A year or two ago, I recorded this webinar with Bipolar UK talking about our family story (mine and my Dads) with bipolar disorder, suicidal ideation, depression and both of us finding recovery.
Suicide is a terrible but common outcome of bipolar and acute mental health episodes. I also know what it is like to lose a loved one to suicide and mental illness and the pain that brings.
I share this webinar today to raise awareness, but also to encourage people to go to their GP/psychiatrist/ family/ spouse and talk, if safe, about what is going on for you.
Watch here, with care, trigger warning : discusses bipolar episodes, suicidal ideation
In this webinar, Bipolar UK CEO Simon Kitchen shares the findings of the Bipolar Commission on the critical link between bipolar and suicide. He is joined by Ashley Brice, an experienced crisis negotiator with the British police specialising in suicide prevention, and Eleanor Mandelstam, author and freelance writer who lives with bipolar. Together, they explore the risk factors, warning signs, and practical strategies to prevent suicide, offering crucial insight for anyone living with bipolar, supporting someone with bipolar, or wanting to better understand how bipolar impacts mental health and suicide risk.
I am honoured to be an Ambassador for Maaglei Nefesh מעגלי נפש with Rav Yoni Rosensweig, an organisation that is close to my heart. In recent years, it has provided support to those who are struggling with mental illness, yet still wish to find a way to live their life in accordance with Halacha (Jewish Law) to the best of their abilities. Maaglei Nefesh saves lives, helping people with bipolar disorder, depression, anxiety, OCD, PTSD, eating disorders, schizophrenia, psychosis and many kinds of mental illness. Maaglei Nefesh does groundbreaking work globally and has been at the forefront while helping to break stigmas and silence that can surround those suffering. The organisation contributes to literally saving lives, as well as vastly improving the quality of life for many.
This Rosh Hashana, please partner with me if you can to help ensure that Maaglei Nefesh can continue to provide such important assistance to all who request it. During this campaign any sum you donate will be matched so that your impact and the positive effect your donation has will be doubled.
An award winning nutritionist and beauty therapist who’s helped hundreds of women globally to navigate menopause with wellness in mind is celebrating having climbed the Amazon book charts to become a No.1 Bestselling author, outperforming the likes of Davina McCall, Lisa Snowdon and Dr Louise Newson, with new Menopause manual –‘Have a Magnificent Menopause: A Straightforward Guide to Looking Good and Feeling Great’
Alison Bladh, 56, who is also a clinical supervisor for Nutritional Therapy at the University of West London, splits her time between the UK and Sweden was excited to see the book reach the top 30 bestselling books overall on Amazon Sweden across all genres including fiction and non-fiction, one of the only health titles to break the coveted Top 50, highlighting the demand for evidence-based, practical menopause support.
Offering women over 40 a no nonsense guide to thriving through perimenopause, menopause and beyond with or without Hormone Replacement Therapy, this straight-talking manual is already being praised as “a breath of fresh air in the menopause space”, and described as “like having a wise best friend, nutritionist and beauty therapist rolled into one.”
Sharing practical guides, check lists and real women’s stories alongside clinical research and scientific studies, Alison’s mission is simple – to help women over 40 take back control of their bodies, rediscover their energy, and feel confident and empowered in their skin again, after researching menopause became a passion of hers, having witnessed her mother suffer in silence at a time when the topic was taboo.
“Menopause, though more openly discussed in some countries today, is still stigmatised as something negative”, she said. “Growing up in a strict British household, I remember watching my mother and the women around her, all navigating perimenopause, suffering through what was then simply referred to as “The Change”. Nobody talked about it. It was shrouded in silences, misconceptions and misinformation.”
“While things are improving slowly in some parts of the world, this isn’t the case everywhere and there’s still a lot of work to be done. Women deserve knowledge, support and care during this natural stage of life. Menopause isn’t about fading into the background or becoming less relevant. It’s about stepping into a new kind of power, one where experience, wisdom and purpose shape the next chapter of our lives in ways that extend far beyond motherhood.”
The book tackles common challenges, everything from fatigue, brain fog and weight gain to confidence, skincare and mindset, helping women feel vibrant and in control at every stage of life. The tone is supportive and straight talking, cutting through confusing advice and adresses “menowashing” to deliver clear, evidence based solutions that work.
