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Coping Skills for Bipolar Disorder

Written by Josh

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Bipolar disorder, characterized by alternating periods of depression and mania, can be challenging to manage. However, the right coping skills combined with appropriate treatment can help individuals lead a more balanced and fulfilling life. 

What are coping skills for bipolar disorder?

Coping skills for bipolar disorder are techniques and strategies designed to help individuals manage and navigate the emotional ups and downs associated with bipolar disorder.

Key points about bipolar coping skills include:

  • They are used by individuals diagnosed with bipolar disorder and are working to manage their symptoms. 
  • They can be employed in various scenarios, such as during a mood episode, in anticipation of a potential trigger, or as part of an ongoing daily routine.
  • Coping skills are often most effective when used alongside medication and professional therapeutic interventions.
  • Different skills may be more suitable for manic phases versus depressive phases.

Understanding and applying coping skills is vital for those living with bipolar disorder. These strategies not only offer relief during challenging episodes but also enable individuals to lead a stable and productive life.

How does bipolar coping skills work?

Bipolar coping skills work by providing individuals with strategies to manage the manic and depressive episodes of bipolar disorder. 

These skills are often learned through cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), or other forms of therapy, but they can also be practiced independently. The process typically involves the following steps:

Recognition of symptoms

The first step is identifying the onset of a depressive episode. Symptoms may include prolonged sadness, a lack of energy, difficulty concentrating, or loss of interest in daily activities.

Application of coping strategies

Once an episode is identified, the individual uses specific techniques to manage symptoms. These strategies can range from cognitive restructuring (challenging negative thought patterns) to physical activities like exercise.

Establishing routines

Consistent routines and schedules play a crucial role in coping with bipolar disorder. They help regulate the body’s clock, or circadian rhythm, providing predictability and structure that can reduce the severity of mood swings.

Relaxation and grounding techniques

This step involves techniques such as mindfulness and deep breathing. By practicing mindfulness, individuals can effectively minimize negative thoughts. Deep breathing on the other hand, helps to soothe the nervous system during moments of heightened stress or sadness.

Benefits of coping skills for bipolar disorders

Implementing effective coping skills for bipolar disorders can have a profound impact on an individual’s well-being and overall life quality. Here are the key benefits:

Enhanced mood stability

By understanding and utilizing bipolar coping skills, individuals can better recognize and manage overwhelming emotions, reducing the severity and frequency of mood swings.

Reduced reliance on medications

While medications are essential for many with bipolar disorder, coping skills for bipolar disorder can complement pharmacological interventions, sometimes reducing the need for increased dosages.

Greater independence and functionality

By mastering coping skills, individuals with bipolar disorders can often lead more independent lives, experiencing fewer disruptions at work or in daily activities.

Enhanced quality of life

Effective coping techniques allow individuals to participate more fully in daily activities, fostering a sense of purpose and fulfillment.

Strengthened relationships

As individuals learn to manage their symptoms more effectively, they may experience fewer conflicts and misunderstandings with loved ones.

How to practice coping skills for bipolar disorder

Coping skills aren’t just tools but lifelines for those with bipolar disorder. While each person’s journey is unique, certain techniques and exercises have proven universally beneficial. Here’s a step-by-step guide on integrating these skills into daily routines:

Bipolar coping skills: techniques

Techniques for coping with bipolar disorder focus on grounding oneself, managing emotions, and recognizing potential triggers. These strategies can range from mindfulness exercises to structured routines that maintain balance.

Establish a routine

According to the American Psychological Association, consistent routines can help ease symptoms of bipolar disorder, preventing new depression and manic cycles. Here are tips to help:

  • Morning rituals: Start your day with a consistent wake-up time, followed by a healthy breakfast and perhaps a moment of reflection or light exercise.
  • Night routines: Ensure a regular bedtime, avoid screen time an hour before sleeping, and practice relaxation techniques for a better night’s rest.

Engage in mindfulness techniques

Being present and fully experiencing the current moment can help in controlling overwhelming emotions and preventing potential triggers. Here’s how:

  • Deep breathing: Take slow, deep breaths, focusing entirely on your inhalation and exhalation. This can calm the mind during moments of distress.
  • Meditation: Dedicate a few minutes daily to sit in a quiet place, focusing on your breath or a specific meditation guide.

Monitor your diet

Drugs and alcohol can interfere with medications and worsen bipolar symptoms.

  • Limit stimulants: Reduce the intake of caffeine and sugar, as they can sometimes exacerbate mood fluctuations.
  • Healthy choices: Consume a balanced diet with plenty of fruits, vegetables, whole grains, and lean proteins.

