Be Well, Think Well: Supporting Individuals with Bipolar and Autism

As with anyone, the important thing about working with someone with autism and bipolar disorder, is taking the time to develop trust between you. Trust is built by being attentive to the person, being consistent in what you say and what you do, and following through on commitments you make.

It’s important to listen to what the person is feeling rather than individual events. Often, the person may have difficulty recognizing their emotions, so it is a good idea to explore this a bit with them and offer a choice of possible emotions. At times, their feelings may be more volatile. It is important to stay calm and relaxed as you discuss these things.

You may find there are times when the person seems very excitable or becomes quickly angry. Your response can help them settle back down. Speaking in a calm, quiet voice, and keeping a relaxed posture can help. If you are feeling anxious or fearful, try taking deep breaths first or counting slowly to 10 before speaking. Avoid arguing or telling them what to feel, opting instead for quiet validation and providing healthy, reasonable choices.