Raising awareness of Bipolar Disorder: Supporting mental health at work
Bipolar disorder, previously known as manic depression, is a long-term mental health condition that causes significant shifts in mood, energy, and behaviour. These fluctuations can range from episodes of deep depression to periods of heightened mood known as mania or hypomania.
Bipolar affects around one in every 100 people, typically developing between the ages of 15 and 19, although it can emerge later. Men and women from all backgrounds are equally likely to be diagnosed.
For employers, understanding how bipolar disorder can impact an employee’s life — and knowing how to offer meaningful support — is essential in creating an inclusive and healthy workplace.
What are the symptoms of Bipolar Disorder?
People with bipolar disorder experience episodes of depression, mania, or hypomania. These episodes may last for several weeks or months and can severely affect day-to-day functioning.
Depressive Episodes
- Feeling low, hopeless, or irritable
- Fatigue or lethargy
- Difficulty concentrating or remembering things
- Lack of interest in previously enjoyed activities
- Feelings of guilt or worthlessness
- Sleep disturbances or appetite changes
- Suicidal thoughts
- In severe cases, delusions or hallucinations
Manic Episodes
- Elevated mood or euphoria
- Rapid speech and racing thoughts
- Inflated self-esteem or grandiosity
- Impulsivity, including reckless spending
- Irritability or agitation
- Reduced need for sleep
- Risky or out-of-character behaviour
- Psychotic symptoms such as delusions or hallucinations in some cases
Hypomania vs Mania
Hypomania presents similarly to mania but is generally less severe and may not cause significant disruption to daily life.
Some individuals may also experience mixed states, where symptoms of depression and mania occur simultaneously (e.g. feeling highly agitated while also feeling hopeless).
Diagnosis, treatment and recovery
While bipolar disorder is a lifelong condition, effective treatment can help individuals manage symptoms and live fulfilling lives.
Common treatment approaches
- Mood-stabilising medication, prescribed long-term to prevent relapses
- Medication for specific episodes, such as antidepressants or antipsychotics
- Talking therapies, such as CBT or family-focused therapy
- Psychoeducation to help individuals recognise triggers
- Lifestyle changes, including regular sleep, exercise, and healthy eating
Most people are treated in the community, but hospital support may be needed during severe episodes.
Bipolar disorder and the workplace
With the right support in place, many people with bipolar disorder can thrive at work and build successful careers. Employers play a vital role in creating environments that reduce stigma and support mental health.
How employers can help
- Create a culture of openness and psychological safety
- Offer mental health awareness training to managers and employees
- Provide access to occupational health support for tailored advice
- Ensure effective mental health and wellbeing policies are in place
Where bipolar is diagnosed, employers should be aware that equality legislation (e.g. the Equality Act 2010) is likely to apply.
Supporting an employee with bipolar disorder
What managers can do:
- Build trusting relationships with open, two-way communication
- Identify and implement reasonable adjustments that reduce stress or triggers
- Encourage flexible working where possible (e.g. homeworking or flexible hours)
- Offer private or quiet workspaces to reduce overstimulation
- Support attendance at medical or therapy appointments
- Review shift patterns if they disrupt sleep or medication schedules
- Act promptly and compassionately if symptoms emerge — including temporary adjustments or time off if needed
- Consider a stress risk assessment if work-related pressures are highlighted
- Refer to occupational health for tailored recommendations, especially for safety-critical roles
During acute episodes, individuals may need time away from work. With a clear action plan in place, including input from occupational health, a structured and supportive return to work can be achieved.
Don’t forget:
- Individuals diagnosed with bipolar disorder must inform the DVLA
- Driving is not permitted during acute manic or severe depressive episodes
- The Access to Work scheme may help fund adjustments or specialist support
How Medigold can help
Bipolar disorder can be a complex and challenging condition, but with understanding, flexibility, and the right workplace support, employees can continue to perform, grow, and thrive.
If you’re unsure how best to support an employee with bipolar disorder, Medigold Health’s team of occupational health professionals can provide expert, personalised advice to help you create a safe, inclusive and supportive workplace.
If you’d like to arrange a workplace visit or explore how our services can support your employees’ health, we’d love to hear from you!
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