Approach with care

Approach them calmly and be understanding. Let them know you are there to support them and observe for any signs of strong emotions or behaviours that might indicate they need urgent help. For instance, if they express thoughts of hurting themselves or others, prioritise getting them professional assistance immediately.

Listen without judgement

Create a safe environment where they feel comfortable sharing their thoughts and feelings. Avoid dismissive remarks like “That’s not real”. Instead, acknowledge their emotions with understanding and support, saying, “I can see this is upsetting for you. Let’s work through this together”. Listening attentively helps build trust and reduces distress.

Give reassurance and encourage professional help

Reassure them that help is available, and that psychosis can be managed with the right treatment. Encourage them to seek support from a mental health professional, offer to be there with them at appointments, or help them find resources. Let them know they are not alone, and you are there to support them.

Encourage self-care and healthy coping

Suggest relaxing activities, such as walking in nature, listening to calming music, or engaging in creative hobbies like drawing or writing. Whenever possible, join them in these activities to offer companionship and create a supportive, positive environment.

Be patient and understanding

Depression can drain a person’s energy and drive. At times, our family members might appear irritable, impatient, or say hurtful things but try to not take it to heart as these may be due to their condition and not necessarily directed at us.

Here are other things to take note of when our family members are not acting in their usual ways:

• Empathise with them
• Know that they are trying their best
• Do not judge or criticise them
• Avoid telling them to be positive or “snap out of it”
• Refrain from blaming them or pressuring them to get well soon

Look out for warning signs of suicide

People with depression may have an increased risk of suicide. Be prepared by knowing the concerning behaviours to look out for. If our family members display any signs of suicide, take it seriously and consider seeking professional support.

Manage our expectations and recognise small improvements

Give our family members the time that they need to improve. Their progress may sometimes seem insignificant to us (e.g. a decrease rather than complete stop in excessively long showers), but it might have taken a lot for them to accomplish.

We can encourage them to keep trying by consistently acknowledging their small accomplishments and praising them.

Avoid judging or making negative remarks

Try to remain open and refrain from making negative remarks about their behaviours. Show our support by lending a listening ear and encouraging them to share about their struggles.

Be mindful not to accommodate their obsessive thoughts and compulsions

Try not to offer assurance about their intrusive thoughts or help them perform certain rituals as this will not be in their best interests in the long term.

It is important to continue maintaining usual family routines while not reinforcing OCD behaviours. We can also consider bringing our family members to seek professional help if it interferes with their daily lives.

Understand that supporting avoidance or forcing confrontation are not solutions

Avoidance is not helpful for their anxiety in the long run. Try not to help our family members avoid situations that they are fearful of (e.g. by taking over their task so they can avoid doing them).

However, remember to practise discretion when doing this. If they start to show extreme fear, refrain from forcing them to confront the fear as it could cause them additional distress and affect their trust in us.

Encourage them to focus on things that they can control

Help our family members learn to identify what they can and cannot control. Being able to divert their attention and energy towards what can be controlled will help them to improve their situation.

Refrain from asking them to stop worrying

Lend them a listening ear and validate their feelings instead of asking them to stop worrying. Let them know that it is okay not to be okay at times. We can also guide them to refocus their attention on other activities, like taking a walk, listening to music or going to a quiet corner where they can calm down.

Make plans to prepare for difficult episodes

Mood episodes can be unpredictable and last for days, weeks, or even longer. This can disrupt and cause significant challenges to the daily lives of our family members. Help them identify their triggers, symptoms, and warning signs to discuss ways we can help them to better manage their episodes.

Encourage them to seek treatment

Bipolar disorder can be effectively treated with medication and support from healthcare professionals. Reassure our family members and let them know that we will be there to support them. We can also help them adhere to their prescribed treatments by attending appointments with them or reminding them to take their medications.

Be aware of the warning signs of suicide

Our family members with bipolar disorder may have an increased risk of suicide. We can stay alert and prepared by learning to look out for concerning behaviours.