Responding to bipolar disorder

How do we respond to those who struggle with bipolar? Here are some helpful ideas:

Separate your loved one from her disorder. Understand that bipolar disorder causes severe mood swings. Realize that your loved one can go from dramatic highs to devastating lows quickly. Use this knowledge to forgive otherwise unpleasant behaviors. Diffuse his or her anger or frustration with kindness and laughter.

Anticipate when episodes will occur. Prepare for the mood swings to increase your effectiveness during trying times. Look for warning signs of a manic episode, which may include sleeplessness, increased activity, or preoccupation with minute concepts. Indicators of a depressive episode may include decreased motivation, feelings of insignificance, or nightmares. Monitor your loved one's usual behavior to spot different or worsening symptoms.

Speak as the voice of reason during manic episodes. Use a reassuring tone to provide realistic objections to impulsive ideas. Examples include advising your mother against gambling with her rent money, or convincing your husband that abruptly quitting his job isn't appropriate. Avoid getting frustrated, as this may drive your loved one into a frenzy.

Practice active listening when talking with your bipolar loved one. Respond to dialogue with open-ended questions. Repeating back important phrases and nodding can also show interest. This helps build self-confidence and can combat depressed feelings.

Provide support and encouragement regardless of his or her reactions. Explain the importance of staying on a treatment regimen, which may include medication. Establish situations in which seeking medical advice is appropriate. Stay specific in the agreements to avoid allegations of being too controlling or intrusive. Examples include establishing limits on sleepless nights or bouts with depressing thoughts.