“Menopause is not something to ‘get through’ it is a wake up call to start putting yourself first” she says. “You deserve to feel in control, strong and beautiful and this starts with understanding your body and taking small yet powerful steps each day”.
“Have a Magnificent Menopause: A Straightforward Guide to Looking Good and Feeling Great” will resonate with any woman who has ever stood in front of the mirror wondering where she went and is now ready to find her again”, she added.
(image: Alison Bladh/ Chocolate PR)
Here she shares 5 practical tips from the book to help women start feeling better today:
Alison’s Top Tips for ‘Thriving, Not Just Surviving’
1. Follow the 90/10 Rule Healthy eating doesn’t have to mean restriction or perfection. The 90/10 rule is about nourishing your body with supportive foods 90% of the time like protein, healthy fats, fibre, leafy greens and slow-release carbs while still leaving room for 10% of the treats that make life enjoyable. Whether it’s a slice of cake with friends or a glass of wine on a special occasion, this balanced approach helps women stay consistent without guilt. It’s realistic, sustainable and removes the all-or-nothing mindset that often leads to frustration. Eating well should be empowering, not punishing.
2. Start the Day with Protein, Not Caffeine Reaching for a coffee first thing in the morning might feel like second nature, but it can actually spike your cortisol and send your blood sugar on a rollercoaster. Instead, start your day with 20–30 grams of protein to support hormone balance, energy, focus and mood. A protein-rich breakfast such as eggs, Greek yoghurt, tofu scramble or a protein smoothie helps stabilise your blood sugar, reduces mid-morning crashes, and keeps cravings at bay. This small shift can make a big difference to how you feel all day long.
3. Keep a Cooling Toolkit in Your Bag Hot flushes and sudden temperature spikes can be distressing, especially in public. That’s why I always recommend keeping a “cooling toolkit” with you. This might include a peppermint facial mist, a mini hand fan, cooling wipes, or essential oil rollers (peppermint or lavender work well). Having something to soothe and cool you down helps you manage symptoms discreetly and confidently. It’s a small act of self-care that reinforces one important truth: you are not powerless, you are prepared.
4. Digital Declutter for Hormonal Health Our devices might keep us connected, but they can also wreak havoc on our hormones. Constant notifications, social media scrolling and screen time raise cortisol levels, interfere with melatonin production and contribute to stress and poor sleep, all of which worsen menopausal symptoms. A daily digital break, even just 20–30 minutes, can calm the nervous system, ease anxiety, and support better emotional balance. Turn off the noise, step away from the screen, and reclaim some stillness. It’s one of the simplest ways to feel more grounded.
5. Swap Wine O’Clock for Magnesium Time It’s tempting to unwind with a glass of wine at the end of a long day but alcohol can disrupt sleep, trigger hot flushes and make anxiety worse. Instead, create a relaxing evening ritual with magnesium. A warm magnesium-rich drink or a magnesium supplement can help soothe your nervous system, relax tense muscles and prepare your body for restful sleep. It’s a healthier wind-down option that supports hormonal balance and helps you wake up feeling restored instead of groggy. You’re still prioritising yourself just without the hormonal backlash.
More than one million people (including myself) are living with bipolar in the UK and, despite the summer meaning excitement and positivity for most, for many living with bipolar this is not always the case.
Common challenges in summer can impact people living with the condition- including high temperatures which can interfere with certain medications (including Lithium and anti psychotics or anti depressants), the longer daylight hours which can disrupt mood stability, and travelling which can sometimes trigger symptoms.
There are ways to manage seasonal challenges, and Bipolar UK is now sharing its top tips to help people navigate the summer months!
Top tips for navigating the next few summer months if you have bipolar from Bipolar UK:
Sleep
Maintaining a regular sleep routine is an important way to support mood stability. Lighter nights can make it more difficult to switch off and wind down; and early sunrises can cause disruptions to sleep. Blackout curtains or an eye mask might help.
