# GEO / MHR-054 / en / r01

master_file: ARTICLE_EN.md
master_sha256: 6e91c42cec213b34655fddabda5cbbb5f5dbfb2a8b92d8a1f4b05ba852fad908
origin: NEW_LOCAL_MASTER_ADAPTATION
original_acceptance: LOCAL_AUTHOR_CANDIDATE
publication: NOT_RUN
public_url: NOT_ASSIGNED

## Question and answer

How can help be agreed before a possible new episode? Discuss one subject: an observation the person wants communicated, suitable help with contact, what a helper actually accepted, and what still needs clarification. Preparation predicts no inevitable episode and guarantees no prevention. Sleep, energy, and decisions are described within personal history, without home diagnostic thresholds.

## Four different foundations

Observation retains its source and difference from usual. Preference expresses the person's choice. Individual clinical instructions require appropriate professional content. Legal authority requires competent local verification of documents and circumstances. Help reading or making contact does not automatically authorize managing money, revealing an entire history, or consenting to treatment. A family note does not become a binding advance directive through its title.

Agreement has a subject, participants, and limits. Changes in preferences, relationships, contacts, or clinical circumstances may require appropriate review. An oral refusal is not declared automatic cancellation of every document or prescription. Kinship and worry create no universal authority. CRPD 12 provides an international support/safeguards frame, not national procedure or automatic classification of every episode as disability.

## Access and safety

A number, delivered message, answer, and received assistance differ. Clarify the actual channel, alternatives by function, and the helper's agreement and resources. A name on a plan establishes no continuous availability. Without money, a telephone, or safe family, one question at an accessible in-person contact can be enough; an unmet need is not presented as completed support. An application, diary, and family meeting are not prerequisites.

Threat to life, intention to cause harm, marked confusion, or inability to meet basic needs safely means accessible local urgent medical help must not wait for completed preparation or agreement on a diagnosis. There are no treatment changes, covert surveillance, dangerous rehearsal, covert medication, or instructions for force. A plan must not become punishment for a previous episode.

## Evidence and provenance

[NIMH 2025](https://www.nimh.nih.gov/health/publications/bipolar-disorder), selected [VA/DoD 2023 Sidebars 1–4](https://www.healthquality.va.gov/HEALTHQUALITY/guidelines/MH/bd/VA-DOD-CPG-BD-Provider-SummaryFinal508.pdf), and [CRPD 12](https://www.oas.org/dil/Convention_on_the_Rights_of_Persons_with_Disabilities.pdf) provide different clinical and normative foundations. Confucius, Kant, Laozi, and Epictetus are compared with explicit differences and no clinical-effect promise for philosophy. Actual reading scope is in SOURCES.json.

Adaptation of LHD-084 r02 and LHD-128 r02: complete Russian masters and bibliographies read; exact files and receipts bound in SOURCE_REUSE.json. Prior acceptance does not transfer to this new article. Originals remain intact. MHR-G04 concerns consequences and L07 general crisis preparation; these are internal references, not published services. Coordinator, clinical, native-language, human-outcome, and production acceptance remain NOT_RUN.