When someone you care about has bipolar, a condition that affects moods, it can be difficult to know how to support and be there for them. People with bipolar disorder (formerly known as manic depression) will experience extreme mood swings, going from depression to mania.
During depressive episodes, they’re likely to feel very unmotivated, very low and lethargic. During manic episodes, this changes to feeling very ‘high’ and overactive. They may make poor decisions and in extreme cases may experience psychosis.
Through psychotherapy and medication, symptoms of bipolar can be managed and many people live well with the condition. Having said this, there can be trials and tribulations, especially if the person in question is avoiding professional support.
As a friend and someone who cares about them, there are several things you can do to help.
Perhaps the first thing you should look to do, if you haven’t already, is to read up about the condition. The more you understand how it can affect people, the better positioned you are to help. Keep in mind however that, like most mental health conditions, bipolar affects everyone differently.
Have an honest conversation with your friend when they’re feeling well about how you can best support them when they’re experiencing a manic episode. Some ideas you could discuss include helping them develop a routine, having fun together doing something creative or suggesting they ask for support if starting a new project so they don’t take too much on themselves.
As mentioned, everyone experiences bipolar disorder differently and this means your friend will have certain warning signs or triggers for you to be mindful of. The best way to find these out is by talking to them. Note any patterns and talk to them in a gentle way about any behaviours you’ve noticed before they have a depressive/manic episode.
Triggers like stress and overwhelm can bring on an episode, so try to look out for anything you think may be triggering and discuss ways of avoiding or managing them.
Working with an experienced therapist can help people with bipolar disorder to better understand the nature of their illness and recognise the triggers of their manic or depressive episodes. Cognitive behavioural therapy (CBT) is a popular approach as it is designed to help individuals change negative thought patterns and learn new coping skills. Family therapy is another approach often used in bipolar treatment as it helps to improve communication between family members and the person living with the condition.
I am a member of the British Association of Counselling and Pyschotherapy (BACP) and of the Hampshire Association for Counselling and Pyschotherapy. As a Member of BACP I am bound by its Ethical Framework for Good Practice in Counselling and Psychotherapy, the Ethical Guidelines for Researching Counselling and Psychotherapy (where practitioners undertake research) and subject to the Professional Conduct Procedure for the time being in force. I hold full Professional Liability Insurance and a clear enhanced Criminal Records Bureau check.