Heat
Hot weather can affect both physical and mental wellbeing. Certain medications used to treat bipolar can make it harder for the body to regulate its own temperature, leading to overheating. Staying cool, drinking plenty of water and staying out of the sun during the hottest parts of the day can help reduce the risk of overheating and becoming dehydrated. Rest is important so communicate with friends and family about how you’re feeling and if you need to rearrange plans.
Travel
Be mindful when travelling to different time zones. Jetlag can have an impact on bipolar symptoms. Try to make time to sleep and rest whilst on the plane and when you arrive so you can acclimatise. Set a reminder on your phone of when you need to take your medication so you can stick to your schedule.
Sensitivity
Some bipolar medications can increase sensitivity to sunlight so protecting your skin with a high factor suncream when outside is important, as well as seeking shade when possible. Continue to take your medication as prescribed but do speak to your medical professional if you have any concerns.
Socialising
There are often more social activities during the summer, with people wanting to make the most of the better weather. If it all feels too much, learn to say “no” and preserve your energy. Pick and choose which activities you’d like to do, but don’t feel obliged to do them all.
Routine
Longer days can lead to changes in routine which can trigger shifts in mood. Some people with bipolar feel their mood can shift more easily into hypomania and mania during the summer months, whereas others notice their mood dips into depression. Noticing the signs early and speaking to your mental health team, family or other support network can ensure you get help when you need it and potentially avoid a relapse.
A dual diagnosis occurs when an individual simultaneously struggles with a mental health disorder and a substance use disorder. Far more common than many realise, dual diagnoses can involve combinations such as depression and alcohol dependence, anxiety and benzodiazepine misuse, bipolar disorder coupled with stimulant abuse, or PTSD alongside opioid addiction. Attempting to treat one condition in isolation while neglecting the other typically leads to inadequate results and higher relapse rates. Dual-diagnosis care addresses both issues in tandem, recognising the complex interplay between mental health and addiction. Below, we explore five essential components of an effective, integrated treatment approach that fosters sustainable recovery.
Understanding the Link Between Mental Health and Addiction
Self-medication is a common pathway to substance misuse: someone experiencing chronic anxiety may reach for alcohol to calm racing thoughts, while an individual with untreated depression might use opioids to numb emotional pain. Unfortunately, what begins as short-term relief often worsens underlying psychiatric symptoms. Alcohol, for example, disrupts sleep and brain chemistry, intensifying anxiety or depression over time. Conversely, the guilt, shame, and isolation that emerge from addiction can spark or aggravate mood disorders.
Recognising this bidirectional relationship is critical in dual-diagnosis care. Clinicians assess not only which substance came first, but also how each condition fuels the other. By identifying triggers—whether social stressors, traumatic memories, or genetic vulnerabilities—therapists can help patients develop healthier coping strategies. Early psychoeducation enables individuals to see how their mental health and addiction are intertwined, fostering motivation to engage in comprehensive treatment.
Comprehensive Assessments for Accurate Diagnosis
Misdiagnosis is rampant in dual-diagnosis cases: withdrawal symptoms can mask depression, and manic episodes may be mistaken for cocaine highs. To avoid these pitfalls, providers conduct thorough biopsychosocial evaluations that delve into psychiatric history, substance use patterns, family dynamics, medical background, and co-occurring health issues. Standardised screening tools—such as the PHQ-9 for depression, GAD-7 for anxiety, CAGE for alcohol misuse, and the Addiction Severity Index—offer structured insights that guide diagnostic clarity.
Laboratory tests and, when indicated, neuroimaging can reveal medical complications—like liver dysfunction in heavy drinkers or neurochemical imbalances in long-term stimulant users. Ongoing assessments throughout treatment help clinicians monitor progress, adjust medication, and refine therapy goals. An accurate, layered diagnosis ensures that neither the mental health disorder nor the addiction is minimized, laying the groundwork for a cohesive care plan.
