When Someone with Bipolar Disorder Refuses Treatment: Strategies and Support

Bipolar disorder is a complex mental health condition characterized by extreme mood swings. When individuals in the midst of a manic episode refuse to seek help, it can be an incredibly challenging situation for loved ones. This essay delves into the complexities of such scenarios, offering insights on when and how to intervene.

Understanding Bipolar Disorder and Its Symptoms

Bipolar disorder is often marked by episodes of mania and depression. Manic episodes can lead to heightened energy levels, impulsive behaviors, and altered perceptions, which might make individuals believe they are not in need of medical assistance. This can complicate the process of obtaining help, especially during a crisis.

When Intervention Becomes Necessary

In instances where a person with bipolar disorder shows signs of extreme agitation, psychosis, or poses a danger to themselves or others, intervention is warranted. According to the author's personal experience, such situations should compel you to contact the police if there is a risk of harm. It is crucial to prioritize safety and well-being in these scenarios.

Practical Strategies for Support

1. Patience and Communication: If your loved one is verbally aggressive or unresponsive during a manic episode, it's crucial to practice patience. Engaging in calm, unhurried dialogue can sometimes help. However, if they become threatening or violent, the author suggests calling the police.

2. Exploring Alternatives: If police involvement is deemed necessary, doing so can be difficult, as it represents a crucial point of intervention. However, it may be necessary for their safety. The author recommends that you remain involved in their care and encourage a discussion with a psychiatrist or a visit to the emergency room at a psychiatric hospital.

3. Plan Ahead: It's wise to have a plan in place before a crisis occurs. Keep the contact information of the individual's psychiatrist readily available and be prepared to reach out to them for advice. Additionally, consider the potential need for immediate emergency services.

Why Treatment is Essential

Leaving an individual with bipolar disorder in a state of untreated mania can have severe consequences. Even if they initially refuse help, once they are evaluated and treated, they can gradually recover. The author recounts a specific instance where their family member required 10 days of hospitalization, but eventually made a full recovery.

Conclusion

While respecting the autonomy of individuals with bipolar disorder is important, it is equally crucial to prioritize their safety and well-being. By understanding the condition and knowing when to seek intervention, you can play a vital role in supporting loved ones through their struggles. Consider involving professional help and have a plan in place to ensure that aid is available when needed.