6 Ways Caregivers Can Help Manage Manic Episodes
As a caregiver, you may be the first person to recognize that your loved one is going through a manic episode. Signs of such an episode may include a decreased need for sleep, a sudden increase in energy, grandiose thoughts or behaviors, rapid speech, and impulsive decision-making (e.g., overspending through shopping, gambling, or substance misuse). This is important because individuals with bipolar disorder may not be aware of these symptoms. They may even perceive them as signs of feeling well. Here are six ways you can help your loved one manage manic episodes.
1. Stay calm and try not to escalate the situation
Manic episodes can be overwhelming. What your loved one is saying and doing is out of character for their day-to-day behavior. Remember that your loved one is not in control of their behavior during a manic episode. It’s best to stay calm and try not to escalate the situation. Avoid arguing or contradicting them. Instead, try to redirect their attention to a calming activity or topic.
During a manic episode, your loved one may have trouble recognizing their own needs. Encourage them to prioritize self-care activities such as getting enough sleep, eating well, and engaging in relaxing activities. Offer to do these activities with them for added support.
2. Listen actively and avoid judgment or criticism
Be patient and avoid taking their behavior personally. If the person is saying hateful comments you could be justifiably hurt. Process how you are feeling with your own support network. Remember that your loved one is going through a challenging time and may not be aware of their actions or the meaning and tone of what they say. Avoid criticizing or judging them for their behavior, and instead, focus on offering your support. If you need to insert a boundary for your own self-protection, consider asking another trusted person to support your loved one while you tend to your own needs.
3. Focus on helping them reach out to their treatment team to manage manic episodes
During manic episodes your loved one may feel good and believe there is no problem. Help your loved one get in touch with their therapist, psychiatrist, or preferred crisis response team. Offer to make the call with them or ask if you can call to share what you are noticing. If you don’t have a psychiatric advance directive in place, you can still contact your loved one’s providers to let them know you are observing signs of mania.
4. Monitor their behavior and seek emergency help if they become a danger to themselves or others
Whenever your loved one is experiencing mania, seek professional help as soon as possible, as manic episodes can sometimes lead to dangerous behavior or psychosis. Psychosis is when a person loses touch with reality and experiences hallucinations or delusions.
During a manic episode, this can manifest as believing in one’s own invincibility or having unrealistic and dangerous ideas. It’s important to remember that your loved one’s behavior during a manic episode is a symptom of their condition and not a personal choice.
If your loved one has a crisis plan, set it in motion. If they do not have a crisis plan and they have lost touch with reality or are a danger to themselves or others, take them to the hospital if it is safe for you to do so or call or text 988 or contact a local mental health emergency services provider.
5. Be patient and understanding, as recovery from a manic episode can take time and may involve setbacks
Although manic episodes can be challenging, remember that recovery is possible. With proper treatment and support, individuals who live with bipolar disorder can manage their symptoms and lead fulfilling lives. Encourage your loved one to stick with their treatment plan and offer your support throughout their recovery journey
6. Take care of yourself and seek support from others while you manage manic episodes
Caring for a loved one during a manic episode can be physically and emotionally exhausting. Remember to take breaks and prioritize your own self-care. Ensure you get enough sleep, eat well, and engage in activities that bring you joy and relaxation. Seeing a therapist or participating in a support group can help manage your own stress and emotions during this time. It’s important to prioritize your own well-being and seek support when you need it.
If you feel overwhelmed or unsure of how to respond to your loved one’s manic episode, don’t hesitate to reach out for help. Consider contacting a mental health professional or crisis hotline for guidance.
Remember, the most important thing you can do as a caregiver is to offer your support and understanding. With your help, your loved one can manage their symptoms and lead a fulfilling life.