The Role of Integrated Treatment Plans
Unlike traditional models that silo psychiatric care and addiction treatment, integrated plans bring multidisciplinary teams together. Psychiatrists, addiction medicine specialists, psychologists, social workers, and certified peer support counsellors collaborate on a unified treatment blueprint. Core elements may include:
Medication management to stabilise mood disorders and reduce cravings (for instance, SSRIs for depression and buprenorphine for opioid dependency)
Evidence-based psychotherapies such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and trauma-focused interventions for PTSD
Group therapy sessions that address both substance use behaviours and coping skills for anxiety or mood regulation
Family therapy and psychoeducation to repair relationships and build a supportive home environment
Holistic modalities—mindfulness training, yoga, nutritional counseling—aimed at restoring overall well-being
Coordinated care prevents mixed messages and redundant treatments. When each provider shares a common set of goals and progress metrics, patients receive consistent guidance, and their support network remains informed and engaged.
(image: Alysha Rosly, Unsplash)
Flexible Care Through Programs Like the Intensive Outpatient Program
Not everyone with a dual diagnosis needs round-the-clock residential care. For those with strong support systems, manageable symptom severity, and stable living conditions, outpatient solutions can strike the right balance. A reputable intensive outpatient treatment program offers structured therapy multiple times per week, while allowing individuals to live at home and maintain work or family responsibilities.
These programs typically include group counselling, individual therapy, psychiatric check-ins, and relapse prevention workshops. They serve as a transitional step either before entering less intensive outpatient care or following discharge from an inpatient facility. Flexible scheduling and a mix of virtual and in-person sessions accommodate diverse lifestyles, enabling more people to access high-quality dual-diagnosis treatment without uprooting their lives. In the UK, these were known as ADTU units attached to hospitals, but there are less of these on the NHS.
The Importance of Ongoing Support and Aftercare
Recovery from a dual diagnosis doesn’t end when formal treatment ends. Long-term success hinges on robust aftercare and relapse prevention strategies that recognize recovery as a lifelong process. Essential components of sustained support include:
Peer support groups—such as Dual Recovery Anonymous or integrated 12-step fellowships—that offer lived-experience encouragement
Regular outpatient counselling or case management to address emerging challenges and adjust treatment plans
Medication-assisted maintenance, when appropriate, to stabilise chronic mental health conditions and prevent relapse
Life-skills workshops for stress management, financial planning, and vocational training to strengthen daily functioning
Digital tools and telehealth check-ins that enhance accessibility, especially for those in remote areas
Family involvement remains vital: ongoing family therapy sessions and education empower loved ones to recognize early warning signs and respond effectively. Community resources—like sober living homes and recreational recovery programs—further enrich social support, reducing isolation and reinforcing positive lifestyle choices.
Conclusion
Effective dual-diagnosis care transcends the simplistic view of treating mental illness and addiction separately. By acknowledging their deep interconnection, clinicians can offer comprehensive assessments, integrated treatment plans, flexible program options, and enduring aftercare. Whether delivered through residential facilities or outpatient settings, these five components—link recognition, accurate diagnosis, collaborative treatment, adaptable program structures, and sustained support—equip individuals with the skills and stability needed for lasting recovery. Embracing a holistic, patient-centered approach that addresses the whole person, not just isolated symptoms, paves the way for renewed health, purpose, and hope.
This article was written by Elizabeth (Lizzie) Howard, writer and contains a sponsored link.
With everything going on in the world today, some stories can get missed in the flurry of competing news. However, when I saw a post by the Oli Leigh Trust, a charity in my community dedicated to suicide prevention, that suicide prevention lessons are going to be made compulsory in secondary schools, I was so happy. Department for Education (DfE) announced on Tuesday that lessons discussing suicide prevention would be compulsory in secondary schools from September 2026.
Growing up, when I had my own issues with depression and suicidal ideation as part of my bipolar disorder, mental health was not spoken about openly in schools. We know that sadly, the suicide rate in the UK and worldwide has been rising. A group of Dads, Andy Airey, Mike Palmer and Tim Owen, 3 Dads Walking, who lost their daughters Sophie, Beth and Emily to suicide came together to campaign to Sir Keir Starmer and the UK government. Heres what they told the BBC,
‘Lives will be saved. Our Voices have finally been heard. ‘ He said the trio began campaigning shortly after their first walk to raise awareness in 2021 and admitted it had at times felt “like we were swimming through treacle uphill”, but now their “voices have been heard”.
“We have covered a lot of ground, literally and figuratively, over the last few years, but to come to a point where a significant change is going to happen still feels quite unreal. I’m stunned.”
