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"Taking care of bipolar disorder is a team effort, involving the two people and a psychiatrist or other mental health professional," she says.While she would never speak to a spouse without her patients consent, such open communication empowers both parties to make treatment decisions that lead to a healthier relationship.Mental health professionals arent the only ones who can lend a hand. By keeping the illness a secret, people place an additional burden on themselves." Karp also recommends that anyone who cares for someone struggling with bipolar person find a support group in their area.The stigma of mental illness can make couples hesitant to look elsewhere for help, but Karp emphasizes that extended family members and trusted friends can all provide invaluable support. Next Page: Bipolar marriages can work [ pagebreak ]Bipolar marriages can work Fred and Kristin Finn, of Grand Rapids, Mich., describe their marriage as loving and supportive, despite that fact that Kristin was diagnosed with bipolar disorder as a teenager.Getting angry because a person has bipolar disorder wont help anything.

My family and friends know—nobody calls us during that time period.

Tim, 37, tried for three years to sustain a relationship with a woman eventually diagnosed with bipolar disorder.

"She would cycle between extreme happiness and depression," he says, recalling her paranoia, impulsiveness, and self-destructive insecurity.

For starters, the ups and downs of bipolar disorder can disrupt the rhythms and routines of a household.

In a 2005 survey of people with bipolar partners published in Bipolar Disorders, more than half of the participants reported that their partners illness had reduced their socializing, required them to assume more household responsibilities, forced them to take time off of work, and caused financial strain.