Managing Bipolar Disorder in Youth: A Workplace Approach for Early Intervention

Bipolar disorder often emerges during adolescence or early adulthood, making early recognition and intervention critical. Diagnosing bipolar disorder in young individuals can be challenging, as symptoms might be mistaken as the person being difficult or as behavioural problems. Understanding the signs, implementing a comprehensive management plan, and providing workplace support are essential for effectively managing bipolar disorder in young people, particularly those entering the workforce for the first time.

Youth Bipolar: Unique Differences Compared to Adults

Bipolar disorder in youth presents unique differences compared to adults:

• Earlier onset: typically during adolescence or early adulthood.
• Frequent mood swings: rapid cycling between mania and depression.
• Significant impact: affects social relationships, academic performance, and psychological development.

These distinctions require tailored treatment approaches considering the specific symptoms, response patterns, and developmental challenges young individuals face (International Bipolar Foundation) (Spring Health).

Signs of Bipolar Disorder in Young People

Recognising bipolar disorder in young people involves careful observation of specific signs.

• Rapid mood changes: frequent mood shifts lasting from a few hours to a few days.
• Explosive tantrums or rages: intense outbursts of anger or aggression.
• Impulsivity and racing thoughts: difficulty concentrating due to impulsive behaviours and racing thoughts.
• Excessive involvement: engaging intensely in multiple projects or activities.
• Family history: a genetic predisposition indicated by a family history of bipolar disorder or depression.
• Sleep disturbances: irregular sleep patterns, nightmares, or difficulties maintaining a regular schedule.
• Cravings and risky behaviour: intense cravings for sweets and engaging in risky behaviours.

Management of Bipolar Disorder in Youth

Early intervention and a comprehensive management plan are crucial. A well-rounded management plan may include:

• Medication: collaborate with a psychiatrist or mental health specialist for appropriate medication options.
• Symptom monitoring: regularly track symptoms to identify patterns and adjust the treatment and psychotherapy.
• Education: information about bipolar disorder is shared with the individual and their family.
• Counseling or psychotherapy: engage in therapy sessions to address emotional and psychological challenges.
• Stress reduction: teach stress management techniques and coping skills.
• Healthy lifestyle habits: emphasise good nutrition, regular sleep, exercise, and a supportive network.
• Mood Charting: use tools like daily mood charts to track changes and provide information to healthcare providers and practitioners.

Supporting a Young Person with Bipolar Disorder in the Workplace

Managers and workplaces play a crucial role in supporting young employees with bipolar disorder. Effective support includes:

• Foster a supportive environment: create a workplace culture that prioritises mental health and open communication.
• Provide Flexibility: offer flexible work arrangements to accommodate mood swings and other symptoms.
• Maintain open communication: regularly check in with the employee to understand their needs and challenges.
• Encourage professional help: support the employee in seeking and adhering to their treatment plan.
• Educate the team: raise awareness about bipolar disorder among colleagues to reduce stigma and promote understanding (without disclosing any information about the worker).
• Implement Reasonable Adjustments: make necessary adjustments, such as modifying work hours or tasks, to support the employee’s productivity and wellbeing.

The Bottom Line

Recognising and addressing bipolar disorder in youth is crucial for their wellbeing and overall development. Early intervention, tailored treatment approaches, and a supportive workplace environment contribute to successful management. By fostering understanding, offering guidance, and promoting adherence to treatment, we can help young individuals navigate the challenges of bipolar disorder, improve their quality of life, and inspire hope for a bright future. Together, we can ensure that youth with bipolar disorder receive the support they need to thrive and lead fulfilling lives.

Author: Teresa Coffey

Sources: 

Centre for Youth Bipolar Disorder, CAMH. (2024). Retrieved from CAMH

Fristad, M. E. (2016). Evidence-Based Treatment of Bipolar Disorder in Youth. Retrieved from ABCT eLearning

International Bipolar Foundation. (n.d.). Managing Bipolar Disorder in the Workplace.

National Institute of Mental Health. (n.d.). Bipolar Disorder. Retrieved from NIMH

Spring Health. (n.d.). Supporting Employees with Bipolar Disorder.