“We are really proud of what we have achieved.”
Suicide is the biggest killer of under 35’s in the UK. In their first walk, they raised nearly 1 million pounds for Papyrus charity. In their second, they walked to all 4 UK parliaments to ensure every child was taught the skills to cope with suicidal thoughts. They then met with MPs to discuss how suicide prevention could be embedded in the curriculum.
“If this is the biggest killer of our young people, why aren’t we talking about it?”
So today I say thank you and congratulations to Andy Airey, Mike Palmer and Tim Owen- three courageous men spreading light and goodness in memory of their beloved daughters. Suicide prevention is so sadly needed.
In a world of continuous alerts, daily stresses, and the need to be effective, inner peace can be a distant, even impossible idea, but there are still moments- tiny, little corners that speak of peace. The difficulty is to get back to that silence when life is noisy.
These are five easy and considerate steps that can be used to guide the path towards inner peace. All of them need perfection, but most importantly, they need willingness.
1. Make Room to Pause
The sound of daily life usually overshadows what is important. It does not mean that one has to retreat or change drastically to slow down. Other times, it is just a choice of sitting down and taking a few minutes before rushing out the door or taking a walk without music or any other distractions.
Space is the process of letting the mind breathe. It is in silence that thoughts can settle. The ever-rotating motion starts to decelerate. This is where the foundation of peace is made by creating space in your busy lives.
2. Listen to the Body
In many cases, the body narrates before the mind can comprehend. The tight shoulders, shallow breathing, and clenched jaws are indications that something is wrong inside. Peace is not only about having the right thoughts, but it is also about feeling safe and being in the body.
That is why physical awareness is important. Observing posture, breath, or tension may be a way to come back to the present. In case you live in the region/USA, somatic healing Orange County specialists can lead this type of body-based consciousness in a more comprehensive, supported manner. They are concerned with making people realise that emotions and experiences are stored in the body, and this can be the gateway to healing and permanent peace.
3. Make Things as Simple as Possible
It is not possible to have peace in a filthy environment. Whether it is a cluttered room or a cluttered calendar, what fills your space and what fills your time is what defines your feelings on the inside. Simple does not imply giving up everything.
It is a matter of making decisions that can really promote well-being. It can be as easy as removing two or three items that you do not need, like saying no without feeling guilty, or emptying the small drawer that has been cluttered up long ago.
All small streamlining gestures say something that life does not need to be hectic, and in most cases, there is peace beyond the clutter.
Each small act of streamlining says something: Life does not need to be busy, and in many cases, there is peace on the other side of the clutter.
4. Gentle Self-Honesty
Peace does not imply evading harsh realities. Actually, one of the most obvious ways to become whole is honesty, which is said in a kind way to oneself. This type of honesty is not judgmental. It is about the soft question of what you really need, or if this is how you want to live.
Truthful contemplation can raise painful feelings. It also brings clarity. And in that clarity, peace may start to grow.
5. Find Time for Others
Life has its moments of greater meaning, the sunrise, laughing with a loved one, or doing something nice to a stranger without any reward. These are the times that make you remember that you are more than the to-do list.
Inner peace can be found by looking at meaningful moments, not urgent moments. It is the act of paying attention to what is joyful, awing, or connecting. These experiences satisfy something within that nothing in terms of productivity or distraction ever can.
The more meaningful moments are embraced, the more they increase, and in them, there comes a feeling of peace that does not rise and fall with the day.
Conclusion
Inner peace is not a place to visit. It is a soft manner of getting around in the world, of being with yourself in a kind and openhearted way.
The small moments are the beginning of peace. It is fed by being there, fed by telling the truth, and cultivated by being in touch with the body, with others, and with what is most important.
Last week, acclaimed chef, restauranteur and mental health advocate, Heston Blumenthal OBE starred in the BBC documentary ‘Heston: My Life with Bipolar’ which explored his fairly recent bipolar disorder diagnosis. Heston subsequently became an ambassador for national charity Bipolar UK, and has been actively supporting the charity’s mission to help reduce the average 9.5 year delay to diagnosis and end the stigma surrounding the condition.
