Need input on how to get help for Manic family member

Nurses General Nursing

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I was hoping to get some feedback on how to deal with a family member that is in the manic phase. I have been taking care of him for 3 years, I know when he is going downhill. He refuses to go in on his own accord, which only gives me the choice of calling crisis on him and going in against his will. He is delusional, becoming very open with sexual talk, saying he is owner of major companies, etc etc. Last time he went manic he hit and run and lost his driving license for a year. I do not want him to get to that point. But the crisis team will not come unless he is a danger to himself or others. His blood sugar was 31 last week (he has DM) so it says to me that he is not eating right, he is not sleeping right. Is that not a danger to himself?? What the H#$@ do I do or say to these people to make them evaluate him. He knows the system well, and usually will not speak kooky to the Doctors. He always fakes chest pain so they cannot transfer him to psych hospital until they clear him. Please, If anyone has any ideas I can really use the help. I cannot handle the mental health care in this country, it is disgusting! This man has spent his whole month of bill money in two days, without paying his rent. He did grab my arm the other night and also spoke about going to lay in his hammock and not wake up, in front of his social worker. I thought that was enough info to get social worker to get the crisis team out, but he did not!!! Ideas anyone???:o

Specializes in Psych and Substance Abuse.

You need to get several people if you can to take him to the ER. If you have more than one person they will be more likely to listen and believe. If he is truely in a manic state, he will not be able to hide how he is acting. They have no control over their behavior and can't just "decide" to stop behaving that way. And most likely, when he "comes down" he won't remember a lot of what has went on. Good luck with this, as I know how hard it is to handle a family member with true manic episodes.

You need to get several people if you can to take him to the ER. If you have more than one person they will be more likely to listen and believe. If he is truely in a manic state, he will not be able to hide how he is acting. They have no control over their behavior and can't just "decide" to stop behaving that way. And most likely, when he "comes down" he won't remember a lot of what has went on. Good luck with this, as I know how hard it is to handle a family member with true manic episodes.

I know he can't help what he is doing, but his family has no clue. I will be calling crisis center tomorrow to get him put in. It is not him I get upset with, it is the stinken mental health system that we have for these poor victims! It sickens me, what we have to go through to get them the help that they need. My heart bleeds for the families and people with this illness. I will keep everyone posted on how it goes tomorrow.Thanks everyone!

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