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Bipolar · Episode

Bipolar Depressive Episode Toolkit

The between-appointments non-negotiables

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Bipolar depression is not unipolar depression — antidepressants alone can destabilize. This sheet is the between-appointments toolkit while your treatment team steers.

The non-negotiables during an episode
  • Keep taking meds as prescribed (tell prescriber before changing)
  • Wake time held; light in eyes
  • One movement each day, even 10 minutes
  • One person contacted daily
  • No major decisions
  • Safety plan visible
Daily minimum
One mastery, one pleasure, one connection — very small
Suicidality
Safety plan in place; means restriction; 988 in US

Ride, don't decide

Depressive episodes lie about the future. No permanent decisions get made in an episode.

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