I’m Bipolar How Can I Make Better Choices?

“I am bipolar, and I have a lot of trouble making decisions. A lot of times the decisions that I make turn out to be really bad. What can I do to make better decisions?”

Poor decision making can be due to a variety of factors, many of which are relevant to the decision making process on the part of a person with bipolar disorder. One factor is hereditary. Do others in your family share this problem? Attention deficit disorder often accompanies bipolar, again with a possible genetic component. On the environment side, how stressful is your life? Undue stress can also contribute to poor decision making. Are your surroundings manageable? Often, people with bipolar disorder can lead messy lives, in constant physical and emotional clutter, again contributing to a lack of concentration and poor decision-making.

With all that said, what can you do to make better decisions? First of all, I am assuming that you are taking medication for your bipolar disorder. You will be well served by discussing this serious issue with a spouse or close friend. In addition you must be patient with yourself and with the decision making process. Persons with disorders such as bipolar are often anxious and in a hurry; acting without adequate preparation. Don’t hesitate to hesitate! Taking time to go over the potential consequences of your decision before acting will do much to improve the results of your decisions. Are you isolated? I ask this because it would be helpful to share your decision planning. People that you are close with can add a new and possibly much needed perspective.

It is also possible that symptoms of ADHD or BP are causing your difficulty. It would be important to check with your psychiatrist regarding medication management. It would also be helpful to be involved in action-oriented behavioral modification therapy. There are many exercises, activities and homework assignments that directly work on concentration, memory and decision making. A support group, in person or online, is also an important resource. Consult the DBSA-GC and DBSA websites for further information regarding this opportunity. Lastly I would encourage you to lead a healthy lifestyle. Proper diet, proper sleep, regular exercise and an active lifestyle may well improve your concentration and ability to make wiser decisions. Good luck.

Dr. Manuel S. Silverman, PhD