Free Bipolar Safety Plan

Written by: [Your Name]
_____________________________________________________________________________________
I. Personal Information
Name: | [Your Name] |
Date of Birth: | [Your Date of Birth] |
Address: | [Your Address] |
Therapist/Counselor: | [Therapist/Counselor Name] |
Psychiatrist: | [Psychiatrist Name] |
II. Triggers and Warning Signs
Triggers
Stressful situations at work or home
Lack of sleep
Changes in routine or medication
Warning Signs
Racing thoughts and inability to concentrate
Extreme irritability or agitation
Changes in sleep patterns (insomnia or hypersomnia)
III. Coping Strategies
Mindfulness Techniques
Deep breathing exercises
Progressive muscle relaxation
Self-Care Activities
Engaging in hobbies (painting, gardening)
Spending time in nature
Social Support
Reaching out to friends or family for support
Attending support groups or therapy sessions
IV. Safety Planning
Identify Safe Spaces
Home: Ensure a safe and calm environment
Friend's house: Have a trusted friend or family member to stay with
Remove Access to Lethal Means
Store medications in a locked cabinet
Remove sharp objects or firearms from the vicinity
Emergency Contacts
National Suicide Prevention Lifeline: [Phone Number]
Crisis Text Line: Text [Text Number] for support
Creating a Crisis Kit
Include calming activities (coloring book, stress ball)
List of emergency contacts
V. Professional Support Network
Healthcare Provider
Regular appointments for medication management
Discussing treatment options and adjustments
Therapist/Counselor
Cognitive-behavioral therapy sessions
Developing coping skills and strategies
Psychiatrist
Medication evaluation and monitoring
Adjustments to medication regimen as needed
VI. Medication Management
Prescription Medications
Lithium: [Dosage and Frequency]
Lamotrigine: [Dosage and Frequency]
Side Effects to Monitor
Nausea or vomiting
Dizziness or blurred vision
VII. Emergency Action Plan
Signs of Acute Crisis
Suicidal thoughts or intent
Manic or depressive episode beyond control
Steps to Take
Contact emergency services or go to the nearest emergency room
Inform emergency contacts and healthcare providers
VIII. Follow-Up and Review
Schedule Regular Check-Ins
Monthly appointments with healthcare provider
Bi-weekly therapy sessions for support and evaluation
Review and Update Plan
Quarterly review of triggers and warning signs
Adjustments to coping strategies and safety plan as needed
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Introducing the Bipolar Safety Plan Template by Template.net, designed to empower individuals with a comprehensive roadmap for managing their bipolar disorder. This editable and customizable tool, available on Template.net, offers tailored solutions for creating personalized safety plans. Crafted with precision, it's seamlessly editable in our AI tool, ensuring efficiency and ease.
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