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Bipolar · What to say

How to talk without making assumptions

The useful conversation is different during a high, a low and a stable period.

Begin with curiosityAsk what the person is experiencing, listen before offering solutions, and describe changes without treating every emotion as a symptom.
Immediate danger? Call 999 or go to A&E if someone's life is at risk or you cannot keep anyone safe. If you are worried about suicide, use the suicide concern guide.

When things are fairly calm

Mind recommends asking open questions and listening rather than trying to fix the experience. It also advises against minimising what the person is going through.

Mind suggests“What do you need me to understand about it?”
Source: Mind

When you notice possible warning signs

Name one change you have observed and explain why you are raising it. Mind publishes this example:

Mind suggests“I've noticed that you've been sleeping less, and I'm worried you might be becoming unwell.”

Ask what they think is happening. If they have a plan, check which part they want to use. If the conversation becomes heated, pause and move to the urgent route if safety is becoming a concern.

Sources: Mind and NHS

During a high

  • Keep sentences short and deal with one issue at a time.
  • Do not turn the conversation into a debate about every plan or belief.
  • Offer practical help they have already agreed to.
  • If they are frightened by unusual beliefs or experiences, use the psychosis conversation guidance.
Sources: Bipolar UK, Mind and Rethink

During a low

Short, low-pressure contact may be easier to answer. The depression area brings together sourced guidance on listening, practical offers and asking about suicide when you are worried.

How to talk when someone seems depressed

What to avoid saying

  • “Everyone has mood swings.” Mind advises against minimising the person's experience. Ask what this change feels like for them.
  • “You are definitely getting manic again.” Mind says not to assume every mood change is a relapse. Describe the specific change you have noticed.
  • “Calm down.” Use a calm voice yourself and move to one practical question.
  • “Do you still need your medication if you feel better?” Medication decisions belong with the person and their prescriber.
  • “After what you did last time, I cannot trust you.” Raise a specific concern and an agreed safeguard without using a previous episode to shame them.
Sources: Mind, Bipolar UK and NHS
The examples apply Mind's advice not to minimise or make assumptions, Bipolar UK's advice on boundaries and episode-related behaviour, and NHS treatment information.

After an episode

Mind advises waiting until the person feels able to talk, then explaining how specific behaviour affected you instead of making general accusations. Ask what would help next time and what they want you to do differently.

Bipolar UK also advises setting boundaries around your own needs and responsibilities. Supporting someone does not require accepting abuse, threats or unsafe behaviour.

Sources: Mind and Bipolar UK

Here for Someone is an independent information project. It is not a helpline or medical service. This page organises public guidance from the organisations linked beside the relevant information; it has not been clinically reviewed by Here for Someone.

Sources checked: 26 August 2026

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