Supporting a Friend with Bipolar Disorder: How to Help Effectively

A friend has bipolar disorder?

My friend has bipolar disorder and frequently posts a lot of self-talk and strange messages on Facebook.
His family previously took him to see a doctor and he underwent medication treatment, which helped for a while, but recently he has relapsed.
However, it seems that his family is not paying attention to him anymore...
I usually hesitate to contact him for fear of triggering him.
As a friend, is there any way I can help him find some support? Thank you!

Cc, 20~29 year old female. Ask Date: 2015/07/07

Dr. Ding Shuyan reply Psychiatry

Hello, your concern for your sick friend is truly touching and admirable! In society, there are not many who stand by their friends in difficult times, especially when it comes to patients that others tend to avoid.
If it is confirmed that he is experiencing a manic episode of bipolar disorder, he typically lacks insight into his condition, meaning he does not recognize that he has a problem, let alone seek medical help or take medication.
Family members may want to help, but often feel powerless because their efforts seem futile.
He might insist that he is fine and question why he should take medication.
If his condition is severe enough to require involuntary hospitalization, and considering he has family, the role of a friend may become less impactful.

Perhaps you could reach out to his family to see if they need assistance.
Some family members may not know how to initiate involuntary hospitalization; you could suggest they contact the local health department, where public health nurses can coordinate with emergency services for assistance.
Our country's public health system does a commendable job in this area, with health departments and emergency services working diligently and effectively.
If you manage to get in touch with him, you might want to express concern about any distress he may be feeling, as this could encourage him to seek medical attention.
For example, you could mention issues like sleep disturbances, significant mood swings, difficulty concentrating on studies, or frequent work-related problems.
By showing empathy and offering gentle suggestions, you could encourage him to revisit his doctor to explore possible solutions.
Perhaps with the right timing and atmosphere, he may decide to see a doctor!
Wishing you all the best,
Dr.
Ding Shuo-Yan

Reply Date: 2015/07/07

More Info

Supporting a friend with bipolar disorder can be challenging, especially when they are experiencing a manic episode. It’s commendable that you want to help your friend during this difficult time. Here are some effective ways to support your friend while also taking care of your own well-being.

Understanding Bipolar Disorder
Bipolar disorder is characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). During a manic episode, individuals may exhibit behaviors such as excessive talking, racing thoughts, impulsivity, and engaging in risky activities. They may not recognize that they are unwell, which can complicate the situation. Understanding these symptoms can help you approach your friend with empathy and patience.

Communication is Key
While it’s understandable to feel hesitant about reaching out to your friend, maintaining communication is crucial. Here are some tips on how to approach this:
1. Reach Out Gently: Send a simple message expressing your concern and willingness to listen. Avoid overwhelming them with questions or advice. A straightforward “I’m here for you if you want to talk” can be comforting.

2. Use Empathy: When communicating, try to validate their feelings without judgment. For instance, you might say, “I can see that you’re going through a lot right now, and it’s okay to feel that way.”
3. Avoid Confrontation: If your friend is in a manic state, they may not be receptive to suggestions about seeking help. Instead of confronting them about their behavior, focus on being a supportive presence.

Encourage Professional Help
Since your friend has a history of treatment, encouraging them to reconnect with their healthcare provider can be beneficial. Here’s how you can assist:
1. Talk to Their Family: If you feel comfortable, consider reaching out to their family members. They may not be aware of the severity of your friend’s current state and could benefit from your insights.

2. Suggest a Check-In: If your friend is open to it, suggest that they schedule an appointment with their psychiatrist or therapist. Offer to accompany them if they feel anxious about going alone.

3. Provide Resources: You can help by researching local mental health resources or support groups. Having information readily available can make it easier for your friend to take the next step.

Be There for Them
Your role as a friend is to provide emotional support. Here are some ways to do that:
1. Listen Actively: If your friend chooses to share their thoughts or feelings, listen without interrupting. Sometimes, just having someone to talk to can be incredibly therapeutic.

2. Engage in Activities: If they are willing, invite them to participate in low-pressure activities that they enjoy. This could be a walk in the park, watching a movie, or engaging in a hobby together.

3. Set Boundaries: While it’s important to be supportive, it’s equally vital to set boundaries for your own mental health. If you find the situation overwhelming, it’s okay to take a step back and prioritize your well-being.

Recognize Signs of Crisis
Be vigilant for signs that your friend may be in crisis. If they express thoughts of self-harm or suicide, it’s crucial to take these statements seriously. In such cases, encourage them to seek immediate help from a mental health professional or contact emergency services.

Conclusion
Supporting a friend with bipolar disorder requires a balance of empathy, understanding, and encouragement. While you may feel uncertain about how to help, your willingness to be there for your friend is already a significant step. Remember, you are not alone in this; seeking guidance from mental health professionals can also provide you with the tools you need to support your friend effectively. Ultimately, your compassion and support can make a meaningful difference in their journey toward stability and recovery.

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