Educate yourself

The more informed you are about bipolar disorder, the better equipped you’ll be to deal with its challenges. 

  • Read books: Consider exploring reputable books and articles on bipolar disorder.
  • Workshops: Attend workshops or seminars that provide strategies and insights into managing bipolar disorder.

Seek support

Connecting with others can provide validation and coping strategies. Here’s how

  • Therapy: Consider attending regular therapy sessions with professionals experienced in bipolar disorder.
  • Support groups: Joining support groups can provide a space to share experiences and learn from others who have faced similar challenges.

Coping skills exercises for bipolar disorder

Exercises are specific tasks or actions designed to help manage bipolar disorder. These exercises can be both physical and mental.

  • Physical exercise: Regular cardio activities like walking, cycling, or swimming can help reduce anxiety and improve mood.
  • Progressive muscle relaxation: Tense and relax each muscle group in your body, starting from your toes and working your way up to your head.
  • Meditation: Spend a few minutes each day focusing on your breath or a positive mantra to enhance emotional balance.

Coping skills activities for bipolar disorder

Activities are broader actions or engagements that support the techniques and exercises discussed.

  • Art and creativity: Engaging in creative outlets like painting, music, or craft can be therapeutic and offer a means of expressing feelings.
  • Nature engagement: Activities such as hiking, gardening, or even bird-watching can have therapeutic effects. Nature has a calming effect and can assist in mood regulation.

Bipolar coping skills: examples

To further understand how coping skills can be employed for managing bipolar disorder, let’s look at some relatable scenarios that illustrate their application in real life.

Emotional check-ins

Consider Sarah, a college student who has been recently diagnosed with bipolar disorder. She carries a small notebook with her throughout the day and, every few hours, takes a moment to jot down her current emotions and any potential triggers. 

Over time, Sarah begins to notice patterns in her mood shifts, which helps her anticipate and manage potential mood episodes more effectively.

Morning routine

Imagine starting the day with a structured morning routine: waking up at the same time, having a nutritious breakfast, meditating for a few minutes, and then heading to work or school. 

This routine helps instill a sense of predictability and calm, providing a stable start to the day, which can be especially beneficial when dealing with bipolar disorder.

Regular exercise

Susan has been living with bipolar disorder for several years. She notices that her mood tends to dip when she’s inactive for extended periods. She decides to incorporate regular exercise into her routine, going for a brisk 30-minute walk every evening. 

This new habit helps Sarah manage her moods better, and she feels more energetic and positive overall.

Coping skills for bipolar disorder for different age groups

Bipolar disorder can affect individuals at any age, and the coping strategies used can vary based on developmental stage. In this section, we discuss how coping skills for bipolar disorder can be adapted for children, teens, and older adults.

Coping skills for kids with bipolar disorder

Bipolar disorder in children, sometimes referred to as pediatric bipolar disorder, can manifest differently than it does in adults. Here are some specific, practical strategies that can help children with bipolar disorder:

  • Breathing exercises: Teach simple breathing exercises, such as taking deep breaths and exhaling slowly, to help manage moments of anxiety or hyperactivity.
  • Emotion cards: Use cards with different facial expressions to help the child identify and express their feelings.
  • Physical activity: Incorporate play and physical activities, like jumping or dancing, to channel their energy.

Coping skills for bipolar disorder for teenagers

Teenagers with bipolar disorder are in a transitional phase of life, dealing with hormonal changes and academic demands, which can complicate the management of their symptoms.

However, with the right strategies, teenagers can better handle the ups and downs of bipolar disorder:

  • Journaling: Encourage teens to write down their thoughts, feelings, and experiences daily. This provides an outlet for self-expression and self-reflection.
  • Mindfulness and meditation: Introduce basic mindfulness exercises or apps designed for teens.
  • Social support groups: Engage teens in support groups, where they can share and learn from peers with similar experiences.

Coping skills for bipolar disorder for the elderly

For older adults with bipolar disorder, coping skills not only manage the disorder but also address challenges posed by aging.

  • Mental stimulation: Engaging in activities like puzzles, reading, or arts and crafts can help the elderly maintain cognitive function and provide a distraction from negative emotions.
  • Physical exercise: Encouraging activities like knitting, gardening, or reading can be soothing and beneficial.
  • Memory aids: Utilizing tools like calendars, alarms, or daily planners can help keep track of medications and appointments.

