Steadier ground is possible.
Bipolar disorder causes unusual shifts in mood, energy, activity level, and the ability to carry out day-to-day tasks, ranging from manic or hypomanic episodes to depressive ones. It is a medical illness, and it is highly treatable with the right care.
Types
- Bipolar I: manic episodes lasting at least seven days, or severe enough to need hospital care, usually with depressive episodes as well.
- Bipolar II: a pattern of depressive episodes and hypomanic episodes, without full mania.
- Cyclothymic disorder: periods of hypomanic and depressive symptoms lasting at least two years, without meeting criteria for a full episode.
What it can look like
During mania: unusually high energy, racing thoughts, little need for sleep, and risky behavior. During depression: deep sadness, low energy, trouble concentrating, and loss of interest. Some episodes mix both.
How we treat it
Diagnosis starts with a full psychiatric and medical evaluation to rule out other causes. Treatment combines medication (mood stabilizers, sometimes atypical antipsychotics or carefully chosen antidepressants) with psychotherapy such as cognitive behavioral therapy, family-focused therapy, or interpersonal and social rhythm therapy. Consistent follow-up is the key to long-term stability, and we build that into your plan.