Supporting A Loved One With Bipolar Disorder: What You Should Know

Medically reviewed by April Justice, LICSW
Updated December 9, 2024by BetterHelp Editorial Team

Living with bipolar disorder can be challenging, not only for the person diagnosed but for their loved ones. Supporting a loved one with bipolar disorder can often mean knowing the ins and outs of the condition and being prepared to offer help. Family members and friends may be the first to recognize signs of mania or depression and encourage the individual to seek treatment. 

Coping with the struggles of bipolar disorder can be stressful, so loved ones may benefit from caring for their own mental health, as well. Whether you're a primary caregiver or want to be a support person for someone with bipolar disorder, there are numerous ways to offer help to someone with bipolar disorder while maintaining your mental health.

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Getty/Charday Penn
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The effects of bipolar disorder on individuals and loved ones

Bipolar disorder can have a widespread impact on the individual with the condition and their family and friends. In some cases, the condition’s symptoms may lead to increased stress, strained relationships, and communication problems.

Increased stress

Manic or depressive episodes can be unpredictable, sometimes inciting a state of anxiety and stress. Family members may become anxious about making an episode worse or worry about the person's safety and overall health.

Stress may occur due to one’s daily routines and responsibilities. Keeping track of medication schedules, doctor’s appointments, and therapy sessions can be overwhelming. In addition, during manic episodes, an individual with bipolar disorder might make impulsive decisions, such as maxing out credit cards or quitting a stable job without a backup plan, which can increase stress levels for the individual and loved ones.

Strained relationships

Relationships can deteriorate when a loved one has bipolar disorder. The mood swings and unpredictability of the illness may cause misunderstandings and create distance. During manic episodes, the person may engage in risky behaviors, which might damage trust and reliability in relationships. During a depressive episode, the individual may withdraw, which may cause them to communicate less and become more isolated.

Loved ones may become emotionally exhausted, as supporting someone through their highs and lows can take significant emotional energy. Over time, living with someone with bipolar disorder might lead to burnout and other adverse effects on mental health. 

Problems with communication

Effective communication may be a hurdle in connecting with someone with bipolar disorder. Manic episodes may cause rapid speech and difficulty focusing, making it challenging for loved ones to follow conversations or reason with the individual. 

Depressive episodes can lead to a lack of communication. A person may become withdrawn and unresponsive, making understanding their necessities or desires difficult. Family members may struggle to offer support when they don’t understand their loved one’s symptoms. 

Financial problems

Bipolar disorder can also lead to financial instability. During manic episodes, individuals might impulsively spend money, making large purchases or investments without considering the consequences. As a result, they might deplete savings, increase debt, and cause long-term financial problems for the family.

Depressive episodes can lead to financial issues, as well. The person might struggle to keep their job, leading to a loss of income. The costs of bipolar disorder treatment, including medication and therapy, can add up quickly, adding more strain to the household budget.

Two female relative sit on a couch facing each other and talk while holding mugs of coffee.

Raise awareneness for mental health conditions

It’s important to raise awareness for various mental health disorders like bipolar disorder. Through education and awareness, general communities can begin to people dealing with various mental health conditions. By approaching each other with understanding and compassion, people dealing with bipolar disorder can feel supported after a diagnosis.

Educate yourself on various mental health conditions

Knowing the symptoms, such as mood swings, hypomania, the different types of bipolar disorder, mania, and depression, may help loved ones recognize what the individual is experiencing. Reading reputable sources like those from the National Alliance on Mental Illness (NAMI) or consulting medical professionals may also be helpful. Staying educated and current on resources can lead to recognizing warning signs and ensuring the individual receives treatment or support. 

Strategies for supporting a loved one with bipolar disorder

Loved ones can consider taking proactive steps to support a loved one with bipolar disorder. These strategies may improve communication and care.

Be patient and listen

Patience and active listening may show the individual you care. Regularly checking in with them can show your ongoing support and commitment. Listen without interrupting or judging when your loved one shares emotions or experiences. You can show empathy and understanding when they experience intense mood swings. While it may be frustrating to support someone experiencing a manic or depressive episode, stay patient, as reacting negatively could worsen bipolar symptoms. 

Avoid judgmental language

Using nonjudgmental language may reduce conflict when communicating with someone with bipolar disorder. Avoid phrases that might seem critical or dismissive. Instead of saying, "You're overreacting," try, "I see this situation is tough for you." Words matter, and empathetic language can build trust and openness. Using a neutral tone can make it easier for them to share their emotions and experiences. This approach may prevent misunderstandings and reduce emotional stress, especially during challenging moments.

