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Crisis Planning
Some people find it helpful to write down mania prevention and suicide prevention plans, and give copies to trusted friends and relatives. These plans should include:
  • A list of symptoms that might be signs the person is becoming manic or suicidal.
  • Things you or others can do to help when you see these symptoms.
  • A list of helpful phone numbers, including health care providers, family members, friends and a suicide crisis line such as 1-800-273-TALK.
  • A promise from your friend or family member that he or she will call you, other trusted friends or relatives, one of his or her doctors, a crisis line or a hospital when manic or depressive symptoms become severe.
  • Encouraging words such as “My life is valuable and worthwhile, even if it doesn’t feel that way right now.” “Reality checks” such as, “I should not make major life decisions when my thoughts are racing and I’m feeling ‘on top of the world’. I need to stop and take time to discuss these things with others before going through with them.” How can an advance directive or a medical power of attorney help?

An advance directive and a medical power of attorney are written documents that give others authority to act on a person’s behalf when that person is ill. Your loved one can specify what decisions should be made and when. It is best to consult a qualified attorney to help with an advance directive or a medical power of attorney. These documents work differently in different states. The resources below can give you more information.

National Association of Protection and Advocacy
(202) 408-9514 http://www.napas.org/

Treatment Advocacy Center
(703) 294-6001 http://www.psychlaws.org/

This information was provided by the Depression and Bipolar Support Alliance