Dangerous driving, impulsive spending, escalating substance use or other unsafe behavior can leave family members unsure how to respond. Start with the specific behavior and the person’s safety. Risk-taking alone does not establish bipolar disorder or any other diagnosis.
Speak about what you have observed
Choose a calm, private setting when it is safe to talk. Describe concrete changes without labels or accusations: “You have slept very little this week, and I am worried about your driving.” Ask open questions and listen to their perspective.
You can express concern while acknowledging that you may not understand everything that is happening. A conversation may need to happen more than once.
Notice changes that need prompt assessment
A marked increase in energy, much less need for sleep, unusually fast speech, irritability or an inflated sense of ability can occur during mania. Substance use, medication effects and medical conditions can also mimic or worsen mood symptoms. A clinician needs the broader history to evaluate the cause.
Contact the person’s treating clinician promptly when behavior is escalating, especially with major sleep or mood changes. Do not change prescribed medication on your own.
Offer a concrete next step
Offer to help arrange an evaluation, write down concerns or accompany them to an appointment if they want you there. Ask what kind of support would be useful. A supportive conversation cannot guarantee that someone will accept help.
Act on immediate danger
If there is an immediate risk of serious harm, suspected overdose or inability to stay safe, call 911 or go to the nearest emergency department. Do not put yourself in danger while trying to help. An appointment request form is not an emergency service.
Care in Fort Worth
At the Institute for Advanced Psychiatry in Fort Worth, care begins with an individualized psychiatric evaluation. Request an appointment to discuss your symptoms and treatment history.
Learn about bipolar disorder evaluation and addiction care when these concerns are part of the situation.