Supporting a bipolar friend requires patience, compassion, tolerance, and knowledge. It is imperative that you remember that a disease has afflicted your bipolar friend, and that his or her mood swings and sometimes inexplicable behavior are not his fault. In order to help a friend with a bipolar disorder, you should also be aware of his or her medical requirements. The disease can usually be controlled with prescription drugs and therapy, but one of the greatest challenges for a bipolar friend consists of staying on his medication.
Though it may be difficult at times, keep in mind that a person with a bipolar disorder is at the mercy of an ailment most likely caused by a chemical imbalance. Symptoms can vary from person to person, and bouts with manic or depressive behavior do not keep a schedule. Do not be afraid to ask a bipolar friend how he is feeling. This is an insidious disease, and direct questions should not be viewed as prying.
You must be realistic when trying to help a bipolar friend. The disease usually manifests itself and progresses over a period of years or decades and cannot be controlled overnight. Observation and awareness are extremely important, as a person with bipolar disorder may or may not be completely in touch with reality. Pay particular attention if your friend displays signs of depression or speaks in dark or overly pessimistic language. Suicide is a real possibility with bipolar disorders, and you should not be hesitant to contact your friend’s physician if necessary.
If your bipolar friend is not seeking treatment, you should patiently encourage him or her to do so. One of the greatest fears for a bipolar individual is that medication will alter his personality. In the vast majority of cases, this assumption is not true at all. Offer to accompany your friend to a medical doctor or psychologist, and let him know that you will support him throughout treatment.
Another concern for someone suffering from a bipolar disorder is that he will be labeled with the public stigma of mental illness. Unfortunately, there is some truth to this belief, as many people are not educated into the causes and effects of the disease. Reassure your friend that you know he or she is not at fault. Let your friend know that you realize he or she is combating bipolar disorder in the same manner he would combat any other chronic disease.
Even while being treated, a bipolar friend may still have episodes of mania and depression. In the former case, watch for signs that he is suddenly making huge changes in his life, such as buying a house, spending large amounts of money, or making a career change on the spur of the moment. In the latter, again, watch closely for signs of worsening depression or apathy. Most of all, take care of yourself. Helping a bipolar friend is a worthy and noble goal, but it can also be emotionally and physically exhausting.
