give instructions"(as I seem to have done with Billy); that he "might think you incompetent." However, “preferably, if he discovers the fact( call it truth) himself, it becomes self-fulfilling."

In his opinion, however, in respect to a relationship between Billy’s explosive anger and his bipolar disorder, "they are always linked.” This “ social organization”, as it were, is part of him: anger-mania-hypomania.

"But Billy is a good learner." In answer to my question why Billy’s mother is calling canceling her son's appointment is that it could represent "a power struggle you are having (with the mother). " You are like a pair of boxers in the ring and she can win by canceling the appointment."

"Keep in mind, it's his job to discover. Be subtle. Empathize. Invite him to look at his behavior (like the incident hitting the door recently." Dr Hambidge added, " He's certainly pissed at his mother. It is for him to look and say "intolerable"-- that's why I recommend self-discovery."

"I suspect you have been suckered into the role of giving instruction. Instead, hand power over to the client/patient.
But the good thing, is that you are (now) more familiar with the family dynamics."

Sometimes, it just seems like such a painful way to learn!

Definitely insightul!