Care for Bipolar & Mood Disorders

Bipolar disorder is a complex mental health condition marked by extreme shifts in mood, energy, and activity levels—ranging from periods of elevated or irritable mood to times of deep depression. These mood changes can severely impact a person’s daily functioning, relationships, and ability to meet personal or professional responsibilities.

People living with bipolar disorder may also experience periods of stability, known as “euthymic” states. Previously referred to as manic-depressive illness, bipolar disorder affects about 1.8% of adults in the U.S. within any given 12-month period. Most commonly, symptoms first appear in a person’s early to mid-20s.

If you or someone you care about may be experiencing signs of bipolar disorder, know that effective care is available. With the right treatment plan in place—especially when guided by an experienced psychiatrist for bipolar disorder—individuals can achieve greater stability and a higher quality of life. Early and consistent intervention can significantly reduce the frequency and intensity of mood episodes.

The team at Fine Tune Psychiatry includes specialists trained to evaluate, diagnose, and treat bipolar disorder either in-person or through online psychiatric care.

What Are the Symptoms of Bipolar Disorder?

Bipolar disorder involves distinct mood episodes that differ markedly from a person’s typical emotional state. These episodes fall into three categories: manic, hypomanic, and depressive. To meet diagnostic criteria, symptoms must not be caused by substance use or a medical condition.

Mania and hypomania involve elevated energy levels and can include symptoms such as a euphoric or irritable mood, increased activity, decreased need for sleep, racing thoughts, impulsive actions, and inflated self-esteem. A manic episode is more severe and needs to last at least seven days or requires hospitalization—especially if psychosis is present. Hypomanic episodes are shorter and less disruptive, lasting at least four days, but may still indicate a serious mood disorder.

Hypomania can be particularly tricky to recognize because it may feel positive. People may be highly productive, confident, and social, without realizing these feelings are symptoms. Many people only seek help during depressive episodes, and without a psychiatric specialist asking the right questions, key symptoms may be missed.

Depressive episodes in bipolar disorder mirror those of major depression and are the most frequently reported symptoms. Individuals often seek care during these lows, sometimes overlooking past hypomanic or manic symptoms that are crucial to accurate diagnosis and treatment planning.

It’s important to note: just one lifetime episode of mania or hypomania is sufficient to diagnose bipolar disorder. Leaving these episodes unreported may result in misdiagnosis and ineffective—or even harmful—treatment. At Fine Tune Psychiatry, our clinicians are trained to recognize subtle symptoms and provide tailored care for Bipolar disorder, whether you visit in person or connect with a psychiatrist online.

Symptoms of Mania or Hypomania

These episodes are defined by a noticeable and sustained period of elevated, expansive, or irritable mood and increased energy. Additional signs include:

• Inflated self-esteem or feelings of grandiosity
• Reduced need for sleep (feeling rested after only a few hours)
• Talking excessively or feeling pressure to keep speaking
• Racing thoughts or quickly jumping between unrelated ideas
• Easily distracted by irrelevant details
• Increased activity, which can be either productive (e.g., social plans, creative pursuits) or non-purposeful (e.g., pacing, fidgeting)
• Risky or impulsive behaviors like overspending, reckless driving, or risky sexual activity

In some cases, depressive symptoms may overlap during a manic or hypomanic phase, adding further complexity to the diagnosis.

Symptoms of Depression

Depressive episodes in bipolar disorder last at least two weeks and impact most areas of life.

Core symptoms include:

• Persistent sadness or loss of interest in activities
• Appetite or weight changes
• Sleep disturbances (too much or too little)
• Slowed movements or agitation observable by others
• Fatigue or low energy
• Low self-worth or guilt
• Difficulty concentrating or making decisions
• Suicidal thoughts or behaviors

If you experience suicidal thoughts, immediate assistance is critical. Reach out by calling 988 or visit your nearest emergency room.

These symptoms can become even more complicated when mixed with manic traits. A psychiatrist who specializes in bipolar disorder can help distinguish between these overlapping experiences to guide the most effective diagnosis and treatment path.

Types of Bipolar Disorder

• Bipolar I Disorder: Diagnosed when a person has experienced at least one manic episode. Though depressive episodes are common, they’re not required for diagnosis. Hypomanic episodes and symptom-free periods can also occur. Co-occurring disorders such as anxiety, ADHD, and substance use are often present.
• Bipolar II Disorder: Characterized by at least one hypomanic and one major depressive episode. A history of mania changes the diagnosis to bipolar I.
• Cyclothymic Disorder: Involves numerous periods of hypomanic and depressive symptoms that don’t meet full criteria for bipolar I or II. Symptoms must be present for two or more years (one year for children) with no symptom-free period longer than two months. Early intervention is key, as individuals with cyclothymia have a high risk of developing bipolar I or II.

Bipolar Disorder Presentations That We Treat

• Depressive Episodes
• Manic and Hypomanic States
• Depression, Bipolar & Mood Disorders in Children & Adolescents
• Bipolar Disorder in Perimenopause and Menopause
• Postpartum Depressive, Manic and Hypomanic Episodes
• Seasonal Worsening of Bipolar Mood Episodes

How Fine Tune Psychiatry Treats Bipolar Disorder

Every individual requires a personalized approach to care.

At Fine Tune Psychiatry, our goal is to design a treatment plan that addresses each patient’s unique history, co-occurring conditions, and lifestyle. We work with each person to determine the most effective combination of medication, therapy, and supportive care.

Your First Appointment for Bipolar Disorder

During your initial visit, your psychiatrist for bipolar disorder will complete a comprehensive psychiatric assessment. This includes:

• Medical and psychiatric history
• Medication review and past treatment responses
• Family history
• Safety evaluation
• Social, educational, and cultural context
• Substance use history
• Physical health screening, including labs or referrals as needed

After completing the assessment, your provider will develop a customized treatment plan that may include medication, therapy, lifestyle recommendations, and more.

Therapy Options for Bipolar Disorder

Cognitive Behavioral Therapy (CBT) is frequently used for mood regulation and managing thought patterns that contribute to mood swings. CBT can enhance self-awareness and coping skills, though it is not typically used during active mania.

Dialectical Behavior Therapy (DBT) focuses on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness. DBT may reduce emotional reactivity and suicidal behaviors, making it especially helpful for individuals with intense mood swings or self-harming tendencies.

If a patient requires more intensive or focused therapy than our providers incorporate into their sessions, our psychiatrists and psychiatric nurse practitioners will make recommendations for psychologists and therapists in your area, and will collaborate with them to provide coordinated care.

Medication Management for Bipolar Disorder

Medications are often essential in managing symptoms and preventing mood episodes. Treatment may include mood stabilizers, atypical antipsychotics (serotonin-dopamine antagonists), and occasionally antidepressants—used cautiously. A psychiatrist for bipolar disorder will monitor for side effects, ensure medication effectiveness, and make adjustments as needed. At Fine Tune Psychiatry, we aim to use the lowest effective doses to help patients feel like themselves while staying stable and functional.

How to Find the Right Psychiatrist for Bipolar Disorder

To find a specialist:

• Ask your primary care doctor for a referral
• Contact local hospitals or university health systems
• Check with your insurance provider
• Search online for a “psychiatrist for bipolar disorder near me”
• Talk to trusted friends or family for recommendations
• Use national mental health directories or organizations