In the acute phase of bipolar disorder, manic episode, the priority biopsychosocial need is typically the physical need of the individual.
During a manic episode, individuals may experience hyperactivity, insomnia, and reduced appetite. In severe cases, they may even engage in risky behavior that can put their physical safety at risk. Therefore, it is important to address the individual's physical needs first, such as ensuring they are getting enough sleep, eating properly, and avoiding behaviors that can cause harm.
While psychological, intellectual, and relational needs are also important, they may be less of a priority during the acute phase of bipolar disorder. Once the individual's physical needs are taken care of, other needs can be addressed through therapy, medication, and support from family and friends.