
Conditions We Treat
Bipolar disorder is frequently diagnosed years after the first episode, often because the low periods get attention and the high ones do not.
Bipolar disorder involves shifts between depressive episodes and periods of elevated or irritable mood with increased energy, known as mania or, in a milder form, hypomania. The pattern over time is what defines it, which is why an accurate evaluation depends heavily on history rather than on how someone presents in a single appointment.
It is commonly identified late. People tend to seek help during a depressive episode, because that is when they feel unwell, and elevated periods can feel productive rather than concerning. A period of needing very little sleep, moving fast, and getting a great deal done is not usually what brings someone to a clinician, but it is exactly what distinguishes bipolar disorder from depression alone.
That distinction matters clinically, because the two are approached differently. Getting the diagnosis right is the first piece of work, and it often means talking about periods you would not have thought to mention.
Evaluation comes first and is more involved than for many conditions, because the diagnosis rests on a pattern over time. Expect questions about periods when you felt unusually good, energetic, or irritable, about sleep across your life, and about family history. With your permission, input from a partner or family member is often valuable, since elevated periods are frequently clearer from the outside.
Medication management is central to care for bipolar disorder, and our psychiatrists and psychiatric nurse practitioners handle it directly. Therapy runs alongside it, focused on recognising early warning signs, protecting sleep and routine, and managing the effects episodes have had on work and relationships. Our prescribers and therapists are in the same practice and coordinate directly.
Care is ongoing rather than episodic. The aim of regular appointments is to notice a shift early, when a small adjustment is possible, rather than after an episode is fully underway.
If you are experiencing thoughts of harming yourself, or symptoms are escalating quickly, call or text 988, or go to your nearest emergency room.
Care is usually a combination rather than a single service. These are the ones our clinicians draw on most for this.
Call our office to take the first step toward feeling better.