According to the World Health Organization, an estimated 40 million people live with bipolar disorder worldwide.1 Bipolar disorder is a serious mental health condition that can dramatically affect lives and entire families. However, effective care options including medicines and psychosocial interventions can help.
If you or someone you love is struggling with bipolar disorder, Bishop Health in Delray Beach—an outpatient mental health treatment facility that’s also part of Guardian Recovery—offers holistic, personalized care to help clients manage their symptoms and improve their quality and enjoyment of life. Reach out today to learn more about our bipolar treatment programs and begin your wellness journey today.
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What Is Bipolar Disorder (BD)?
BD is a mental health condition characterized by extreme mood shifts and energy levels. These episodes range from periods of intense euphoria and high activity (mania) to those of profound sadness and low activity (depression).
BD was formerly known as manic depressive disorder, which led to labeling those who were experiencing it as “maniacs.” For this reason, BD has become the accepted term.
Evaluation & Diagnosis of Bipolar Disorder
The evaluation and diagnosis of BD involves a comprehensive assessment conducted by one of our behavioral health specialists. During this assessment, they will conduct an interview to gather information on your medical and mental health history, present symptoms, family history, relationships, current work or school environment, etc.
The specialist assesses any current mood-related symptoms, both manic and depressive, while applying standardized diagnostic criteria or screening tools. Once the assessment is complete, they use all of the information they’ve gathered to identify a diagnosis.
Bipolar Disorder Causes
Multiple factors likely contribute to the development of BD, encompassing a range of influences including genetic and biological factors, environmental factors, individual brain structure and function, hormonal changes, and the use of substances.
Additionally, trauma and stressful life events can also play a part in the development or worsening of BD. As with most mental health conditions, there is a unique and complex interplay of any number of factors that can contribute to BD and the duration and severity of symptoms.
Types of Bipolar Disorder & Mood Disorders
BD is broken down into four categories—bipolar I, bipolar II, cyclothymic disorder, and unspecified. Bipolar I is characterized by full-blown manic episodes, while bipolar II involves less severe “hypomanic” episodes mixed with bouts of depression. In addition, individuals with bipolar I tend to have more frequent and severe episodes than those with bipolar II.
Cyclothymic disorder is a rapid-cycling, milder form of bipolar disorder, the symptoms of which are less severe and do not meet the criteria for bipolar I or bipolar II. Bipolar disorder “not otherwise specified” is present when the symptoms do not fit the other three categories but still involve episodes of unusual manic mood.
Symptoms of Depressive Episodes Include:
- Enduring sadness or feelings of hopelessness
- Anxiety or irritability
- Changes in sleeping patterns, either insomnia or hypersomnia
- Loss of energy or fatigue
- Difficulty focusing and making decisions
- Loss of interest in formerly enjoyed activities
- Unexplained chronic pain
- Suicidal ideations
Symptoms of Manic Episodes Include:
- Elevated mood or euphoria
- Increased energy
- Irritability or agitation
- Reduced need for sleep or insomnia
- Rapid speech and increased talkativeness
- Racing thoughts
- Overconfidence and grandiosity
- Impulsivity and risk-taking
- Poor judgment and decision-making
- Psychosis
Intensive Outpatient Treatment Program for Bipolar Disorder
Intensive outpatient programs (IOPs) offer structured, holistic treatment for BD and other behavioral health issues. This flexible format allows individuals to participate in therapy and receive support while still living at home and engaging in their usual daily activities, such as work or school. IOPs can be beneficial for those who don’t require 24/7 inpatient supervision but will likely benefit from a higher level of care than traditional outpatient programs.
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Our Approach to Bipolar Disorder Treatment at Our Delray Beach Clinic
Evidence-based therapies and medication are the two most fundamental and essential components for BD treatment. These approaches work in conjunction to provide clients with a well-rounded, holistic approach to managing their symptoms and developing the skills needed to cope with the stressors of daily life in a healthier way.
Bipolar Disorder Treatment Therapies Include:
- Psychotherapy—Psychotherapies, including cognitive behavioral therapy, help individuals gain insight into their thoughts, feelings, and behaviors to better deal with difficult emotions and challenges. These approaches are intended to promote a sense of empowerment, encouraging individuals to take an active part in improving their own mental health and well-being.
- Psychoeducation—Psychoeducation is the process of providing education about mental health disorders and strategies for managing the challenges that come with these conditions. One of the main goals is to empower individuals to improve their understanding of their own mental health and make informed decisions about how they plan to overcome the obstacles that they face.
- Support Groups—Peer support groups provide a safe, relaxed environment for individuals to share experiences and offer guidance to others dealing with similar challenges. They are intended to promote a sense of community and belonging, and to help participants recognize that their feelings are normal, valid, and experienced by others.
- Lifestyle Changes—Lifestyle changes can be essential to promoting both physical and mental health. These include using coping skills, such as mindfulness, to combat stress and emotional turmoil. Changes also typically consist of eating a healthy diet, exercising regularly, practicing good sleep hygiene, and engaging in pleasurable hobbies and activities. These strategies are meant to improve one’s overall well-being by boosting mood and avoiding distractions that can undermine progress.
Common Medications for the Treatment of BD Include:
- Antipsychotics—Antipsychotics are one of the first-line strategies in the treatment of BD. These include medications such as Haldol, Seroquel, Abilify, and many others. They can be effective at controlling manic episodes, decreasing the severity of depressive symptoms, and preventing mood instability.
- Antidepressants—Antidepressants are commonly prescribed to treat mental health conditions, primarily disorders with depressive symptoms. There are different classes of these medications, the most common being selective serotonin reuptake inhibitors (SSRIs). They work by acting on chemicals in the brain responsible for feelings of reward and well-being. Examples include Zoloft, Celexa, and Paxil.
- Mood Stabilizers—Mood stabilizers are primarily used to treat mood disorders such as BD. They help balance and regulate mood by preventing or reducing the frequency and intensity of mood swings. They include lithium, lamotrigine, and several others.
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BD is a complex and potentially debilitating condition that can significantly impact an individual’s daily functioning and quality of life. Fortunately, BD is well-researched, and several treatments have been identified as being successful in its treatment.
If you are struggling with BD, reach out to Bishop Health in Delray Beach and receive a free assessment and a no-obligation health insurance benefits check. Our treatment team can explain more about our intensive outpatient program and the therapeutic services we offer. We look forward to speaking with you and helping you begin your mental and emotional wellness journey.
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Disclaimer: Does not guarantee specific treatment outcomes, as individual results may vary. Our services are not a substitute for professional medical advice or diagnosis; please consult a qualified healthcare provider for such matters.
- World Health Organization. (2024). Bipolar Disorder.