How to Support a Colleague with Possible Bipolar Disorder?

How to assist a colleague with bipolar disorder?

There is a colleague in the unit who seems to exhibit symptoms of bipolar disorder.
He perceives ordinary conversations or actions among coworkers as targeted attacks against him, leading to increased conflict with colleagues and even violent tendencies.
The supervisor wants to help him, but he lacks insight into his condition and has no other family members to assist him.
Consequently, other coworkers are experiencing significant stress at work.
We seek advice on how to assist this employee in seeking medical attention.

ted, 50~59 year old female. Ask Date: 2016/03/05

Dr. Dai Wanxiang reply Psychiatry

1.
If the colleague has trusted coworkers or friends, they can suggest seeking medical attention through a caring approach using less sensitive language (for example, citing emotional distress, insomnia, etc.).
Mentioning mental illness may be difficult for the colleague to accept.

2.
If the colleague's emotional behavior cannot be clearly identified as mental illness or severe pathology, it can still be addressed according to general legal principles.
If there are tendencies toward violence at home, domestic violence can be mentioned, but in the workplace, it may be necessary to involve law enforcement.
If legal proceedings are initiated, a psychiatric evaluation can be requested.
3.
If the individual is suspected of having a mental illness but refuses treatment and does not meet the criteria for involuntary hospitalization, one can inquire with local medical facilities about home treatment services (though typically, this is initiated by family members, and those with unclear diagnoses may need to pay out of pocket).
4.
If the colleague exhibits bizarre thoughts and unusual behaviors that disconnect them from reality, making it impossible for them to manage their affairs, and there is a strong suspicion of severe mental illness, especially with violent behavior, it is necessary to report to law enforcement or emergency services.
If it is found that the individual poses a risk of harm to themselves or others, the local health authority (usually the health bureau) should be notified, and assistance may be requested as needed.
Unless otherwise stipulated by law, the individual should be escorted to the nearest appropriate medical facility for treatment.
This is referred to as involuntary treatment; however, after involuntary treatment, two psychiatric specialists must confirm the individual as severely ill, and a review is required to determine whether to proceed with involuntary hospitalization.
At that time, someone may need to provide relevant medical information to assist in the review.
For severely ill patients, a guardian will be appointed; if no family members are available, the health authority will designate a guardian.

Reply Date: 2016/03/05

More Info

Supporting a colleague who may be experiencing symptoms of bipolar disorder can be a challenging yet crucial responsibility. It’s important to approach the situation with empathy, understanding, and a strategic plan that prioritizes both the well-being of the individual and the safety of the workplace. Here are some steps and considerations to effectively support your colleague:

1. Recognize the Signs
Bipolar disorder is characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). Your colleague may exhibit signs such as irritability, heightened sensitivity to perceived slights, impulsive behavior, or even aggressive outbursts. Understanding these symptoms is the first step in providing appropriate support.

2. Create a Supportive Environment
Fostering a supportive workplace culture is essential. Encourage open communication among team members and promote a non-judgmental atmosphere. This can help your colleague feel more comfortable expressing their feelings and experiences without fear of stigma.

3. Engage in Compassionate Conversations
If you feel comfortable, approach your colleague in a private setting to express your concerns. Use “I” statements to avoid sounding accusatory. For example, “I’ve noticed you seem a bit overwhelmed lately, and I’m here if you want to talk.” This can help them feel supported rather than attacked.

4. Encourage Professional Help
Gently suggest that your colleague consider seeking professional help. You might say something like, “Talking to a mental health professional can really help when things feel overwhelming.” It’s important to frame this suggestion positively, emphasizing that seeking help is a sign of strength, not weakness.

5. Involve Management or HR
If your colleague is resistant to seeking help and their behavior poses a risk to themselves or others, it may be necessary to involve management or human resources. They can provide additional resources and support, and they may be able to facilitate a conversation about mental health in the workplace.

6. Know the Legal and Ethical Boundaries
Understand your organization’s policies regarding mental health and workplace behavior. If your colleague’s actions escalate to the point of threatening behavior, it may be necessary to involve law enforcement or mental health crisis teams. Familiarize yourself with local mental health resources that can provide immediate assistance.

7. Provide Resources
Offer information about mental health resources, such as employee assistance programs (EAPs), local mental health clinics, or hotlines. Having access to these resources can empower your colleague to seek help when they are ready.

8. Practice Self-Care
Supporting someone with a mental health issue can be emotionally taxing. Ensure you are also taking care of your own mental health. Set boundaries to protect your well-being, and seek support from colleagues or professionals if needed.

9. Follow Up
If your colleague does seek help, check in with them periodically. This shows that you care and are there for them. However, be mindful of their privacy and avoid prying into their treatment details unless they choose to share.

10. Educate Yourself and Others
Increasing your knowledge about bipolar disorder and mental health can help reduce stigma and promote understanding within your workplace. Consider advocating for mental health training sessions for staff to foster a more supportive environment.

Conclusion
Supporting a colleague with possible bipolar disorder requires a delicate balance of empathy, respect, and proactive measures. By creating a supportive environment, encouraging professional help, and knowing when to involve others, you can play a significant role in helping your colleague navigate their challenges. Remember, while you can provide support, professional intervention is often necessary for effective treatment and recovery.

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