Offer emotional support

Offering emotional support may positively affect your loved one's well-being. Stating phrases like "I'm here for you" or giving a hug can be powerful. Encourage them to share what they're experiencing and validate their emotions. Being a consistent source of encouragement and reassurance may help them work through depressive or manic episodes. Emotional support can also mean celebrating their progress.

Promote activities that support their mood

By promoting lifestyle choices that support their health and well-being, you may help to reduce symptoms, and foster health and happiness in the life of your loved one. Engaging in activities that bring them joy can be worthwhile, whether they want to listen to music, cook a healthy meal, or play pickleball. Joining in activities with them can be especially worthwhile.

Also, help the individual maintain a balanced lifestyle that supports their health and happiness. You can support their physical and mental health by promoting a regular sleep schedule and nourishing foods. Exercise may also play a role in managing stress and boosting mood. Suggesting activities that align with their interests can make managing stress more enjoyable.

Remember to respect their boundaries

When you’re trying to promote a healthy lifestyle, it’s important to respect their boundaries. People can benefit from personal space, especially when they’re managing bipolar disorder. If they’re not in the mood to engage in fun activities, let them know that you’re available at another time. Learn to recognize signs when they prefer to be alone and avoid taking it personally.

Practicing self-care while supporting others

Caring for someone with bipolar disorder can be challenging. To manage the stress, you can look after your own well-being through various strategies, including the following. 

Regular self-care may support those who are supporting loved ones with bipolar disorder. Caregivers often focus so much on their loved ones that they neglect their own needs. Make time for daily activities that bring joy and relaxation. Activities like reading, walking, or cooking a favorite meal may provide moments of peace.

Foster positive mood with a balanced lifestyle

Regular exercise, nutritious eating, and adequate sleep can also benefit physical health. Exercise not only keeps the body healthy but may also reduce stress and improve mood. Nutritional meals may help individuals maintain physical health, while proper sleep can ensure alertness and energization.

Scheduling regular breaks can be another strategy for well-being. Short breaks throughout the day may “reset” the mind and reduce burnout. A ten-minute walk daily may also be refreshing.

Practice relaxation before supporting a loved one with bipolar disorder

Before helping others, it’s important to manage stress and anxiety in your life first. You may practice stress-relief practices like meditation. Other relaxation methods may include aromatherapy to calm the senses, deep breathing to connect with yourself, a massage to wind down, or tai chi to connect with your body and mind. If you’re in a positive mental and physical space, you are in a better position to support a loved one.

Engage with the community

Joining a support group can allow individuals to find others experiencing similar challenges. These groups can allow people to share experiences and gain advice from the group. Knowing that you are not alone and hearing how others cope with similar challenges may be comforting.

Support groups also offer practical tips and strategies that have worked for individuals, offering new ideas that others might not have considered. These strategies can range from organizing daily tasks to managing emotional stress. Support groups often have information about local services, therapy options, and educational materials. Knowing where to find help may ease the burden on caregivers.

Seek treatment after a depressive or manic episode

Look for signs and symptoms

Learning about risk factors for bipolar disorder may help you to offer support and seek effective treatment when warning signs appear. These events might include a lack of sleep, stress, or general life changes. Knowing about them can help you avoid or manage them.

Seek professional help after a depressive or manic episode

Bipolar disorder often requires medical treatment, and professionals can provide resources and support. Seeking treatment immediately after an episode can be especially worthwhile. You might suggest consulting a psychiatrist for managing medication or a therapist for cognitive-behavioral therapy and other therapeutic modalities. Family therapy can also be beneficial as it supports both the individual and family members.

Online therapy to alleviate symptoms

In some cases, caregivers or individuals with bipolar disorder may not have the time or energy to attend in-person therapy. In these cases, online therapy through a platform like BetterHelp may be more effective. 

Accessing professional support online can be a convenient way for individuals with bipolar disorder and their loved ones to find help. Online therapy platforms provide access to licensed therapists from home or any location with an internet connection. In addition, clients can choose an appointment time that fits their schedule, including outside of standard business hours. 

Is online therapy an effective form of treatment?

Studies show that online therapy may be effective for managing bipolar disorder. One study found that people using online cognitive-behavioral therapy (CBT) experienced significant improvements in symptoms and quality of life.

Takeaway

Supporting a loved one with bipolar disorder can be difficult, but there are ways to make a positive impact. Knowing the symptoms and treatment options can help everyone involved manage the ups and downs. Listening to your loved one and being there for them may also make a significant difference. You may encourage professional help and ensure you're taking care of your own mental health. Consider reaching out to a therapist for a personalized treatment plan.
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