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I think relative is bipolar, how to help them?

2 replies

LucheroTena · 29/01/2020 15:48

I’m a nurse and had a short stint in mental health. My aunts partner has been exhibiting signs of what I think might be bipolar since they met a few decades earlier. History of stints of depression then mania. Family history of same in all siblings and one parent. Over the past couple of years he has had health issues and bereavements and he has now become impossible to live with. Current behaviours are general mania, not sleeping, going out middle of night, every evening in pub, shoplifting for thrills, disinhibition, OCD tendencies, waking her up at 5am because he’s forgotten a word for something, sometimes a danger to himself, being irritable, cruel, one sided conversations. Late for work. He’s done this before and sometimes he comes out of it but the periods of normality are now few and far between. He went to the GP with her but wouldn’t admit to very much other than anxiety, and was started on Sertraline a few months back but it hasn’t done anything. He can’t see that there is anything wrong with him (it’s everyone else at fault apparently) and won’t volunteer to take himself back to the GP. I have persuaded my aunt to make an appointment for herself this week and use that to tell the GP the truth about his behaviours in an attempt they invite him for a ‘medication review’. If he doesn’t go I think she’ll throw him out quite honestly and I wouldn’t blame her. She really wants to help him though.
Anyone have any experience of this or any advice on how best to handle would be most appreciated. Thank you.

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Gingerkittykat · 29/01/2020 17:16

If he is bipolar the SSRIs are a bad idea since this could actually be the trigger for his manic behaviour.

I think your aunt has the right idea, he most likely is not a risk to himself to allow compulsory treatment so there is nothing she can do to force him to seek treatment.

LucheroTena · 29/01/2020 17:38

Thanks @Gingerkittycat that’s what I thought. We’ll see if the GP can persuade him to have a medications review and question him a bit more. In the usual 5 min slot my aunt struggled to get over to them his behaviour and background as all he’d admit to was a bit of anxiety. Is bipolar difficult to manage once diagnosed? I’m pretty sure he has it, he literally ticks all the boxes.

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