Bipolar coping skills in therapy

Cognitive Behavioral Therapy (CBT) and bipolar coping skills

  • Process: Cognitive reframing and mindfulness are often employed to help individuals recognize and replace unhealthy thoughts that can intensify bipolar symptoms.
  • Effectiveness: Studies have consistently shown that CBT, when combined with medication, can be notably effective in reducing the severity and frequency of bipolar mood episodes. 

For instance, a study published in the American Journal of Psychiatry indicated that individuals with bipolar disorder who engaged in CBT experienced fewer episodes and improved overall function compared to those who didn’t.

Psychoeducation and bipolar coping skills

Psychoeducation is a therapeutic approach that educates patients about their disorder, helping them understand and manage their symptoms.

  • Process: This therapy involves both the individual with bipolar disorder and, at times, their family. It encompasses teaching about the disorder, its treatments, and introducing coping mechanisms to manage mood episodes.
  • Effectiveness: According to a 2021 review in the Journal of Psychiatry, psychoeducation has been associated with a decreased rate of bipolar episodes and hospitalizations. 

Interpersonal and social rhythm therapy (IPSRT) and bipolar coping skills

Interpersonal and social rhythm therapy (IPSRT) focuses on stabilizing daily rhythms such as sleep, meal times, and other routine activities. Here’s how bipolar coping skills fit into IPSRT:

Remember, while therapy is a crucial element of managing bipolar disorder, it’s important to consult a healthcare provider for personalized care and treatment options.

Common misconceptions about bipolar coping skills

Understanding bipolar disorder and its coping mechanisms is vital, not just for those diagnosed but also for family, friends, and society. Misinformation can lead to stigma and a lack of proper support. 

Here, we debunk some common misconceptions about coping skills for bipolar disorder.

Coping skills are just quick fixes, not long-term solutions.

While some coping skills provide immediate relief, many are designed for long-term management and stability. 

Cognitive-behavioral therapy techniques, for instance, teach individuals to challenge and change negative thought patterns, leading to lasting improvements in mood and behavior.

Bipolar disorder is just mood wings, coping skills aren’t required

Bipolar disorder involves extreme mood episodes that last for extended periods, often weeks or longer. Coping skills such as routine management and mindfulness can be crucial in navigating these intense episodes.

You only need coping skills during a manic or depressive episode

Consistent practice of coping strategies can help in maintaining mood stability. They are not just crisis interventions; they’re essential for day-to-day management.

Overcoming challenges with coping skills for bipolar disorder

Applying coping skills for bipolar disorder can be immensely beneficial, but it’s also true that some individuals face challenges in integrating these skills into their lives. Let’s delve into some of the common challenges and ways to navigate them.

Fear of stigmatization

For many, there’s a concern about being perceived differently or facing prejudice due to their bipolar disorder diagnosis. This fear can deter individuals from seeking help or practicing coping skills openly.

  • Open conversations: Educate close friends and family about bipolar disorder to minimize misunderstandings.
  • Seek support groups: Connecting with others who have similar experiences can provide a safe space for sharing and learning.
  • Engage in advocacy: By being proactive and educating others about mental health, individuals can help reduce the stigma surrounding it.

Difficulty in maintaining a routine

Routine plays a crucial role in managing bipolar disorder, but creating and sticking to a routine can be challenging.

  • Start small: Begin with setting one or two simple tasks a day and gradually expand.
  • Use tools: Planners, alarms, and apps can act as reminders and organizers.
  • Stay flexible: Understand that sometimes disruptions occur. Adapt and continue the routine the next day.

Resisting professional help

Some individuals believe they can manage their symptoms alone or feel wary of seeking professional assistance. Here are some strategies to help:

  • Educate on benefits: Understand that professionals provide objective guidance and proven coping strategies.
  • Start with group therapy: It’s a less intimidating way to get introduced to professional aid.
  • Reach out: Sharing concerns with trusted individuals can often lead to encouragement and recommendations for skilled professionals.

Coping skills for bipolar disorder resources

Below is a list of reliable resources that can offer guidance, expert insights, and community support:

  • Depression and Bipolar Support Alliance (DBSA): DBSA provides extensive resources including online support groups, wellness tools, and extensive literature for those dealing with bipolar disorder.
  • National Alliance on Mental Illness (NAMI): NAMI is a grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness, including bipolar disorder.
  • International Bipolar Foundation (IBPF): IBPF offers a wide range of resources such as educational materials, support networks, and links to relevant research for those impacted by bipolar disorder.

Final thoughts

Coping skills for bipolar disorder can be employed in various scenarios across all age groups. By incorporating mindfulness, exercise, and structured routines into daily life, individuals can minimize the impact of mood shifts and better manage their condition.


Author: Josh
AUGUST 2, 2023

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