Bipolar Disorder Symptoms When to Call Your Psychiatrist or Go to the ER for Emergent Symptoms By Marcia Purse Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial process Updated on May 04, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print JGI / Jamie Grill / Getty Images As you continue toward stability, there may be times when you need to urgently call your psychiatrist to set up an extra appointment or even go to the emergency room, but how do you know when? Symptoms and Situations That Warrant a Call to Your Psychiatrist or ER Visit Let's explore the symptoms and situations that may warrant either calling your psychiatrist or a trip to the emergency room and how to also help loved ones in this situation. Medications Familiarize yourself with the toxicity and overdose symptoms of any medications you are taking. If any of these symptoms develop, call your psychiatrist immediately. In addition, if medication side effects become intolerable or interfere with your everyday activities, contact your psychiatrist right away. Psychiatric Symptoms For those with bipolar disorder, it's important to see your psychiatrist right away if you are experiencing an acute bipolar episode, whether that's manic, depressive, or an episode with mixed features. Other urgent situations, according to a 2008 study in the Journal of Clinical Psychiatry include: SuicidalityAggressionLegal difficultiesFunctional disabilityWork dysfunction and problemsMarriage problems Of course, this list is not inconclusive of everything. If you develop any new, worrisome symptoms or personal concerns, please contact your psychiatrist. Seek Immediate Medical Attention If you are thinking of suicide or self-harm, seek immediate medical attention. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database. Establish a Plan With Your Psychiatrist Most psychiatrists have preferences regarding when to set up an appointment, when to have them emergently paged, or when to go directly to an emergency room. Discuss these policies with your doctor at your first appointment. Know Yourself Get to know your warning signs—your personal red flags for an impending mood swing. Request a meeting with your psychiatrist as soon as possible if any develop. How to Recognize Emergent Psychiatric Symptoms in Loved Ones If a friend or a loved one has bipolar disorder, together you can outline a plan now about how to handle emergency and crisis situations. While the psychiatrist of a friend or loved one cannot disclose information to you, you most certainly can contact the psychiatrist to express concern and seek advice for handling a difficult situation. If you suspect your loved one has any sort of mental health issue, please try to intervene and help them. According to the American Psychological Association, these are the signs of an "emotional crisis": Neglecting person hygiene (e.g. not showering)Sleeping way less or more than usualSignificant weight gain or lossDecline in performance at work or at schoolSignificant change in mood, like feeling more irritable, angry, anxious, or sadWithdrawing from usual activities or tasks and relationships Other worrisome symptoms include paranoia or if your loved one is experiencing visual or auditory hallucinations—seeing or hearing things others do not. This list is not inclusive, though, so follow your gut if you are concerned a loved one is in need of psychiatric help. If your loved one needs help finding a mental health professional, it's a good idea to persuade your loved one to talk with her primary care physician. Likewise, a person's workplace may be helpful if they have an employee assistance program, called EAP. Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Psychological Association. How to Help in an Emotional Crisis. Jain R. Managing bipolar disorder from urgent situations to maintenance therapy. J Clin Psychiatry. 2008 Mar;69(3):e7. By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.