Marriage Help: Coping with a Spouse's Illness

It's natural to enter a long-term relationship withwork, financial uncertainty can now take center
expectations. And one expectation most of us have isstage-fear and anxiety are common as the once
that our spouse or partner will remain relatively healthy.secure areas of your life give way to uncertainty.
Although wedding vows ask us to consider the
possibility of sickness, we don't automatically assume4. Letting Go of Guilt
our loved ones will suffer a serious illness.Sam began feeling guilty when he finally started
"I felt blindsided by the diagnosis. So much of ourspending time with friends and found himself enjoying
relationship changed from that point on. There's notime away from his wife more than a year and a half
way to prepare for it because you never think it'safter she became ill. During his wife's rehabilitation, Sam
going to happen to you. It felt like it came out ofrarely did anything for himself. As he described, "I had
nowhere." ~Jennifer, whose husband Dan wasto come to grips with the fact that she's sick and I'm
diagnosed with leukemia at age 37healthy. This wasn't easy. She's slowed down
considerably and I felt bad because I've always been
so full of life."
When Illness Hits HomeSam continues to care for his wife when needed, but
The reality is that many couples must learn to copehe has also begun taking care of himself. For a period
and adjust to a life-altering illness. Understanding theof time, guilt-inducing thoughts flooded his mind ("How
impact this can have on your relationship can help youdare you have fun while your wife's sick?"; "You
adjust and adapt to such an enormous challenge.should be home with her"), but Sam was slowly able to
Let's look at some of the ways in which a seriousrealize that his guilt served no useful purpose. With the
illness can impact you and your marriage/relationship:support of his minister, Sam was able to let go of his
guilt as he began embracing life again.
1. Coping with a Sense of Loss
Depending on the nature of the illness, the sick partner5. Understanding the sick partner's emotional reactions
may change in subtle and, sometimes, profound ways.The person struggling with a serious illness is on an
The relationship that you once relied upon may noemotional rollercoaster. In one moment s/he may be
longer feel accessible to you.grateful for your help and a moment later s/he may
Adjusting to such a major change can take time, andseem to act irrationally, no longer able to keep the fear,
you may find yourself struggling with feelings of anger,anger and despair in check. At times you may end up
despair and depression. It's common to feel angerfeeling berated, blamed, pushed away, and
toward the person who has the illness (which thenmarginalized-despite your best efforts to comfort your
may cause you to feel guilty). This is all part of grievingpartner. It's difficult not to take this personally. For your
the loss of whatonce was the foundation of yourown sanity, it will be important to remember that you
relationship and life.are not responsible for your partner's reactions and
you will need to repeatedly remind yourself of this
2. The Impact of Shifting Rolestruth.
We all play different roles in our relationships. And veryRemember that the partner struggling with the illness is
often we end up with someone whose preferred roleadjusting to this traumatic life change and is trying to
complements our own. For instance, someone who iscope with fear and uncertainty. S/he may not even
timid and insecure may find him/herself with a partnerrealize the impact his/her behavior is having on others,
who exudes confidence; someone who is highlyincluding his/her healthy partner. It's important for you to
emotional and spontaneous might be drawn to a moreseek ways to understand your partner's unpredictable,
rational-minded planner; the natural caregiver may feeltumultuous reactions; and it is just as important that
most at home with a partner who longs for this typeyou protect yourself from any emotional onslaughts
of attention; and so on.directed at you.
An illness can abruptly alter these roles and tip theThe impact of a significant illness can have a dramatic
balance that once grounded your relationship. Theand unexpected impact on your marriage or
confident, take-charge person may now find himrelationship. Some couples report that their relationship
herself in an overly dependent position; thehas become stronger because of an illness, whereas
rational-minded planner may have to relinquish control;others continue to stumble under considerable stress.
and the caregiver may now need to be cared for.Having an understanding of the different ways in which
Such changes can rock the foundation of your unionan illness can impact you, your partner and your
by forcing you to assume roles that are alien to whatrelationship is an important step in adapting to these
you've known most of your life.painful events.
3. Coping with UncertaintyWould you like to receive free relationship advice each
We all like to believe we're in control of our lives. Whenmonth? Visit and sign up for Dr. Nicastro's FREE
faced with a significant illness, however, the idea ofRelationship Toolbox Newsletter.
absolute control is revealed as an illusion. QuestionsWhen you sign up you will also receive the popular
you never before considered now become routine: Is sfree reports: "The four mindsets that can topple your
he going to be OK? What's going to happen to us?relationship" and "Relationship self-defense: Control the
What should I do?way you argue before your arguments control you.
And when an illness interferes with one's ability to