How to Encourage a Family Member with Bipolar Disorder to Seek Help? - Psychiatry

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Hello, Doctor.
It seems that my father has tendencies towards bipolar disorder.
He goes through periods of feeling down, not wanting to go out or talk to people.
Recently, he has started to exhibit manic behavior, staying up all night (even though his eyes are very tired), feeling irritable, and believing that friends and neighbors are offending him.
He has been drinking alcohol to muster courage and has threatened to confront people at night.
Sometimes, he even draws on the walls of our home (with daily variations).
Our family has been troubled by his various behaviors for a long time, and everyone believes he has mental health issues.
However, if we express our concerns to him, he might react more violently.
I would like to ask the doctor how we can encourage him to seek medical help or if there are ways to compel him to receive treatment.

Xin Luo, 30~39 year old female. Ask Date: 2011/10/11

Dr. Huang Weiqin reply Psychiatry


Hello: Based on your description, it is likely that your father has bipolar disorder or alcohol-related mental health issues.
It is generally recommended that family members or close friends encourage him to seek help, perhaps by suggesting that he see a doctor for insomnia, as this may be more acceptable to him.
If that approach fails, the family may need to gently persuade him or even accompany him to a medical appointment.
As for involving emergency services for forced treatment, that should be a last resort.
You may want to contact the local health department's mental health center for guidance.

Reply Date: 2011/10/11

More Info


Encouraging a family member with bipolar disorder to seek help can be a challenging yet crucial task. Bipolar disorder is characterized by extreme mood swings, including emotional highs (mania or hypomania) and lows (depression). Your father's recent behaviors, such as increased irritability, insomnia, and impulsive actions, suggest that he may be experiencing a manic episode. Here are some strategies to consider when approaching this sensitive situation:
1. Educate Yourself and Your Family: Understanding bipolar disorder is essential. Familiarize yourself with the symptoms, treatment options, and the importance of seeking help. This knowledge will empower you to communicate effectively with your father and other family members about the situation.

2. Choose the Right Time and Place: Timing is crucial when discussing mental health issues. Choose a calm moment when your father is not exhibiting extreme behaviors. A private, comfortable setting can help him feel safe and less defensive.

3. Express Concern with Empathy: Approach the conversation with empathy and compassion. Use "I" statements to express your feelings without sounding accusatory. For example, say, "I’ve noticed you’ve been feeling really down lately, and I’m worried about you," rather than "You need to see a doctor."
4. Avoid Confrontation: Given that your father may react negatively to direct accusations about his mental health, it’s important to avoid confrontation. Instead of labeling his behavior as a problem, focus on how his actions affect you and the family. This can help him feel understood rather than attacked.

5. Encourage Professional Help: Suggest that he talk to a mental health professional. You might frame it as a way to gain support for himself rather than as a treatment for a disorder. For instance, you could say, "Talking to someone might help you feel better and manage everything you’re going through."
6. Offer Support: Let him know that you are there for him. Offer to help him find a therapist or accompany him to appointments. Sometimes, the thought of seeking help can be overwhelming, and having a supportive family member can make a significant difference.

7. Be Prepared for Resistance: Understand that he may resist the idea of seeking help. This is common among individuals with bipolar disorder, especially during manic phases when they may feel invincible or believe they do not need help. Be patient and continue to express your concern without pushing too hard.

8. Involve Other Family Members: If possible, involve other family members in the conversation. A united front can sometimes be more persuasive. However, ensure that everyone is on the same page regarding how to approach the situation.

9. Consider Professional Intervention: If your father poses a danger to himself or others, or if he refuses to seek help despite clear signs of distress, it may be necessary to consider a more formal intervention. This could involve contacting mental health professionals who can assess the situation and recommend appropriate steps, including possible involuntary hospitalization if he is a danger to himself or others.

10. Follow Up: After your initial conversation, continue to check in with him. Let him know that your concern is ongoing and that you are there to support him through the process of seeking help.

In conclusion, encouraging a family member with bipolar disorder to seek help requires a delicate balance of empathy, patience, and support. It is essential to approach the situation with understanding, as individuals with bipolar disorder may not always recognize their need for help. By educating yourself, expressing concern without confrontation, and offering support, you can help guide your father toward the treatment he needs. Remember, seeking help is a sign of strength, and with the right support, recovery is possible.

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