Bipolar Disorder Emergency Action Plan

Personal Information

• Name: _________________
• Date of Birth: _________________
• Emergency Contact: _________________
• Contact Phone: _________________

My Healthcare Team

• Psychiatrist: _________________
• Phone: _________________
• Therapist: _________________
• Phone: _________________
• Primary Care Provider: _________________
• Phone: _________________

Warning Signs of a Manic Episode

• Sleeping less than usual
• Increased energy and activity
• Racing thoughts
• Rapid speech
• Risky behavior
• Excessive spending
• Irritability

Warning Signs of a Depressive Episode

• Persistent sadness
• Loss of interest in activities
• Changes in sleep patterns
• Fatigue
• Difficulty concentrating
• Thoughts of self-harm
• Social withdrawal

My Current Medications

Emergency Steps

1. For Mild Symptoms

   • Contact therapist or psychiatrist
   • Use prescribed PRN medications if available
   • Implement calm-down strategies

2. For Moderate Symptoms

   • Contact emergency contact person
   • Call healthcare provider immediately
   • Consider urgent care visit

3. For Severe Symptoms

   • Call 911 or crisis hotline
   • Go to nearest emergency room
   • Contact emergency contact person

Important Phone Numbers

• National Suicide Prevention Lifeline: 988
• Local Crisis Line: _________________
• Local Emergency Room: _________________

Safety Plan

1. Remove access to harmful items
2. Stay with trusted person
3. Follow medication schedule
4. Use coping skills: _________________

Updated: [Date] Review with healthcare provider every 3 months