The Home Environment for the Bipolar Child

By Sherrie Mcgregor, Ph.D.

Parents of bipolar children often change their home environment to make their child’s life — and the whole family’s life — easier. It’s one of those things that moms and dads do without really thinking about it. Just as you look at your home in a new light when an infant begins crawling and exploring, the emergence of bipolar symptoms in a child warrants some revisions. You might think of it as making your home a therapeutic environment.

Families can take many cues from hospitals — not from the typical sterile hospital room, but from the better sort of psychiatric ward for adolescents. Warm, soft colors are chosen for their soothing nature. Lighting is bright where it is needed for reading and studying, soft where the mood should be restful. Furniture is comfortable and too heavy to throw in anger. Knick-knacks and valuables are safely stowed out of reach. Accident and suicide hazards are eliminated. There is a designated place to go when rage and anxiety take over–not a “rubber room” for punishment, but a time-out area for cocooning and regrouping. There are activities available that the child can master and enjoy, such as puzzles, board games, art supplies, and developmentally appropriate toys.

Your home has many advantages over even the best hospital ward, of course. At the top of the list is the presence of people who not only care, but who truly love your child deeply. No professional can substitute for you in this department.

Today, most US families feel they need two incomes to achieve a middle-class standard of living. Your child’s health is going to challenge that standard, if it hasn’t done so already. You may find that having a parent, grandparent, or other permanent adult at home with your child is the most important therapy there is. Depending on your family’s financial situation, this can mean doing without some of the trappings of middle-class success, or even without a great deal more. If one parent–and it doesn’t have to be Mom–can move to a part-time schedule to provide firm guidance and limits after your child’s school hours, it may make more of a difference than anything else you do. Numerous studies have shown that children and teens who are unsupervised between school and their parents’ return from work are more likely to abuse drugs and alcohol, have sex at an earlier age, and engage in other self-destructive behavior. And these studies were looking at all adolescent latch-key kids, not just those with the additional risk factor of a bipolar disorder.

Families of bipolar children have made all sorts of creative arrangements to balance their child’s needs with the family’s financial needs. These include staggering work schedules (one parent works nights, one works days; one parent works part-time and weekends only while the other works full-time), two parents working part-time so that one is always home, exploring options for working at home and/or self-employment, and making permanent childcare arrangements with grandparents or other family members.

Because I homeschool, I have the flexibility to work with Cass’s moods. On good days, we may cover all kinds of materials. When she is “off ” the school day may consist of my reading to her snuggled on the couch.
–Stephanie, mother of Cassidy

Single parents have the most difficult time with this, of course, and public assistance has unfortunately become less of an option. Some single parents whose extended families or former partners have not been willing or able to help have banded together to share childcare chores, sometimes even sharing a home with another single mom or dad. Others have found ways to ensure reliable, safe after-school care through school-based programs or community resources.

 

APA Reference
Mcgregor, S. (2007). The Home Environment for the Bipolar Child. Psych Central. Retrieved on October 23, 2014, from http://psychcentral.com/lib/the-home-environment-for-the-bipolar-child/0001025
Scientifically Reviewed
    Last reviewed: By John M. Grohol, Psy.D. on 30 Jan 2013
    Published on PsychCentral.com. All rights reserved.