Choose people from your support structure who are very close to you (live with you or are in contact with you daily). They can be authorised to make decisions for you when you experience an episode. Let them know how they can support you.
Help them understand
Find or make a box. This box will be a safety box that will contain your crisis plan and all its necessary components. Keep it powerful and make sure it is nearby. What to put in your box:
Print out hard copies or share a document online. It is important to keep this plan up to date.
Your plan is made up of the following which is described below:
Create a list of things you still want to do, places you want to go to, people you want to meet.
Make a list of things you will miss which can include smells, tastes, sounds, visuals, sensations, people and animals you love, objects, activities. Try to be as specific as possible so that you really dig deep into the motivation, like "The smell of cinnamon in the kitchen when my mother is baking."
Some examples are
Create a list of hobbies and things you really love doing, things you almost obsess about. Make sure they are really important to you and that they motivate you almost daily.
Create a collection of photographs of people you love and places you enjoy going to.
The desire will gradually get worse. Put steps into place before you hit dangerous levels that could jeopardize your safety. The chances are that you will no longer care when you reach your ultimate low. You may need to be hospitalised.
Stay with someone close to you so that they can monitor you and your behaviour. They should not have to take responsibility, rather help and guide you through your time of need.
Give all the medication in your house to someone you stay with or lives nearby. Let them give you the necessary medication that you need. Make sure you give them the instructions to follow for you psychiatric medication so that they know what to give you.
Try to stay away from dangerous objects. Lock them away if you can. Staying someone in your support structure may help you.
Read your bucket list, the list of things you will miss, your list of motivations and look at your photographs. Keep these lists in your safety box. These can spark your will to live.
Know how important you are, how loved you are, how much you will be missed and how devastated your loved ones will be should you take your own life. Remind yourself of the important roles you play in other people's' lives.
People with bipolar have good days and bad days. This is normal. It becomes a problem when the good days blow up into mania or hypomania and when the bad days fall deep into a major depression.
Describe the common signs and symptoms that you usually experiencing during a manic, hypomanic and major depressive episode. Note the sign and the type of episode it is usually linked to. The people in your support structure will know what to look out for and how to deal with that episode.
Examples of common signs and side effects are:
Make a note of who should treat you and where:
In some cases your members of your support structure may need to monitor your behaviour, take control of your medication, take away your car keys and bank cards, help you self-soothe or call one of your doctors.
Note what medication you take, the dosage and what it has been prescribed for in case you need to go to a hospital and see doctors who are not familiar your treatment plan.
Note any allergies to make sure you don't get an allergic reaction to any medications they may administer. Note any diseases and common side effects of the medication that you are currently experiencing or have experienced in that past. Doctors can keep this in mind during your care at a hospital.
Note contact details for your
Note who needs to be contacted when you are in a specific state. Also note what needs to be said so that the member of your support structure can effectively get the message across especially when they could be panicking.