In 2023, Heston began experiencing both depressive and manic episodes, hearing voices and seeing hallucinations, as well as depression with suicidal thoughts. Mania can also cause you to have intense creativity, speak faster and not listen to others as well as causing delusions and psychosis. Heston’s wife Melanie could see that his health was deteriorating rapidly and that he was a danger to himself. Despite the trauma of sectioning and hospitalisation, this set Heston on the path of not only a bipolar diagnosis, but medicine, therapy and ongoing treatment to help him live a healthy and happy life again.
Heston said to Bipolar UK, “I was living with undiagnosed bipolar for many years, so it’s been an extraordinary journey to get where I am today, and I’m delighted to have had the opportunity to talk to others living with the condition and find out more about their experiences.
“There is still a lot of stigma regarding bipolar, and mental health support is still lacking, but it is vital to be able to talk openly about the condition. I know this isn’t always easy, but I hope by sharing my experience, people will gain a greater understanding of bipolar and an insight into how I’m managing it.”
The documentary was extremely powerful to watch and sad in places, but inspiring. As someone who faced a similar situation to Heston in terms of a manic episode with psychosis/delusions that led to being sedated, sectioned by psychiatrists and hospitalised, my heart went out to him as I know how traumatising this can be. I found the needle being shown as a reenactment for sedation quite challenging to watch! However, the documentary was more than just showing what happened to Heston, who didn’t know he had bipolar til 2023, when he was in his 50s.
I found the discussion that Heston had with his son Jack, about how he was during a manic episode to be really enlightening. A lot of children of parents with bipolar find it challenging when their parents personality is almost hijacked by the episodes. Mania can lead to quickened speech, manic and grandiose ideas, lack of sleep and risky behaviour. You could see how much love Heston and Jack had for each other and how special is family is to support him through this and appear on camera. This includes his wife Melanie, who has been Heston’s rock!
The documentary ended with Heston visiting the mother of Rebecca McLellan, a young woman with bipolar who died by suicide due to neglect from mental health services. Rebecca had raised the alarm with the crisis team at her local hospital various times but was not treated with respect and dignity. The pressure of her illness and lack of support led her to take her own life.
Heston wants to highlight the suicide risk that bipolar brings and how much more mental health support is needed from the government. He is now working as an ambassador with Bipolar UK to raise awareness. Bipolar UK is on a mission to ensure people with bipolar get a quicker diagnosis so they can access effective treatment, support, and self-management, enabling them to live well and fulfil their potential.
Simon Kitchen, Bipolar UK CEO, added: “Heston is such an incredible ambassador for everyone in the UK living with, or affected by, bipolar. We could not be prouder to be working with him. His willingness to be so vulnerable on camera and to share such personal details about his experiences has resonated with many people in our community – and will help people who don’t know much about bipolar to begin to understand this complex and much-misunderstood condition. Heston is living proof that despite the sometimes severe and fluctuating nature of the condition, living with bipolar should not be a barrier to following your ambitions”
As one of the million people in the UK living with bipolar, I know how much more funding is needed in the NHS and a new bipolar pathway with more mental health support needs to be set up. Early prevention and support is key to stop bipolar escalating into suicide or mania.
Although it was a very personal watch for me, due to having been diagnosed with bipolar since aged 16 and my Dad having bipolar too, I thought that Heston’s documentary was so inspiring. He has only been living with the condition for two years and is using his platform for the good. Heston is now on Lithium medication to stabilise his moods as well as an anti psychotic medication.
Bipolar UK say that according to the stats, someone with bipolar takes their own life every day. Hopefully Heston’s documentary will act as a reminder and catalyst to our government to begin change. Thank you Heston and Melanie for being vulnerable and sharing your important story.
(image: Bipolar UK)
Heston: Life with Bipolar is out now on BBC Iplayer.
Living with bipolar disorder can often feel like your emotions are swinging between two extremes. The highs (mania) can be energising but risky, and the lows (depression) can be draining and isolating. As a doctor, I’ve worked with many patients who face this condition—and I’ve seen firsthand how the right tools, treatments, and habits can lead to a more stable and fulfilling life.
What Is Bipolar Disorder?
