When a client in the manic phase of bipolar disorder demands to contact their therapist at night, what response is best?

The best response in this scenario acknowledges the client's emotional state and validates their feelings. When someone is experiencing a manic episode, they may feel an intense need for support and connection. By stating, "You must be distressed to want to talk at this late hour," the responder not only recognizes the client's distress but also opens the door for further communication. This shows empathy and understanding, which can help soothe the client's heightened emotions and build rapport.

Recognizing that the client is likely feeling overwhelmed or anxious is crucial. This statement encourages the client to express their feelings and may help them feel heard and understood, which is essential in a therapeutic context. This supportive approach aligns with the principles of psychosocial integrity, focusing on the emotional and psychological needs of the client.

In contrast, other responses may not effectively address the client's immediate emotional needs. For example, telling the client to "calm down first" could appear dismissive and might escalate their feelings of distress. Saying that it is "against the rules" can sound rigid and unempathetic, further alienating the client. Finally, stating that it is a valid request but one that must wait until morning might not sufficiently validate the client's urgent experience in that moment.