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Helping a Family Member With Bipolar Disorder: How to Deal with Stigma and Discrimination



Very often in bipolar disorder, people with hypomania may not realize it's a problem. They may even enjoy it, finding it to be a productive time. Or they may fear that taking medicine will make them depressed and they'll miss feeling good. Others struggle with depression, not getting the help that could relieve their suffering.


Make a plan. Because bipolar disorder can often be an unpredictable illness, you should plan for bad times. Be clear. Agree with your loved one about what to do if their symptoms get worse. Have a plan for emergencies. If you both know what to do and what to expect of each other, you'll feel more confident about the future.




Helping a Family Member With Bipolar Disorder



For a variety of reasons, people with bipolar disorder won't go to a doctor for help. They shrug off a friend or family member's concern. Others view their illness as a distraction or a weakness, and they don't want to give in to it. Still others put their health at a very low priority compared with other things in their lives.


If you're concerned about a loved one who could have bipolar disorder, talk to them about seeing a doctor. Sometimes, simply suggesting a health checkup is the best approach. With other people, it works best to be direct about your concern regarding a mood disorder. Include these points in the discussion:


Trust is crucial in shaking someone's denial and in motivating them to get help. Trust is also important once treatment for bipolar disorder starts. Through the eyes of a trustworthy friend or family member, a person with bipolar disorder can know when treatment is working -- when things are getting better, and when they're not. If your interest is sincere, you can be of great help to your friend or family member.


Just like someone with type 1 diabetes will always need insulin, a person with bipolar disorder will likely need to take medication for their whole life. Research shows that many of those who stop often find their symptoms return within a year.


As important as it is, people often don't stay the course with their medication. There are some common reasons why someone might skip doses or stop taking drugs. If you have a friend or family member with bipolar disorder, you can help them stick with it. And knowing the reason the person quits using the medicine can help.


Learning about bipolar disorder. Learn everything you can about the symptoms and treatment options. The more you know about bipolar disorder, the better equipped you'll be to help your loved one and keep things in perspective.


Encouraging the person to get help. The sooner bipolar disorder is treated, the better the prognosis, so urge your loved one to seek professional help right away. Don't wait to see if they will get better without treatment.


Being understanding. Let your friend or family member know that you're there if they need a sympathetic ear, encouragement, or assistance with treatment. People with bipolar disorder are often reluctant to seek help because they don't want to feel like a burden to others, so remind the person that you care and that you'll do whatever you can to help.


Showing patience. Getting better takes time, even when a person is committed to treatment. Don't expect a quick recovery or a permanent cure. Be patient with the pace of recovery and prepare for setbacks and challenges. Managing bipolar disorder is a lifelong process.


People with bipolar disorder do better when they have support from family members and friends. They tend to recover more quickly, experience fewer manic and depressive episodes, and have milder symptoms.


Living with a person who has bipolar disorder can cause stress and tension in the home. On top of the challenge of dealing with your loved one's symptoms and their consequences, family members often struggle with feelings of guilt, fear, anger, and helplessness. Ultimately, the strain can cause serious relationship problems. But there are better ways to cope.


Treatment can make a huge difference for your loved one, but it may not take care of all symptoms or impairments. To avoid disappointment and resentments, it's important to have realistic expectations. Expecting too much of your family member can be a recipe for failure. On the other hand, expecting too little can also hinder their recovery, so try to find a balance between encouraging independence and providing support.


Accept your own limits. You can't rescue your loved one with bipolar disorder, nor can you force them to take responsibility for getting better. You can offer support, but ultimately, recovery is in the hands of the person with the illness.


Aside from offering emotional support, the best way to help your loved one with bipolar disorder is by encouraging and supporting treatment. Often, that can be more of a challenge than it sounds. Since people with bipolar disorder tend to lack insight into their condition, it's not always easy to get them to a doctor. When your loved one is manic, they feel great and don't realize there's a problem. When your loved one is depressed, they may recognize something's wrong, but often lack the energy to seek help.