Bipolar disorder is a mental health condition marked by episodes of depression and mania or hypomania. These mood shifts can affect how a person thinks, feels, and acts. It’s more than just having a bad day or being in a good mood—it can seriously impact relationships, work, and daily functioning.
According to the World Health Organisation, bipolar disorder is one of the top causes of disability for people between 15 and 44 years old.
Medications: The Backbone of Treatment
Most people with bipolar disorder need medication to help manage their symptoms. Lithium, for example, has been used for decades and is one of the most reliable treatments to prevent manic episodes and reduce the risk of suicide. Other options include other mood stabilisers and certain antipsychotic medications.
It’s really important to stick with your medication plan. Stopping suddenly—even if you feel better—can cause serious setbacks. Never adjust or stop medications without medical supervision—even if you’re feeling better, as this significantly increases the risk of relapse, especially into mania. If you have side effects, don’t stop on your own—talk to your doctor about switching or adjusting your dose.
How Therapy Helps
Therapy can help you understand your thoughts, manage emotions, and build better habits. One helpful option is Cognitive Behavioural Therapy (CBT). It teaches people to recognise unhelpful thought patterns and replace them with healthier ones. CBT is especially useful for managing depression and maintaining stability between episodes, though it is less effective during manic phases.
Another type of therapy, called Interpersonal and Social Rhythm Therapy (IPSRT), focuses on keeping your daily schedule steady—especially your sleep and social routines. Why does this matter? Because disruptions to your daily rhythm can trigger mood episodes.
Family-focused therapy also makes a big difference. When your loved ones understand your condition and know how to respond, you’re more likely to stay on track. If you face trauma around your condition, then EMDR therapy can also help with any PTSD or anxiety symptoms.
These therapies don’t replace medication, but they add valuable tools for coping, improving communication, and building resilience.
Everyday Habits That Make a Difference
Beyond medication and therapy, lifestyle habits have a huge effect on mood. Here are a few evidence-based strategies:
Stick to a regular sleep schedule. Going to bed and waking up at the same time helps stabilize your mood.
Get moving. Exercise—even walking—has been shown to lift mood and reduce stress.
Eat well. Omega-3 fats (like those found in fish or flaxseed) may support brain health. While the evidence is mixed, some studies suggest they could help support mood as part of a healthy diet.
Manage stress. Mindfulness, breathing exercises, or journaling can help you stay grounded.
Avoid alcohol and drugs. These can interfere with treatment and trigger episodes.
It’s worth remembering that lifestyle changes work best alongside—not in place of—medication and therapy. These small, daily actions help support long-term stability and overall well-being.
Pay Attention to Early Warning Signs
Everyone’s symptoms are different, but common early signs of mania include less need for sleep, racing thoughts, and impulsive decisions. Signs of depression may include feeling hopeless, withdrawing from others, or sleeping too much.
Keeping a mood diary or using an app can help track how you’re doing. You might also ask a trusted friend or family member to gently point out changes you might not notice.
Build a Strong Support System
Having a support system—whether friends, family, or a support group—makes a real difference. Research shows that people with strong social support tend to manage bipolar disorder better and have fewer hospitalisations.
It also helps when your loved ones are informed and involved. When people understand what you’re going through, it’s easier for them to support you in ways that actually help.
Final Thoughts
Living with bipolar disorder isn’t easy, but it’s manageable. With the right treatment, daily routines, emotional awareness, and a good support network, it’s absolutely possible to live a meaningful and empowered life.
You are more than your diagnosis. And there are tools—backed by science—that can help you thrive.
About the Author
Dr. Antti Rintanen is a licensed physician from Finland and founder of The Internet Doctor, where he shares reliable, accessible health advice. He writes about both physical and mental well-being with a focus on evidence-based care.
Thank you so much to Christina and all at Vuelio for listing Be Ur Own Light as a Top 10 UK Mental Health blog for the 8th year running! This is an important accolade to us and this year we have moved up a place to Number 6!
It is an honour to be listed amongst so many fantastic bloggers and organisations who work so hard to bring important mental health content, you can see the full list here . Well done to everyone.
As we approach our 10th blogging year next year, this continues to be so important for us-to educate and battle stigma about all things mental health. Thank you again Vuelio!
beurownlight.com 