Ouch, such a painful story. You sound like a truly devoted person who has been enabling this very troubled woman for years, at a high personal cost to yourself.
Take care of yourself now. That is your Job #1.
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Is walking away the best I can do for her and the kids?
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Yes, I believe so. Unless you are planning to carry this woman through life for the next twenty years, it is better to end every contact sooner than later.
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Should I write her family a letter explaining my concern for her and her children?
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Hard to see the point. Surely her family understands her troubled life. A letter just prolongs your interaction. I understand your empathy for the children, and even for her, but I suspect that the family already has all the information that they need or are able to use. Unless you have specific, essential information, like clear and present danger to the children, you should not write this letter. And if you know that the children are in specific, severe danger, go talk to Child Protective Services. You can do this without your name being revealed.
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Should I end or put on hold my friendship with her brother?
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I would distance myself from him unless he is a close friend independent of your ex.
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Is there anything I can do?
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Repeat at full voice: "I am not her savior. She must lead her own life. I have my own life to live." And then maybe go volunteer with Big Brothers or something like that, so you can use those nurturing instincts in a place where they are really needed and won't impose huge costs on you.