Once your friend or family member agrees to see a doctor, you can help by being a partner in treatment. Your support can make a big difference in their treatment success, so offer to be involved in any way your loved one wants or needs.


Medication is the cornerstone of treatment for bipolar disorder, and most people need it to regulate their moods and avoid relapse. Despite the need for medication, many people with bipolar disorder stop taking it. Some quit because they're feeling better, others because of side effects, and yet others because they enjoy the symptoms of mania. People who don't think they have a problem are particularly likely to stop taking medication.


Even if your loved one with bipolar disorder is committed to treatment, there may be times when their symptoms get worse. Take action right away if you notice any troubling symptoms or mood changes. Point out the emerging bipolar symptoms to your loved one and alert the doctor. With swift intervention, you may be able to prevent an episode of mania or depression from developing fully.


Don't take bipolar symptoms personally. When in the midst of a bipolar episode, people often say or do things that are hurtful or embarrassing. When manic, your loved one may be reckless, cruel, critical, and aggressive. When depressed, they may be rejecting, irritable, hostile, and moody. It's hard not to take such behaviors personally, but try to remember that they're symptoms of your loved one's mental illness, not the result of selfishness or immaturity.


Be prepared for destructive behaviors. When manic or depressed, people with bipolar disorder may behave in destructive or irresponsible ways. Planning ahead for how to handle such behavior can help. When your loved one is well, negotiate a treatment contract that gives you advance approval for protecting them when symptoms flare up. Agree on specific steps you'll take, such as removing credit cards or car keys, going together to the doctor, or taking charge of household finances.


Know what to do in a crisis. It's important to plan ahead for times of crisis so you can act quickly and effectively when it occurs. Having a crisis plan can help. Make sure to include a list of emergency contact information for doctors, therapists, and other friends or family members who will help. Also include the address and phone number of the hospital where you'll take your loved one if necessary.


Call 911 (or your country's emergency services number) in an emergency. If your loved one with bipolar disorder is suicidal or violent, don't try to handle the situation alone. If you're worried that your loved one may hurt you, get to safety and then call the police. If your loved one is suicidal, don't leave them alone. Call for an ambulance and stay with your loved one until it arrives.


Set boundaries. Be realistic about the amount of care you're able to provide without feeling overwhelmed and resentful. Set limits on what you're willing and able to do, and stick to them. Letting bipolar disorder take over your life isn't healthy for you or your loved one.


Ask for help. If your friend or family member needs more assistance than you can give, ask for help from others. Turn to other relatives or close friends, or contact a bipolar disorder support organization.


If you have a friend or loved one with bipolar disorder, you know this condition can be a challenge. The erratic behaviors and extreme shifts in mood can be hard for the person with the condition, as well as the people in their life.


Bipolar disorder most often develops in older teenagers or young adults, and the average age of onset is 25 years. According to the National Alliance on Mental Illness, nearly 3 percent of adults in the United States have bipolar disorder.


When people with bipolar disorder go through mood changes, they usually experience severe changes in their energy and activity levels, sleep patterns, and other everyday behaviors. Psychotic symptoms, such as hallucinations or delusions, may also occur during severe mood episodes. These can be frightening both for the person with bipolar disorder and for those around them.


Bipolar disorder is usually a lifelong condition. While many people with bipolar disorder may remain symptom-free for periods, their symptoms can return at any time. Sometimes those with bipolar disorder grow anxious during these symptom-free periods, unsure of when their next mood episode will occur.


These appointments can sometimes seem complicated or scary to people with bipolar disorder. Having someone there who can offer support and talk with them may help reduce any stress or anxiety they may be feeling.


Sometimes people with bipolar disorder can become impulsive in manic phases. When your loved one is not within an episode, they may ask you to hold cash or credit cards for them, which will minimize any potential financial damage. 2ff7e9595c


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