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It was also revealed in the autopsy that Fisher suffered a heart attack on the flight after she began vomiting in her sleep and immediately became unresponsive, at which point a medical crew was notified and rushed to the airport to meet the plane.

Her personal assistant was with her at the time and said that Fisher had been awake at the beginning of the flight, but attempts to wake the actress before the plane landed were no successful.

They say they would rather be in jail than be on medication for their mental illness. Sometimes you have to say goodbye to a person with a mental illness. This mental illness reality is unbearably painful as it will shortly result in his having nowhere to live. I’m not mean, uncaring, inflexible, unhelpful or cruel.

They can’t take care of themselves and they are going to end up on the street. Sometimes you have to cut a person with mental illness out of your life. I’m telling people to save themselves from the gosh darn Titanic.

This post has been met with relief by some and anger by others. Yes, some of those choices are deluded by illness, but we still choices: treatment or not, abuse someone or not, pick up the crack pipe or not. Any time they want to stop you’ll be there for them, but until that point, you have to choose your own sanity over their destruction.

Some are relieved that someone is finally talking about their reality while others are appalled that I would suggest leaving someone for an illness that is not his fault. No one lives an entire life without the wherewithal to make a different choice. Because just like with addiction, (a mental illness in its own right) you can enable another person’s mental illness.

To those appalled I say this: be abused by an individual for years at a time. By always offering a person with a mental illness a place to live, while they destroy their home and steal from you, you are enabling them not to have to take responsibility of their own lives. Now exactly when support turns into enabling is a tricky thing, but a large part rests on whether the person with the mental illness is getting help or not.

I think it’s important to remember that you deserve safety, sanity and happiness in this life.

Coroner's officials ruled Fisher died from sleep apnoea and a combination of other factors.

I remember playing video games, I remember playing on the lawn, I remember how he screamed when he broke his arm, I remember how thrilled he was when he got a remote-controlled car for Christmas, and I remember the way he used to twirl his hair around his finger so it was always in knots. And now he is an abusive, destructive force that no one can stand to be around lest they get pulled into convincing delusions and psychoses or have to fear his violent rage.

Being in the same room with him is like being hit repeatedly with a hard, blunt abject.

Pretty much weekly I get messages from people who are desperate to help a loved one with a mental illness. She has been living with bipolar disorder for 18 years and has written more than 1000 articles on the subject.

I hear versions of this story over and over, my child/parent/sibling/friend/spouse is sick and won’t get help for their mental illness. And sometimes you have to accept not everyone with a mental illness will get help. I don’t know whether he’ll even live to tell the tale. I don’t just willy-nilly tell people to distance themselves from intractable crazy for no reason, I tell them this because they need to be told. Find more of Natasha’s work in her new book: Lost Marbles: Insights into My Life with Depression & Bipolar.

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