Bipolar disorder is a potentially severe mental health disorder that can directly impact the lives of those who experience it as well as indirectly affect the lives of their loved ones. And according to data from the World Health Organization, bipolar disorder is likely more common than you think. In fact, the WHO indicates that an estimated 40 million people worldwide live with the condition.1
If you or a loved one is struggling with bipolar disorder, finding the right treatment center is vital for learning new coping skills, managing your symptoms, and improving your overall well-being. At Bishop Health, a Portland, Maine, bipolar disorder treatment center, we offer a comprehensive approach to clinical care as well as therapies, holistic strategies, and medication management. Part of the Guardian Recovery group of facilities, Bishop Health features a team of experienced behavioral health specialists, who are dedicated to developing and implementing effective personal treatment plans tailored to meet each person’s unique needs. We are here to help you on your journey to emotional stability and recovery.
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What Is Bipolar Disorder (BD)?
BD is a mental health condition marked by intense fluctuations in energy and mood. These phases include periods of sadness and low activity (depression) alternating with hyperactivity and elevated mood (mania).
When BD was first identified, it was referred to as manic depression or manic depressive disorder. As a result, many people who were diagnosed with the condition came to be known as “maniacs.” However, the term “manic depression” is rarely used today. BD consists of four different subtypes: bipolar I, bipolar II, cyclothymic disorder, and unspecified bipolar disorder. Regardless of the type, if you have BD, you may experience a wide range of symptoms, which can vary in duration and intensity.
Evaluation & Diagnosis of Bipolar Disorder
A thorough evaluation is necessary to diagnose BD. This evaluation is typically carried out by a behavioral health professional, such as a psychiatrist. At Bishop Health in Portland, ME, our staff performs an in-depth assessment to learn more about your past medical and mental health history, present symptoms, family history, current home environment, and other vital information.
The specialist uses screening tools and diagnostic criteria to assess any present mood-related symptoms and their severity. After the evaluation is complete, they examine the information they have gathered to determine your diagnosis.
Bipolar Disorder Causes
In most cases, BD first appears in the teenage or early adult years. The development of BD is not fully understood, but it is not believed to be the result of a single factor. Similar to other mental health disorders, how BD is formed and expressed is likely due to an intricate interplay of many different factors.
Factors Involved in BD May Include:
- Genetics, as there is a higher risk among those with a family history of BD or other mood disorders.
- Neurobiological factors, or abnormalities or changes in the structure or functioning of the brain.
- Chemical imbalances, particularly chemical messengers that influence mood, energy levels, and emotional regulation.
- Hormonal changes, which may occur during puberty, pregnancy, or menopause.
- Environmental factors, such as trauma, stressful life events, or major life changes.
- Substance use, including drugs and alcohol, can trigger the condition or worsen episodes.
- Medical conditions, such as thyroid disorders, neurological conditions, or medications used to treat medical conditions.
Not everyone with risk factors will develop the disorder. The interaction of all these factors is highly individualized, making it challenging to predict who may develop the disorder or what symptoms they may experience.
Types of Bipolar Disorder & Mood Disorders
The most prevalent of the four subtypes of BD is type I, which is characterized by frequent and severe manic episodes. Bipolar II is associated with less severe and frequent “hypomanic” episodes, alternating between bouts of depression.
Cyclothymic disorder tends to be more stable with milder symptoms than the first two types, but mood shifts are persistent and often unpredictable. Unspecified bipolar disorder has symptoms that do not fit into any of the first three categories but involve episodes of unusual manic moods.
Symptoms of Manic Episodes Include:
- Euphoria or heightened mood
- Irritability or agitation
- Increased energy
- Decreased need for sleep or insomnia
- Increased talkativeness and rapid speech
- Racing thoughts
- Overconfidence and grandiosity
- Risk-taking and impulsiveness
- Poor judgment and decision-making
- Psychosis
Symptoms of Depressive Episodes Include:
- Ongoing feelings of sadness or hopelessness
- Changes in sleeping patterns, such as oversleeping
- Low energy or fatigue
- Difficulty with concentrating and decision-making
- Loss of interest in formerly enjoyed activities
- Unexplained chronic pain
- Suicidal thoughts or behaviors
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Exploring Outpatient Treatment for Bipolar Disorder
Several outpatient treatment options exist for bipolar disorders. Partial hospitalization programs (PHPs) also known as “day programs” require daytime participation in therapeutic approaches but allow individuals to return home at night. This option may be ideal for those transitioning from a higher level of care, such as a residential inpatient program.
Intensive outpatient programs (IOPs) offer a semi-structured but flexible format that allows individuals to participate in therapy and receive support while 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.
Outpatient programmes are similar to IOPs but are even less intensive, and sessions are less frequent and may meet only once a week or less.
Our Approach to Bipolar Disorder Treatment at Our Portland, Maine, 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 cultivating 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 provides information to individuals about behavioral health disorders and provides instruction on how to better manage the difficulties that can come with these conditions.
- Support Groups—Peer support groups provide a safe, comfortable setting for individuals to share experiences and offer guidance to others dealing with similar issues.
- Lifestyle Changes—Lifestyle changes such as eating a healthy diet, exercising regularly, practicing good sleep hygiene, and engaging in enjoyable activities can boost mood and help individuals avoid distractions that can sabotage 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 managing manic episodes, decreasing the severity of depressive symptoms, and stabilizing mood.
- Antidepressants—Antidepressants are prescribed to treat mental health conditions, primarily disorders with depressive symptoms. These medications come in various classes, the most common being selective serotonin reuptake inhibitors (SSRIs). (3) They work by acting on brain chemicals that contribute to feelings of reward and well-being. Examples include Zoloft®, Celexa®, and Paxil®.
- Mood Stabilizers—Mood stabilizers are mainly used to address mood disorders such as BD. They help balance and regulate mood by preventing mood swings or reducing their intensity. These 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 Portland, Maine 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.