Introduction

Typically, individuals with severe symptoms of bipolar disorder may not seek medical help on their own. It's often a family member or a close friend who steps in to assist. In these situations, it's crucial for the individual to be evaluated by a medical professional:

When changes in personality, including extreme mood swings, begin to impact their life, strain relationships, or pose a threat to their basic well-being, it's necessary to seek a diagnosis from a medical professional. Conditions such as diabetes and thyroid disorders can lead to mood swings. These are relatively easy to identify and treat, serving as a starting point for assessing mood swings.

When changes in sleep patterns and appetite start affecting their health, it's essential to undergo an evaluation. Some individuals may resist seeking help due to the stigma surrounding mental illness. However, it's important to recognize that various factors can cause changes in behavior. This is especially true for those over 40 years old who show signs of bipolar disorder.

When mood swings become so severe that they can't function at home or work.

When an individual has thoughts of suicide, especially with a specific plan for self-harm.

If the person poses a risk to themselves or others, they should be evaluated in a hospital emergency department. Suicidal individuals may need hospitalization until their mood stabilizes. If they refuse to go to the hospital, it might be necessary to seek assistance, and in dangerous situations, call 911.

Above all, ensure your own safety first. A person with bipolar disorder may not be thinking clearly during severe episodes of mania or depression, and they might perceive the person seeking help as a traitor.

In the case of a suicide attempt, call 911 to ensure the person receives treatment in the emergency department. Do not attempt to transport a person who has attempted suicide to the hospital by yourself.

Homicidal thoughts, threats, or behaviors require immediate intervention. Prioritize your own safety and then call 911 for help.

Other Therapy

For most people with bipolar disorder, medications may not completely alleviate symptoms. Psychological counseling (psychotherapy) complements drug therapy.

Counseling typically starts in the hospital or when medical treatment begins.

Various types of therapy are used, whether on an individual basis or in group settings, and they can be effective if approached optimistically.

The goal is to help the individual accept and manage the condition.

Involving the spouse and other family members in therapy sessions is often crucial.

It's important to address the entire family, not because they are all "ill," but because this disorder affects everyone.

Family members can learn effective ways to deal with their loved one's mood swings. Follow-up is essential.

Follow-up

Adhere to your prescribed medication regimen. While you may be tempted to stop taking your medication, it's crucial to consult with your healthcare provider. Discontinuing your medication will likely lead to symptom recurrence and uncomfortable withdrawal symptoms.

Depending on the medication used, you may require regular blood tests to monitor levels and check for side effects of the drug.

It's important to have regular appointments with your healthcare provider to assess treatment effectiveness and monitor mood stability.

Consistent sessions with a psychotherapist or counselor are also vital.

Ongoing education for you and your family is crucial to help everyone cope with the condition.

You and your family should be educated on recognizing early warning signs of crises and managing stress to prevent recurrences.

Prevention

There is no known method to prevent bipolar disorder. It's advisable to avoid substances that may trigger the condition, such as cocaine or methamphetamine. Embracing a healthy lifestyle with regular sleep and exercise may be beneficial.

Relapses can be prevented or made less severe by following the treatment recommendations from your healthcare providers, which includes taking medication as directed and attending counseling sessions.