How To Deal With Someone Who Is Bipolar And Angry?

Disclaimer: This article is for educational purposes only and does not replace expert medical or mental health advice. Bipolar disorder diagnosis and treatment require a comprehensive psychiatric and physical evaluation by a qualified clinician. So, always refer to a board-certified physician or mental health specialist for diagnosis and treatment.

The National Institute of Mental Health (NIMH) reports that an estimated 4.4% struggle with bipolar disorder in the U.S. Bipolar disorder is a complex mental health condition that is characterized by extreme shifts in mood - highs (mania/hypomania) to the lows (depression). One common challenge that those with bipolar disorder face is anger.

For many of those who are supporting a loved one with bipolar disorder, things may still feel manageable day to day - but then you may begin noticing patterns of anger, tension, or emotional strain that are becoming harder to navigate on your own.

In this article, let us explore the link between bipolar disorder and anger and how you can deal with someone who struggles with this.

Anger is not a characteristic of bipolar disorder as a whole. It is common during the manic or hypomanic phases, as these phases are defined by an elevated and irritable mood.

Peer-reviewed studies published in the National Library of Medicine (NLM) have indicated that bipolar disorder is linked to a greater degree of anger or aggression, especially during the manic, mixed, or psychotic episodes.

This is why an early diagnosis and management are crucial, especially as anger can hinder relationships and stability in life.

Here are some signs of uncontrolled anger in bipolar disorder:

• Anger that feels disproportionate to the event, circumstances, or persons
• Intense feelings of irritability and frustration
• Verbal outbursts
• Unpredictable outbursts
• Rage that comes and goes quickly.

Being with someone with bipolar disorder is challenging. When you have to deal with someone who is struggling with both bipolar disorder and anger, it can become even more complicated.

Some steps you can take to deal with a loved one who is bipolar and angry are:

• Be patient. The first step is to know that those with bipolar disorder require your understanding as a loved one, as it is a very misunderstood condition in general.
• Educate yourself regarding bipolar disorder. Understand that it is a challenging condition, and anger can be a symptom of this condition - it is not the whole of the person.
• Communicate. Listen to your loved one and let them know you are there for them. Many times, those with bipolar disorder may not find it easy to open up - create a safe environment for them where they can trust you.
• Encourage them to stay consistent in seeking and receiving care. Small things like ensuring they take their medication on time and attending therapy regularly go a long way in managing this condition, and even the anger.
• Prioritize yourself. In your relationship with a person with bipolar disorder, it is easy to lose yourself or even develop codependency. Therefore, prioritize your self-care. Ensure you have relationships and interests even outside of this one.
• Join support groups or speak to mental health specialists. You can connect with others in person or online and speak to licensed and qualified therapists or counselors when it becomes overwhelming.
• If you feel your safety is under threat, remove yourself from the environment or call your loved ones for support. You can even call emergency providers like 9-1-1 in the U.S., or local emergency providers if you are outside of the U.S.

Before you set boundaries with a loved one who is bipolar and angry, sit with yourself and understand what you can and cannot tolerate. This can be different for different persons.

Once you understand your boundaries, establish them with your loved one:

• Communication is key. Communicate your boundaries clearly with your loved one. For instance, you can tell them, “I will not tolerate name-calling or belittling.” Use “I” statements and avoid blaming the person.
• Listen to them. Listen to what they have to say, so you understand what they think about the boundaries and why they are crucial in your relationship.
• Once you have established your boundaries, stick to them and avoid making exceptions. If they break your boundaries, ensure they take responsibility.
• Take a break. If things get overwhelming, take a time out. Focus on yourself. Cultivate a strong social support system for yourself so that they can offer you a shoulder to lean on when you need it.
• Reach out to a therapist or counselor so that you can learn healthy ways to deal with your loved one and cope with your challenges, too.
• Prioritize your own and your loved one’s safety. If things become abusive, violent, or dangerous in any other way - remove yourself from the environment, call your loved ones, or call emergency providers.

Anger can be common during manic, mixed, or psychotic episodes. As per peer-reviewed studies published in the NLM, 54.5% of the participants with bipolar disorder reported anger concerns even during the depressive episodes.

The encouraging news here is that bipolar disorder can be effectively managed with medication, behavioral therapies, and lifestyle modifications. In fact, some population-studies published in reputable journals have shown that 44% can achieve full mental health with consistent treatment.

For treatment to be effective, it must be personalized to symptoms, medical history, and other unique needs. Even anger can be managed with personalized care and anger management sessions.

If your loved one is struggling with bipolar disorder and related anger concerns, reach out to the NuView Treatment Center today. We offer a full continuum of personalized outpatient care for bipolar disorder, such as:

- Partial Hospitalization Programs (PHP): PHPs offer highly structured care for bipolar disorder and related concerns. It can be an ideal option for severe concerns.

- Intensive Outpatient Programs (IOP): IOPs offer more flexibility along with structure than a PHP; it becomes an ideal option if you are stepping down from higher levels of care or for mild to moderate concerns.

We also integrate personalized counseling, couples therapy, and family therapy for healthier relationships and family dynamics and a wholesome healing journey that is tailored to your unique needs and goals.

How can understanding bipolar disorder help with conflict management?

Understanding how mood episodes impact feelings and behavior allows you to respond with empathy rather than react emotionally.

What is the benefit of communicating with a loved one who has bipolar disorder and anger-related concerns?

Using clear and empathetic communication can de-escalate tension and focus on problem-solving without making the other person defensive.

Can you de-escalate a certain situation with a loved one who has bipolar disorder and is angry?

By active listening, empathy, avoiding blaming or shaming, and taking breaks, you can de-escalate a certain situation with a loved one who has bipolar disorder and is angry.

How is setting boundaries good for your relationship with a loved one who has bipolar disorder and anger-related concerns?

Consistent boundaries establish expectations, which maintain transparency, trust, and stability in relationships.

Can therapy help reduce the frequency of angry outbursts?

Therapeutic modalities like cognitive behavioral therapy can equip both the person and their loved ones with tools to anticipate and manage emotional reactions more effectively.