Several factors, such as side effects, feeling better, or a desire to avoid long-term treatment, may lead someone with bipolar disorder to stop taking their medication.

This decision can lead to significant challenges for both their well-being and your relationship. However, it’s important to approach the situation with empathy and respect for their autonomy while addressing the concerns at hand.

Learn how to navigate this sensitive issue and manage the challenges that may arise.

Medication adherence is a common issue when it comes to bipolar disorder. There are several reasons why someone with bipolar disorder may stop their medication.

Some of the most common reasons include:

Discontinuing medication can have several negative consequences, including:

Here are some of the most effective ways to navigate a loved one abruptly discontinuing their medication.

Approach the situation with care, remaining mindful of your tone and language. Instead of focusing on the diagnosis, speak to the person and their individual experience.

Try to avoid using labels like “bipolar” to define them. Instead, refer to specific behaviors or concerns, such as changes in mood or energy levels.

Keep the conversation grounded in respect, acknowledging their feelings and concerns without judgment or stigmatizing language. This ensures the discussion remains supportive and non-confrontational.

Allow your loved one to express their concerns about medication and acknowledge their challenges — whether related to side effects, the idea of long-term treatment, or a desire for independence.

Validating their feelings helps them feel understood, even if you don’t necessarily agree with their decision.

Instead of pushing them to start taking medication again, suggest that they consult a healthcare professional. A doctor can help address side effects or consider adjustments to their treatment plan.

Offering to accompany them to appointments or assisting with appointment scheduling can provide valuable support and make them feel less alone in the process.

Bipolar disorder is often most effectively managed with a combination of treatments. Suggest that they explore therapy or counseling, maintain a healthy lifestyle, and connect with support groups or peers.

Offer practical help with managing medication schedules or tracking mood changes, as this can make the treatment plan feel more manageable.

Collaborate on identifying early warning signs of mood episodes and establish when to seek professional help. Create a shared understanding of the steps to take if they’re having trouble, and set boundaries to ensure both of you feel supported and protected.

While it’s understandable to feel overwhelmed and stressed, some of the following approaches can end up making the situation worse.

Language that instills fear or creates a sense of urgency can be counterproductive. It’s best to:

Blaming or shaming can make a person feel isolated and misunderstood. Try to avoid:

Every person’s experience with bipolar disorder is unique. Try to avoid:

While it’s natural to want to help, it’s important to recognize the following:

In some cases, it may be necessary to seek emergency help. Consider reaching out for immediate assistance if your loved one:

Supporting a loved one through challenges with their medication requires balance. Here are a few tips to prioritize your own well-being:

When a loved one with bipolar disorder stops taking their medication, it’s crucial to approach the situation with empathy, understanding, and a focus on collaboration.

You can navigate this challenge together by offering support, encouraging professional consultation, and fostering a conversation rooted in respect.

Remember that their treatment decisions are ultimately theirs to make, and while you can offer help, taking care of your own mental health is equally important.