“Why…?!”

Imagine, if you can, helping your wife (I apologize for the gender specificity, but such is our story) to the restroom in the morning. Doesn’t sound so bad, I guess. At least not out of context. Now, imagine that she can’t remember how to position herself on the toilet, so you have to help her arrange her approach, pulling her pants down, and guiding her when and where to sit. Nothing we all wouldn’t gladly do for the one we love, eh? Just to shake things up now, imagine how much fun this would all be if she suddenly and unpredictably flips an internal switch and BOOM doesn’t trust or know you at all? She has to go so badly that she’s in tears from the effort to hold it, but is 100% convinced that you mean her harm, so she refuses any and all assistance from you, crying and batting you away with weeping pleas of “why?”. You want to calm and assuage her fears; you want to bring her back to peace and help her to relieve herself safely and comfortably, and you really don’t wanna deal with another puddle of piss and shit, trying to clean her off while she weeps and resists the intimate and invasive touches of a stranger she is legitimately afraid of and intimidated by. Those stains don’t come out of a memory foam mattress, by the way. No matter what the care instructions say.
Let me throw in one more wrinkle; while she doesn’t consciously know you, she has spent the last twenty years learning how best to pick at you, and she knows instinctively by now just what to say to most quickly and effectively piss you off. She knows your tender spots, and she ain’t afraid to use them against you. Normally, you would be able to compartmentalize the experience and act from the fact that this isn’t really her doing and saying these cruel, horrible things. It’s the disease, all the experts tell you to remember. But you’ve been at this for two years now, and haven’t really slept sufficiently in months, so your skin is pretty thin and your judgment is for crap.

This is every morning for us now. Often, multiple times per morning. No rules that it can’t happen this way at 2:30 in the afternoon, either. Or at Walmart.

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