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What Not to Do to Someone with Bipolar Disorder?

by Ella

Bipolar disorder is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). These mood fluctuations can be difficult for both the person experiencing them and their loved ones. If you have a friend, family member, or colleague with bipolar disorder, understanding how to support them in a compassionate and respectful way is crucial. However, there are several things you should avoid doing, as certain behaviors can worsen their condition or strain the relationship.

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In this article, we will explore the key things not to do to someone with bipolar disorder, focusing on practical advice and offering insights into how to navigate interactions with empathy and understanding.

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1. Don’t Dismiss or Minimize Their Feelings

One of the most harmful things you can do when interacting with someone who has bipolar disorder is to dismiss or minimize their emotions. People with bipolar disorder experience intense mood swings, and their feelings can be overwhelming. Dismissing or belittling what they are going through can make them feel invalidated and isolated.

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Why It’s Harmful

During a depressive episode, a person with bipolar disorder may feel hopeless, worthless, or deeply sad. On the flip side, during a manic or hypomanic episode, they may feel euphoric, excessively energetic, or invincible. While these emotions may seem extreme to those without the condition, they are real experiences for the person living with bipolar disorder. Dismissing these feelings by saying things like “just snap out of it” or “it’s not that bad” can worsen their emotional distress and lead to further alienation.

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What to Do Instead

Instead of minimizing their feelings, listen empathetically and acknowledge their experience. Statements like “I can’t imagine how tough that must be” or “I’m here for you, no matter what” can go a long way in providing support. It’s important to validate their emotions without judgment or downplaying their struggles.

2. Don’t Try to “Fix” Them

It can be tempting to try to “fix” someone with bipolar disorder by offering solutions or advice during their mood episodes. However, this approach is not only unhelpful but may also come across as dismissive of their autonomy and individual experience.

Why It’s Harmful

While it’s natural to want to help someone you care about, trying to fix someone’s mood or behavior can be counterproductive. During manic episodes, the person might be highly energetic, impulsive, or reckless, and suggesting they “calm down” or “take a break” can be met with resistance or even frustration. Similarly, in a depressive episode, offering simple solutions like “just think positive” or “it’ll get better soon” can feel minimizing and unhelpful.

What to Do Instead

Rather than trying to fix the situation, offer your support and let them know you are available to help if they need it. Encourage them to seek professional help if necessary. It’s important to respect their boundaries and offer practical assistance when appropriate, such as helping with daily tasks during difficult periods.

3. Don’t Overwhelm Them with Advice

People with bipolar disorder may already be managing complex medication regimens, therapy appointments, and other mental health strategies. Offering unsolicited advice or constantly suggesting new methods for coping can add unnecessary stress.

Why It’s Harmful

While you may want to offer helpful advice, it’s important to remember that people with bipolar disorder often have established coping mechanisms and a treatment plan in place. Constantly bombarding them with advice or telling them what they should be doing can feel overwhelming and disempowering. It may also create pressure to follow a particular strategy, which might not be appropriate for their individual situation.

What to Do Instead

If you feel the urge to offer advice, wait until they ask for it. If they’re open to suggestions, be supportive rather than directive. Ask open-ended questions, such as “How can I support you today?” or “Is there anything I can do to help with what you’re going through right now?”

4. Don’t Ignore Warning Signs or Red Flags

Bipolar disorder can sometimes be accompanied by dangerous behaviors, especially during manic or hypomanic episodes. It is essential not to ignore the warning signs that may indicate the person is at risk for self-harm, risky behavior, or other dangerous outcomes.

Why It’s Harmful

Ignoring the warning signs can lead to the person hurting themselves or others. For example, during a manic episode, they may engage in reckless behavior like excessive spending, substance abuse, or unsafe driving. In a depressive episode, they might exhibit signs of suicidal thoughts or actions. Failing to intervene or offer support can have severe consequences.

What to Do Instead

If you notice warning signs, take them seriously. Encourage the person to reach out to a mental health professional or offer to help them make that connection. If the person is at risk of self-harm or suicide, it’s crucial to seek immediate help, either by contacting a therapist, a helpline, or a healthcare professional.

5. Don’t Take Their Mood Swings Personally

Mood swings are a hallmark of bipolar disorder, but they can be emotionally taxing for friends and family. When a person with bipolar disorder is experiencing an intense mood swing, it can be easy to feel hurt, rejected, or frustrated. However, it’s important not to take their behavior personally.

Why It’s Harmful

Bipolar disorder is a medical condition, and mood swings are part of the illness, not a reflection of how the person feels about you. During a manic episode, they may become irritable, impulsive, or even aggressive, and during depressive episodes, they may withdraw or appear indifferent. Taking these behaviors personally can damage your relationship and create unnecessary emotional stress for both you and the person with bipolar disorder.

What to Do Instead

Try to separate the person’s behavior from their condition. Remind yourself that they are not acting out of malice, and offer understanding rather than reacting emotionally. Communicating with calmness and empathy can help you manage difficult interactions without making the person feel guilty or misunderstood.

6. Don’t Push Them to Be Social When They’re Not Ready

People with bipolar disorder may feel the need to isolate themselves during depressive episodes. While it’s natural to want to include them in social activities, it’s important not to pressure them into participating if they’re not ready.

Why It’s Harmful

Pushing someone to be social when they’re not ready can lead to increased stress, anxiety, or feelings of inadequacy. For people with bipolar disorder, pushing themselves too hard can also exacerbate their symptoms and make it harder for them to recover.

What to Do Instead

Respect their need for space and let them know you’re there for them whenever they feel ready to engage. You can offer low-pressure invitations and let them know they’re welcome without creating any expectations.

Conclusion

Supporting someone with bipolar disorder requires patience, understanding, and a commitment to not only being there for them during difficult times but also respecting their boundaries and individuality. Avoiding the behaviors listed above can help you build a stronger, more compassionate relationship. By being empathetic and non-judgmental, you can make a significant positive impact on their well-being. Remember, people with bipolar disorder are not defined by their condition—they are individuals with unique needs and experiences, and offering them love and support is key to fostering a healthy relationship.

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