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Bipolar disorder support - friends and family

Bipolar disorder can put an enormous strain on relationships with your family and friends. When you're depressed, you may isolate yourself from the people who care about you. When you're manic or hypomanic, you might frighten or alienate them.

But your relationships with your friends and family are crucial to staying healthy with bipolar disorder. You need to keep the lines of communication open. Here are some suggestions:

  • Educate your family and peers. Your friends and family may not know very much about bipolar disorder, or they may have a lot of wrong impressions. Explain what it is and how it affects you. Talk about your bipolar treatment. Unfortunately, some people may be sceptical or unsympathetic. Back up your words with brochures or printouts that you can give them. Tell them you need their help to stay well.
  • Create a support team. Obviously, you don't need to tell everyone you know about your bipolar disorder. But you also shouldn't rely on only one person. It's much better to have a number of people you can turn to in a crisis. Placing all the responsibility on one person is simply too much.
  • Make a plan. You need to accept that during a mood swing, your judgement might be impaired. You could really benefit from people looking after your interests. But your loved ones also need to be careful not to push too hard. You don't want to feel as if every move you make is being scrutinised. So work out definite boundaries. Decide how often your friends and family should check on you and what they should do if things get out of control. If you become manic, you might agree that your loved ones can take away your car keys or credit cards so you don't do anything reckless. If you become suicidal, they certainly need to get emergency help. Having an explicit plan will make everyone feel better.
  • Listen. After all that you've been through, you may not want to be bothered with the concerns of your family and friends. But the fact is that your bipolar disorder does affect the people around you. During a manic or depressive phase, you may have upset people whom you care about. So try to hear them out and see things from their point of view. If you've hurt people, apologise. Reassure them that you didn't mean to act in the way you did, and emphasise that you're getting treatment.
  • Talk to your children. If you have children, you should find a way to tell them what's happening. They're likely to sense that something is wrong anyway; keeping them in the dark might just make it more alarming. Explain bipolar disorder in a way that's appropriate for their age. Say that it's a disease that affects your mood, but that you're getting treatment for it.
  • Reach out. Bipolar disorder can make relationships hard. When you're depressed, you may want to retreat from the world. If you've just come out of a manic phase, you may not want to face people whom you treated badly. Either way, it's easy to let some friendships slip away. Don't let it happen. Force yourself to get together with other people, even if it may be hard at first. Isolating yourself is the worst thing you can do.

WebMD Medical Reference

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