ClinicalComplex
Bipolar disorder and suicide loss, four generations
Bipolar disorder in four generations, a suicide, a stillbirth, twins and dates that converge.
- People
- 19
- Generations
- 4
- Marriages
- 7
- Conditions
- 10
- Lines
- 11
- Portraits
- None
- Conditions
- Alcohol misuse, Anxiety, Bipolar, Depression and 6 more
- Lines
- Hostile, Caretaker, Focused on, Close-hostile and 2 more
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Intake notes for Bipolar disorder and suicide loss, four generations
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Ella Webb (25), a graduate student, is the index client. Since her discharge in September 2026 she has lived in the Webb household with her parents, Sarah Webb (née Lindqvist, 49), an architect, and Marcus Webb (51), a civil engineer, married in 1999; her fraternal twin, Noah Webb (25), a paramedic; and her brother Owen Webb (22), a university student. Presenting problem: Ella's bipolar disorder began at age 24 with a first manic episode in October 2025, the month of her grandfather's death; a second episode led to an admission to a psychiatric hospital in August 2026. Sarah, who has had depression since 2001, now runs Ella's care. Marcus thinks Sarah smothers her, and the couple fight about her treatment. Noah is unaffected and frightened of becoming ill. Date convergence: the twins were born in 2001, the year their grandfather, Lars Lindqvist (1952–2001), a music teacher, died by suicide. Lars had bipolar disorder from age 27; his first manic episode came months after a stillbirth in 1979, when he and his wife lost their son Daniel Lindqvist, who is rarely spoken of. Recent changes: Lars married Judith Lindqvist (née Cohen, 72), a retired school secretary and practising Jew, in 1976; she was widowed in 2001. Their children are Sarah, Daniel and Nathan Lindqvist (44), a bike mechanic whose bipolar disorder also began at age 24, with alcohol misuse from 2003, in remission (sober since 2015). After a manic relapse and a hospitalisation in 2023, Nathan and his son, Leo Lindqvist (14), a 9th grader with anxiety since 2023, moved into Judith's home, a temporary stay that continues. Nathan married Rachel Stein (41), a pharmacy technician, in 2010; they divorced in 2016. Rachel has had opioid use disorder since 2014, and Leo has not lived with her since 2023. Marcus was married first to Lisa Moreno (52), a dental office manager, from 1995 until their divorce in 1998. Their son, Jake Webb (29), an insurance broker, is Ella's half-brother and Sarah's stepson, and stays out of it. Extended family: Lars's parents, Erik Lindqvist (1924–1990), a dairy farmer, and Ingrid Lindqvist (née Berg, 1927–2011), a church organist, were Swedish immigrants from Värmland, Sweden, who married in 1949. Erik died of a stroke, leaving Ingrid widowed in 1990; she died of heart failure. Erik had suspected bipolar disorder from the 1950s, never treated: months in bed, then spending sprees that nearly lost the farm. Ingrid kept his spells from the neighbours. Erik's first wife, Astrid Lindqvist (née Nyberg, 1922–1947), a farm worker born in Värmland, Sweden, married him in 1944 and died of tuberculosis in 1947, when their son was one, leaving Erik widowed. That son, Gustav Lindqvist (80), a retired carpenter born in Värmland, Sweden, emigrated with his father and stepmother; he was raised as Ingrid's, told about his mother only at 18, and has had depression since age 40. Lars's older sister, Annika Lindqvist (76), a retired librarian, is the family historian. Judith's parents, Morris Cohen (1920–1998), a tailor born in Łódź, Poland, and Ruth Cohen (née Adler, 1924–2015), a seamstress born in Kraków, Poland, were Polish Jewish immigrants and practising Jews who married in 1950. Morris survived the camps and never spoke of the war; he died of lung cancer, leaving Ruth widowed in 1998. Ruth had PTSD from 1945 and died of pneumonia. Patterns: bipolar disorder runs through Erik, Lars, Nathan and Ella. Erik and Lars were hostile. Annika was her brother's caretaker and drove him to hospital in 1979 and 1994. Ruth focused on Judith, her only child, with constant fear; Judith in turn organised her life around Nathan, and the two are close. Lars and Judith were close but hostile, and Sarah, her father's confidante, was close to him and hostile with her mother: a triangle. A generation on it repeats: Sarah is close to Ella, Marcus and Sarah are hostile, and Marcus is distant from Ella. Nathan and Rachel are hostile.
