Bipolar disorder - Living with
Effective treatments and self-help techniques can limit the impact on your everyday life.
Staying active and eating well
Eating well and keeping fit are important for everyone. Exercise can also help reduce the symptoms of bipolar disorder. Particularly the depressive symptoms.
It may also give you something to focus on and provide a routine, which is important for many people.
Weight gain is a common side effect of medical treatments for bipolar disorder. A healthy diet and regular exercise may help limit this.
Some treatments also increase the risk of developing diabetes. Or make it worse if you already have it. Maintaining a healthy weight and exercising can help limit the risk.
Have a check-up at least once a year. This will monitor your risk of developing cardiovascular disease or diabetes.
This will include:
- recording your weight
- checking your blood pressure
- having any appropriate blood tests
Self-care and self-management
Self-care is an essential part of daily life. It means taking responsibility for your own health and wellbeing. You do this with support from those involved in your care.
- staying fit and maintaining good physical and mental health
- preventing illness or accidents
- caring more effectively for minor ailments and long-term conditions
People with long-term conditions can benefit a lot from being supported to improve their self-care.
- live longer
- have less pain, anxiety, depression and fatigue
- have a better quality of life
- be more active and independent
These aim to help you take an active part in your own recovery, so they're not controlled by their condition.
They may be helpful to people who feel distressed and uncertain about the disorder.
Talking about it
You may find it easy to talk to family and friends about their condition and its effects. Or you might find it easier to turn to charities and support groups.
Many organisations run self-help groups. They can put you in touch with other people with the condition. This can help you get helpful ideas and realise you're not alone in feeling the way they do. Some organisations also provide online support in forums and blogs.
Some useful charities, support groups and associations include:
Talking therapies are useful for managing bipolar disorder, particularly during periods of stability.
Services that can help
You might access many different services during treatment. Some through referral from your GP, others through your local authority. Community Mental Health Team.
Community mental health teams (CMHT)
These provide the main part of local specialist mental health services. They offer assessment, treatment.
Crisis home-based treatment services
These allow you to be treated at home, instead of in a hospital, for an acute episode. These are specialist mental health teams. They deal with crises that occur outside normal office hours.
Acute day hospital
These are an alternative to inpatient care in a hospital. You can visit every day or as often as you need.
Assertive outreach teams
These teams offer intensive treatment and rehabilitation in the community. The teams assign a keyworker to meet the needs of individuals living with severe and constant mental health challenges. They can provide help in a crisis situation and are good at supporting individuals to prevent crises from developing.
Keyworkers (mental health nurses, support workers or social care workers) often visit people at home. They also liaise with other services, such as your GP or social services. They can also help with practical problems. For example:
- helping to find housing and work
- support with household tasks and daily activities
Avoiding drugs and alcohol
Some people with bipolar disorder use alcohol or illegal drugs to try to cope with pain and distress. This can cause harm and is not a substitute for effective treatment and good healthcare.
You may have separate but related problems with alcohol and drug use. This may need to be treated separately.
Avoiding alcohol and illegal drugs is important for recovery.
Living with or caring for someone with bipolar disorder
People living with or caring for someone with bipolar disorder can have a tough time. During episodes of illness, the personalities of people with bipolar disorder may change. The illness may cause them to behave out-of-character.
Sometimes healthcare professionals or the Gardai may become involved. Relationships and family life are likely to feel the strain.
You may be the closest relative of someone with bipolar disorder.
If so, you have rights you can use to protect their interests. Ask mental health services to decide if they should be admitted to hospital involuntarily. This can happen if they cannot identify that there is a problem needing intervention.
You may feel at a loss if you're caring for someone with bipolar disorder. Finding a support group and talking to other people in a similar situation might help.
If you're having relationship or marriage difficulties, contact specialist relationship counsellors. They can talk things through with you and your partner.
Dealing with suicidal feelings
Having suicidal thoughts is a common depressive symptom of bipolar disorder. Without treatment, these thoughts may get stronger.
If you have bipolar disorder, the risk of suicide is 15 to 20 times greater than the general population.
As many as 25-50% of people with bipolar disorder attempt suicide at least once.
The risk of suicide seems to be higher earlier in the illness, so early recognition and help may prevent it.
It is very important to create a crisis plan to prepare for a time of serious suicidal thoughts.
The plan should include contact details for people who can offer support, including:
- Support person - family or friend)
- Community mental health team
Make sure to check availability especially ‘out of hours’ and keep contact details up to date. It’s a good idea to update this plan when reviewing the overall treatment plan.
If you’re feeling suicidal or having severe depressive symptoms contact your GP, keyworker
Call 999 or 112 if you or someone you know is about to harm themselves or someone else
Self-harm is often a symptom of mental health problems such as bipolar disorder.
For some people, self-harm is a way of gaining control over their lives. It can also be a temporary distraction from mental distress. It may not be related to suicide or attempted suicide.