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Mood disorders such as depression and bipolar disorder (also known
as manic-depression) affect millions of people. Their family members
and friends are affected too. If someone you love has a mood disorder,
you may be feeling helpless, overwhelmed, confused and hopeless, or
you may feel hurt, angry, frustrated and resentful. You may also have
feelings of guilt, shame and isolation, or feelings of sadness,
exhaustion and fear. All of these feelings are normal.
What you need
to know:
* Your loved one's illness is not your fault (or your loved one's
fault).
*You can't make your loved one well, but you can offer support,
understanding and hope.
*Each person experiences a mood disorder differently, with
different symptoms.
*The best way to find out what your loved one needs from you is by
asking direct questions.
What you need
to find out:
*Contact information (including emergency numbers) for your loved
one's doctor, therapist, and psychiatrist, your local hospital, and
trusted friends and family members who can help in a crisis.
*Whether you have permission to discuss your loved one's treatment
with his or her doctors, and if not, what you need to do to get
permission.
*The treatments and medications your loved one if receiving, any
special dosage instructions and any needed changes in diet or
activity.
*The most likely warning signs of a worsening manic or depressive
episode (words and behaviors) and what you can do to help.
*What kind of day-to-day help you can offer, such as doing
housework or grocery shopping.
When talking with your loved one's health care providers, be
patient, polit and assertive. Ask for clarification of things you do
not understand. Write down things you need to remember.
What you can
say that helps:
*You are not alone in this. I'm here for you.
*I understand you have a real illness and that's what causes these
thoughts and feelings.
*You may not believe it now, but the way you're feeling will change.
*I may not be able to understand exactly how you feel, but I care
about you can want to help.
*When you want to give up, tell yourself you will hold on for just one
more day, hour, minute - whatever you can manage.
*You are important to me, Your life is important to me *Tell me what I
can do now to help you.
*I am here for you. We will get through this.
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| Feelings of worthlessness, hopelessness, or guilt. |
| Feelings of total indifference. |
| Prolonged sadness and crying spells. |
| Withdrawal from social activities. |
| Loss of appetite or noticeable increase in appetite. |
| Thoughts of death or suicide; suicide attempts. |
| Fatigue, lethargy and insomnia, or increased need for
sleep. |
| Inability to concentrate; indecisiveness |
Aches and pains, constipation or other physical ailments
that can't be
explained. |
| An excessively good, euphoric, or expansive mood. |
| Irritability and anger that is not consistent with the
situation |
| Extreme cheerfulness or optimism. |
| Grandiose ideas. |
| Lack of judgment particularly concerning spending money
or sexual promiscuity. |
| Flight of ideas or racing thoughts; talking in a rush
and changing from topic to topic; disorganized thoughts. |
| Decreased need for sleep (need for little sleep without
feeling tired). |
| Sudden rage, irritability, or paranoia. |
| These symptoms generally alternating with periods of
depression sometimes with periods of mood stability intermixed. |
| Psychotic symptoms (delusions or hallucinations) and
thought of suicide may appear in the acute stages of either mania or depressions. |
|