Living with bipolar disorder

Although it's usually a long-term condition, effective treatments for bipolar disorder, combined with self-help techniques, can limit the condition's 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 tofocus onand provide aroutine, which is important for many people.

A healthy diet, combined with exercise, may also help limit weight gain, which is a common side effect of medical treatments for bipolar disorder.

Some treatments also increase the risk of developing diabetes, or worsen the illness in people that already have it. Maintaining a healthy weight and exercising are an important way of limiting that risk.

You should have a check-up at least once a year to monitor your risk of developing cardiovascular disease or diabetes .

This will include recording your weight, checking your blood pressure and having any appropriate blood tests.


Self-care and self-management


Self-care is an essential part of daily life.It involves taking responsibility for your own health and wellbeing with support from the people involved in your care.

It includes:

  • staying fit and maintaining good physical and mental health
  • preventing illness or accidents
  • caring more effectively for minor ailments and long-term conditions

People withlong-term conditions can benefit enormously from being helpedwith self-care.They can live longer, have less pain, anxiety, depression and fatigue, have a better quality of life, and be more active and independent.

Other people find it easier to turn to charities and support groups.

Many organisations run self-help groups that can put you in touch with other people with the condition. This enables people to share helpful ideas and helps themrealise they're not alone in feeling the way they do. These organisations also provide online support in forums and blogs.

Some useful charities, support groups and associations include:

  • Bipolar UK
  • Carers UK
  • Mind
  • Rethink
  • Samaritans
  • SANE

Talking therapies are useful for managing bipolar disorder, particularly during periods of stability.

Services that can help

You may be involved with many different services during treatment for bipolar disorder. Some are accessed through referral from your GP, others through your local authority.

These services may include:

  • Community mental health teams (CMHT) these provide the main part of local specialist mental health services. They offer assessment, treatment and social care to people with bipolar disorderand other mental illnesses.
  • Early intervention teams these provide early identification and treatment for people who have the first symptoms of psychosis. Your GP may be able to refer you directly to an early intervention team.
  • Crisis services these allow people to be treated at home, instead of in hospital, for an acute episode. These are specialist mental health teams that 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 deliver intensive treatment and rehabilitation in the community for people with severe mental health problems, providing rapid help in a crisis. Staff often visit people at home and liaise with other services, such as your GP or social services. They can also help with practical problems, such as helping to find housing and work, or doing your shopping and cooking.

Avoiding drugs and alcohol

Some people with bipolar disorder use alcohol or illegal drugs to try to take away their pain and distress. Both have well-known harmful physical and social effects and are not a substitute for effective treatment and good healthcare.

Some people with bipolar disorder find they can stop misusing alcohol and drugsonce they're using effective treatment.

Others may have separate but related problems of alcohol and drug abuse, which may need to be treated separately.

Avoiding alcohol and illegal drugs is an important part of recovery from episodes of manic, hypomanic or depressive symptoms, and can help you gain stability.

If you're employed, you may be able to work shorter hours or in a more flexible way, particularly if job pressure triggers your symptoms.

Under the Disability Discrimination Act 1995 , all employers must make reasonable adjustments to make the employment of people with disabilities possible. This can include people with a diagnosis of bipolar disorder or other mental illnesses.

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, and they may become abusive or even violent.

Sometimes social workers and the police may become involved. Relationships and family life are likely to feel the strain.

If you're the nearest relative (as defined by the Mental Health Act 1983 ) of a person with bipolar disorder, you have certain rights that can be used to protect the person's interests.

These include requesting that the local social services authority asks an approved mental health professional to consider whether the person with bipolar disorder should be detained in hospital (also known as "sectioning").

You may feel at a loss if you're caring for someone with bipolar disorder. Finding a support group and talking to other peoplein a similar situation might help.

If you're having relationship or marriage difficulties, you can contact specialist relationship counsellors, who can talk things through with you and your partner.

Want to know more?

  • Care and support: guide to care
  • Relate: relationship advice

Dealing with suicidal feelings

Having suicidal thoughts is a common depressive symptom of bipolar disorder.Without treatment, these thoughts may get stronger.

Some research has shown the risk of suicide for people with bipolar disorder is 15 to 20 times greater than the general population.

Studies have also shown that as many as 25-50% of people with bipolar disorder attempt suicide at least once.

The risk of Euthanasia and assisted suicide seems to be higher earlier in the illness, so early recognition and help may prevent it.

If you're feeling suicidal or you're having severe depressive symptoms, contact your GP, care co-ordinator or the local mental health emergency services as soon as possible.

If you can't or don't want to contact these people, contact the Samaritans on 116 123. You can call them24 hours a day, seven days a week.

Alternatively, visit the Samaritans website or email .


Self-harm (sometimes called self-injury) 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 or temporarily distracting themselves from mental distress. It may not be related to suicide or attempted suicide.

Want to know more?

  • Mind:understanding self-harm
  • National Self Harm Network
  • Rethink:suicide and self-harm
  • Samaritans

Recommended communities

Online communities help you talk to people, share your experiences and learn from others.

The SANE Support Forum allows people to share their feelings and provide mutual support to anyone with mental health issues, as well as their friends and family.

  • SANE Support Forum

Bipolar UK, a national charity, alsoruns an online discussion forum for people with bipolar disorder, their families and carers.

  • Bipolar UK eCommunity
Content supplied by the NHS Website

Medically Reviewed by a doctor on 30 Nov 2016