Treatment FAQ

who do i go to for treatment for bipolar disorder

by Dr. Mazie Feest Sr. Published 3 years ago Updated 2 years ago
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There are many medications for treating bipolar disorder, so a psychiatrist, who is best qualified to identify which drugs work best for a specific patient, should oversee treatment. A psychiatrist is a type of medical doctor (MD or DO) with specialized training in mental health care.Oct 20, 2020

Medication

You will want to choose a specialist who is experienced and with whom you feel comfortable. You may consult with more than one doctor before deciding on the specialist who is right for you. Your primary care or family doctor can often recommend a mental health specialist experienced in the diagnosis and treatment of bipolar disorder.

Therapy

Get affordable online counseling from BetterHelp or visit HelpGuide’s directory for free helplines and crisis resources. HelpGuide is reader supported. We may receive a commission if you sign up for BetterHelp through the provided link. Learn more. Getting an accurate diagnosis is the first step in your bipolar disorder treatment.

How do I choose a specialist for bipolar disorder?

If you suspect that you’re suffering from bipolar disorder, it’s important to seek help right away. Bipolar disorder is a lifelong condition that runs an unpredictable course of ups and downs.

Where can I get help with bipolar disorder treatment?

Hospitalization can be an option for anyone who has bipolar disorder. It depends on the circumstances, but it’s often used for those considering suicide or harming other people, or for those behaviors that can result in serious bodily injury or death of the person or others around them.

When should you seek help for bipolar disorder?

Can I be hospitalized for bipolar disorder?

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What kind of doctor do you need for bipolar?

Treatment is best guided by a medical doctor who specializes in diagnosing and treating mental health conditions (psychiatrist) who is skilled in treating bipolar and related disorders. You may have a treatment team that also includes a psychologist, social worker and psychiatric nurse.

Where do I go if I have bipolar disorder?

People with bipolar disorder should go to the emergency room or call 911 if they are:having suicidal thoughts.having thoughts of self-harm.a danger to themselves or others.

Where do bipolar people go for help?

Medical Care for Bipolar Disorder So your first step is to seek out a professional who has experience treating the condition. In most cases, this will be a psychiatrist. It is also important that you talk with your primary health care provider about any mental health issues and medications.

Can a regular doctor treat bipolar disorder?

Primary care physicians can provide comprehensive care for patients with bipolar disorder by diagnosing and treating the psychiatric disorder and psychiatric comorbidities, providing medical care, and educating and supporting patients and their families.

What are 5 signs of bipolar?

Symptoms - Bipolar disorderfeeling sad, hopeless or irritable most of the time.lacking energy.difficulty concentrating and remembering things.loss of interest in everyday activities.feelings of emptiness or worthlessness.feelings of guilt and despair.feeling pessimistic about everything.self-doubt.More items...

Who can diagnose bipolar disorder?

A psychiatrist or other mental health professional diagnoses bipolar disorder based on the symptoms, lifetime course, and experiences of the individual. Some people have bipolar disorder for years before it is diagnosed.

Does bipolar worsen with age?

Changes in the frequency and severity of episodes are among the most evident changes in bipolar disorder at an older age. Research suggests that older adults with bipolar disorder often experience: more frequent episodes. more depressive episodes and less time spent in manic or hypomanic states.

What triggers bipolar?

Factors that may increase the risk of developing bipolar disorder or act as a trigger for the first episode include: Having a first-degree relative, such as a parent or sibling, with bipolar disorder. Periods of high stress, such as the death of a loved one or other traumatic event. Drug or alcohol abuse.

Is being bipolar a disability?

The Americans with Disabilities Act (ADA) is a law that helps people with disabilities get equal rights at work. Bipolar disorder is considered a disability under the ADA, just like blindness or multiple sclerosis. You may also qualify for Social Security benefits if you can't work.

What can mimic bipolar disorder?

A number of other mental disorders are associated with mood swings. Mental disorders which may be commonly confused with bipolar disorder include Borderline Personality Disorder , Schizoaffective Disorder, Unipolar Depression, and Premenstrual Dysphoric Disorder.

How do you talk to your doctor if you think you have bipolar?

Have your concerns written down on a sheet of paper to make sure you cover all areas. Be specific as to the problems of bipolar depression, hypomania, or mania. Give specific details of mood symptoms and behaviors to the doctor. Describe any severe mood changes, especially anger, depression, and aggressiveness.

Can bipolar be diagnosed in one visit?

People who suspect that they have bipolar disorder should see a doctor, who will perform several tests and may refer them to a psychiatrist or psychologist for further assessment. Diagnosing bipolar disorder is difficult, as no single test can tell whether a person has bipolar disorder.

Is bipolar a disability?

The Americans with Disabilities Act (ADA) is a law that helps people with disabilities get equal rights at work. Bipolar disorder is considered a disability under the ADA, just like blindness or multiple sclerosis. You may also qualify for Social Security benefits if you can't work.

What type of doctor is best for bipolar?

There are many medications for treating bipolar disorder, so a psychiatrist, who is best qualified to identify which drugs work best for a specific patient, should oversee treatment. A psychiatrist is a type of medical doctor (MD or DO) with specialized training in mental health care. Primary care doctors (also sometimes called general ...

