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We are a REMS-certified treatment center for Spravato® for treatment-resistant depression, and Suicidal Ideation with Depression. Neurostar TMS center for Depression and OCD. 

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Bipolar Disorder: Saying Hurtful Things and How to Cope

Understand why bipolar individuals might sometimes say hurtful comments, and learn how to cope with them.

an image showing bipolar person saying hurtful things

Bipolar disorder is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). These mood swings can affect speech and behavior, leading to challenges in interpersonal relationships and self-esteem.

Bipolar Disorder and Saying Hurtful Things

Bipolar disorder can make people say things that hurt others. When they’re feeling very energetic and excited (manic), they might talk too fast and say things without thinking. This can include saying mean things or making big promises they can’t keep

When they’re feeling very sad and hopeless (depressive), they might say negative things about themselves or others. This can push away the people who care about them.

These hurtful comments can damage relationships and how they feel about themselves. It’s important to understand why these comments happen so we can find ways to deal with them better.

Causes Why Bipolar Individuals Say Hurtful Words

Hurtful comments in bipolar disorder can happen because of mood swings, impulsivity, stress, medication effects, and other underlying issues. Understanding these reasons helps us support people with bipolar disorder better and be more understanding in our interactions with them.

Mood Swings

Bipolar disorder causes extreme mood changes. During manic episodes, a person may feel overly excited or irritable, leading them to say things they don’t mean. In depressive episodes, they may be more sensitive and easily upset, which can also result in hurtful comments.


People with bipolar disorder may act impulsively, saying things without considering the consequences. This impulsivity can be a result of the brain’s difficulty in regulating emotions and behavior.

Stress and Triggers 

Stressful situations and triggers can worsen symptoms of bipolar disorder. These can include conflicts, changes in routine, or other life challenges. When stressed, a person with bipolar disorder may have less control over their emotions and reactions, leading to hurtful comments.

Lack of Insight

 During certain mood states, such as manic episodes, individuals with bipolar disorder may have a reduced ability to recognize the impact of their words on others. This lack of insight can contribute to saying hurtful things unintentionally.

Medication Effects

 Some medications used to treat bipolar disorder can have side effects that affect mood or cognition, potentially increasing the likelihood of saying hurtful things.

Underlying Issues

 In some cases, underlying issues such as low self-esteem, unresolved trauma, or interpersonal difficulties may also play a role in the expression of hurtful comments.

Coping Strategies for Loved Ones

Friends and family can play a supportive role in managing bipolar disorder. It is important to respond to hurtful comments with understanding and empathy, avoiding judgment or criticism.

Setting boundaries is essential for protecting oneself from verbal abuse or emotional harm. Seeking support from mental health professionals or support groups can help caregivers cope with the challenges of caring for someone with bipolar disorder.

Communication Tips to Avoid Saying Hurtful Things

Effective communication is key to managing conflicts during episodes of bipolar disorder. Using “I” statements to express feelings and avoiding blaming language can help defuse tense situations.

It is important to listen actively and validate the person’s feelings, even if their behavior is challenging. Avoiding arguments and seeking compromise can help maintain positive relationships.

Why Seek Professional Help for Bipolar Disorder?

A bipolar person seeking help of a health professional

Getting help from professionals is really important for managing bipolar disorder. Here’s why:

  • Therapies like talking therapies and family counseling can help you learn how to deal with your feelings and communicate better with your loved ones. These therapies can make it easier to handle your symptoms and make life better overall.
  • Taking your medication and seeing a psychiatrist regularly are key parts of managing bipolar disorder. A psychiatrist can prescribe the right medications and check how well they’re working. They can also change your treatment if needed to help you get better.
  • Everyone’s experience with bipolar disorder is different, so it’s crucial to have a treatment plan that’s tailored to your needs. This personalized approach can make managing the disorder much more successful.
  • Seeing your healthcare provider regularly lets them keep an eye on how you’re doing. They can spot any problems early and make changes to your treatment plan if necessary.
  • Getting professional help can lower the chances of having another episode. With the right guidance and support, you can learn to recognize the early signs of a relapse and take steps to stop it from happening.

The Bottomline

Living with bipolar disorder can be tough, but it’s possible to manage it well with the right support and coping skills. Getting help and talking openly about your feelings is important for staying well and keeping relationships strong.

If you or someone you know is struggling, Zoelife Psychiatric Services is here to help. Their caring team offers personalized care for bipolar disorder and other mental health issues. Take the first step towards feeling better by booking an appointment today. Your mental health matters.

Are you struggling with mental health issues?

Our psychiatry services can help. Book an appointment today and get help that suits your needs.