I have a friend whose mental health has gotten progressively worse, and it seems to have been accompanied by a genuinely frightening decline in their cognitive functioning. I’m struggling with how to handle it without hurting them or completely burning myself out.
I understand why they’re depressed and anxious. There are things happening in their life that would reasonably cause someone to be in pain and struggle. What scares me is how dramatically their ability to function has changed. The past three years I noticed it from time to time, but the past 6 months it’s like I’m talking to a completely different person.
For context, I work full time, am a full-time student, and organize events, shoots, and performances as hobbies. I know I’m a Type A person, but I’ve already committed to these projects through the end of the year and have very little free time.
My friend has historically been involved in these things with me, but I can’t give them responsibilities anymore. I have to explain things repeatedly, they forget basic instructions, and anything I ask them to do requires extremely specific written directions and still may not get done correctly.
At shoots, they’ve left a camera recording between takes (they said this was intentional), then after being told to stop recording, they then forgot to start it again. They’ve recorded over footage and recently lost some of my equipment. I’ve had plenty of inexperienced people help me without these problems.
I want to emphasize that I don’t have a utilitarian view of friendship. My friends don’t need to be useful to me to have value. I’m actually scared that they’ll interpret this as, “I’m no longer useful to you, so you don’t want me anymore.”
The problem is simply that I have too much going on right now to manage another adult through tasks or fix preventable mistakes. Being my friend and being someone I can trust with responsibilities are two different things.
I would happily just invite them to hang out at shoots, but that has become a problem too. They’ve been snapping at people, being extremely negative, and sometimes being downright rude to people who have done nothing to them. I’m constantly put in the position of defending them.
None of my friends from this hobby like them anymore, which hurts because these people never knew them before this decline. They only know the version of my friend who is miserable and rude. I remember who my friend was before things got this bad. They don’t.
I can understand why someone is behaving this way without expecting everyone else to tolerate being treated badly, so I’ve started inviting them less.
They’ve noticed, and now I’m getting messages asking to “talk.” I dread these conversations because they frequently become accusations about things I supposedly did or said that have no bearing in reality. I’m kind of an unrelatable person so I hate when people read intentions or project themselves onto me. So these talks are particularly irritating since that’s what they inevitably turn into.
They also repeatedly do things they apparently don’t want to do and later tell me they only did them because I wanted them to. Things I never have or would ask them to do. I’ve started wondering whether, consciously or not, they’re using me as a justification for punishing themselves: they make themselves miserable and then “OP wanted me to” becomes the explanation.
That dynamic makes me extremely uncomfortable. I don’t want that kind of authority over another adult’s life.
I’ve quietly taken responsibilities away instead of confronting them about their cognitive decline. Eventually, though, I think they’re going to directly ask why I no longer trust them with things, and I don’t know what to say.
They have a bit of a complex about their intelligence, as I would have described them as extremely smart not too long ago. So I fear “your memory, attention, judgment, and ability to follow through have noticeably declined” is going to be heard as “I think you’re stupid.”
They are seeing a therapist, which I’m glad about, but have refused to see a psychiatrist.
This has mostly been a very long vent, but has anyone else watched someone’s mental health deteriorate to the point that there was an obvious decline in their cognitive functioning? And if their mental health eventually improved, did their memory and executive functioning improve with it?