I am in my 80s and an old friend has several health issues. She will probably die in the not too distant future due to the inoperable cancer she has been aware of for some years.<\/p>\n
She has two adult children, with domestic and career problems of their own, but she sees them frequently, and I know them both.<\/p>\n
Some time ago, talking to her about a mutual friend with dementia, I said if I were diagnosed with it, I would want to end my life while I was still me. She asked how I\u00a0would do that, and has brought up the subject once or twice since. I was afraid she would ask me to help her end her own life. While I could not bear to see her suffer (her cancer does not currently cause her pain), I\u2019m not sure I would have the strength to do this.<\/p>\n
She recently showed me a pill bottle, which she said contained her way out. She was prescribed these tablets and warned not to exceed the dose, as that would prove fatal. She said knowing they are there means she can cope with life with debilitating conditions.<\/p>\n
When I told another friend about this, she said I should speak to her doctor and\/or her sons, as she sounded clinically depressed. I didn\u2019t do anything \u2013 who wouldn\u2019t be depressed by being housebound, with limited mobility and terminal cancer?<\/p>\n
And my inclination is to continue to say and do nothing. I realise this means I will have to keep the secret should she use the tablets. But she trusts me, and talks to me in a way she doesn\u2019t to her sons and her siblings. Do you think I should continue to keep her confidence?<\/p>\n
I\u2019m sorry to hear about your friend. I\u00a0must point out that you cannot help her end her own life as that would be a\u00a0criminal offence. So I\u2019m glad she hasn\u2019t asked you to do that.<\/p>\n
I went to clinical psychologist, psychotherapist and CEO of Tavistock Relationships Andrew Balfour. He is also the author of Life and Death: Our Relationship With Ageing, Dementia and Other Fates of Time, and we had a very long chat about your letter. He thought there was a great deal of \u201canxiety, loss and grief in your letter, which must be difficult to bear for both of you\u201d. We discussed how your friend must be feeling: that she fears vulnerability and dependency and wants to regain control. Hence the pills. By telling you about them, she\u2019s trying to tell you she\u2019s scared.<\/p>\n
If your underlying feelings can be put into words, the conflict about what to do might reduce<\/p>\n
Balfour felt your letter \u201cconveyed your feelings of being burdened with responsibility for what happens, expressed in your feeling of being stuck in such a difficult dilemma\u201d. Can you find someone you can trust, a friend, or therapist, to think with you about your feelings? He said: \u201cIf such underlying feelings can be put into words, the conflict about what to do might reduce and there may be more space for understanding the deeper anxieties which are driving the situation.\u201d Then you can think about how best to respond.<\/p>\n
Balfour also wondered if it might be worth getting in touch with your friend\u2019s local palliative care team as there might be someone there who could talk to her in a more general way to help put her mind at rest; this would need to be timed carefully, otherwise you might risk more anxiety. Is there someone in her medical team who could offer her psychological support, or knows of someone who can?<\/p>\n
You can continue to support her as you have been doing: by being there and listening. She clearly trusts and feels safe with you: do not underestimate how important that is. By telling others what she\u2019s told you, you would risk her confidence and trust. If they take the pills away, there\u2019s no guarantee that she won\u2019t find more pills or end her life in a different way. So no, I wouldn\u2019t tell them. Balfour suggested you could, if you wish, check in with her children and express concern in other ways.<\/p>\n
Also, please ensure you have support too. This isn\u2019t easy for you either.<\/p>\n
In the UK and Ireland, Samaritans can\u00a0be contacted on freephone 116 123, or email jo@samaritans.org or jo@samaritans.ie. In the US, you can call or text the 988 Suicide & Crisis Lifeline at 988 or chat at 988lifeline.org. In Australia, the crisis support service Lifeline<\/a> is 13 11 14. Other international helplines can be found at befrienders.org<\/a><\/p>\n Every week, Annalisa Barbieri addresses a personal problem sent in by a reader. If you would like advice from Annalisa, please send your problem to ask.annalisa@theguardian.com<\/a>. Annalisa regrets she cannot enter into personal correspondence. Submissions are subject to our terms and conditions<\/a>. The latest series of Annalisa\u2019s podcast is available here<\/a>.<\/p>\n Comments on this piece are pre-moderated to ensure the discussion remains on the topics raised by the article. Please be aware that there may be a short delay in comments appearing on the site.<\/p>\n","protected":false},"excerpt":{"rendered":"I am in my 80s and an old friend has several health issues. She will probably die in…\n","protected":false},"author":2,"featured_media":91662,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[43,44,41,39,42,40],"class_list":{"0":"post-390806","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-headlines","8":"tag-headlines","9":"tag-news","10":"tag-top-news","11":"tag-top-stories","12":"tag-topnews","13":"tag-topstories"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/390806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/comments?post=390806"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/390806\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media\/91662"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media?parent=390806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/categories?post=390806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/tags?post=390806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}