What is the role of a psychologist in mental health?

Psychologists and some mental health counselors (PhDs and PsyDs) can provide psychotherapy, or talk therapy, another critical part of treatment. Through therapy, people can develop coping methods that prevent long periods of illness, extended hospital stays, and suicide . They also are uniquely qualified to perform psychological and neuropsychological testing, which can help clarify diagnoses, learning and educational problems, developmental problems, and other behavioral or emotional problems.

What is a primary care doctor?

Primary care doctors (also sometimes called general practitioners, or internists, or family practitioners, as well as pediatricians) are general medical doctors who obtain some training in mental health during medical school and residency.

Who can help with bipolar disorder?

Your primary care or family doctor can often recommend a mental health specialist experienced in the diagnosis and treatment of bipolar disorder.

What kind of doctor can help with bipolar?

What kind of doctor can help treat bipolar disorder? A doctor skilled in the diagnosis and treatment of bipolar and other mental health disorders may be a psychologist or a psychiatrist. Psychiatrist: A medical doctor who is a specialist in dealing with the diagnosis, treatment, and prevention of mental and emotional disorders.

What to do if you think someone has bipolar disorder?

If you think that you or someone you know has bipolar disorder, the next step is finding a doctor who can help you. Here's how. A doctor makes the diagnosis of bipolar disorder based on information an individual provides, such as symptoms they have experienced.

What kind of doctor do psychologists refer to?

When further medical attention or prescription medication is required, a psychologist will refer a patient to a psychiatrist. You will want to choose a specialist who is experienced and with whom you feel comfortable. You may consult with more than one doctor before deciding on the specialist who is right for you.

Can a psychiatrist prescribe medication?

Like all medical doctors, he or she can prescribe medication. A psychiatrist may or may not provide non-medical therapies such as "talk therapy.". In diseases such as bipolar disorder, it is often the case that the formal diagnosis and treatment plan will be made by a psychiatrist so that medication can be prescribed.

What is the best treatment for bipolar disorder?

Psychotherapy. Psychotherapy, support groups and psychoeducation about the illness are essential to treating bipolar disorder: Cognitive behavioral therapy (CBT) helps change the negative thinking and behavior associated with depression.

How does bipolar affect people?

Bipolar Disorder. Proper treatment helps most people living with bipolar disorder control their mood swings and other symptoms. Because bipolar disorder is a chronic illness, treatment must be ongoing. If left untreated, the symptoms of bipolar disorder get worse, so diagnosing it and beginning treatment early is important.

Can antidepressants cause bipolar disorder?

Antidepressants present special concerns when used in treating bipolar disorder, as they can trigger mania in some people. A National Institute of Mental Health study showed that taking an antidepressant also to a mood stabilizer is no more effective that using a mood stabilizer alone for bipolar I.

Can bipolar disorder be better treated with medication?

With the prescribing doctor, work together to review the options for medication. Different types of bipolar disorder may respond better to a particular type. The side effects can vary between medications and it may take time to discover the best medicine.

Can bipolar affect a woman's pregnancy?

Women. Women with bipolar disorder who are of childbearing age, or who are considering getting pregnant, need special attention. A complex risk- benefit discussion needs to occur to look at the treatment options available . Some medicines can have risk to the developing fetus and to children in breast milk. However, there is also evidence that being off of all medications increases the likelihood of bipolar symptoms, which itself creates risks to both mother and fetus or baby. Planning ahead and getting good information from your health care team based on your individual circumstances improves your chance of a best outcome.

Does lithium cause bipolar?

Lithium (Lithobid, Eskalith) is effective at stabilizing mood and preventing the extreme highs and lows of bipolar disorder. Periodic blood tests are required because lithium can cause thyroid and kidney problems. Common side effects include restlessness, dry mouth and digestive issues. Lithium levels should be monitored carefully to ensure the best dosage and watch for toxicity.

Can children have bipolar disorder?

Children. The diagnosis of bipolar disorder in children has been controversial. Before receiving any psychiatric diagnosis, children must have a comprehensive evaluation of their physical and mental health. Children with bipolar disorder may also have other conditions including attention-deficit hyperactivity disorder, early childhood psychosis, posttraumatic stress disorder, learning disabilities or substance abuse problems. Each of these co-occurring conditions requires a thoughtful and individualized treatment plan. Children with bipolar disorder usually receive psychotherapy and psychosocial interventions before medications are considered.

What to do if you have bipolar disorder?

If your doctor determines that you have bipolar disorder, he or she will explain your treatment options and possibly prescribe medication for you to take. You may also be referred to another mental health professional, such as a psychologist, counselor, or a bipolar disorder specialist.

What is the treatment plan for bipolar disorder?

A comprehensive treatment plan for bipolar disorder aims to relieve symptoms, restore your ability to function, fix problems the illness has caused at home and at work, and reduce the likelihood of recurrence. A comprehensive bipolar treatment plan involves: Medication. Medication is the cornerstone of bipolar disorder treatment.

How to reduce bipolar mood?

Since stress is a trigger for bipolar disorder, this relationship-oriented approach can help reduce mood cycling. Social rhythm therapy is often combined with interpersonal therapy is often combined with social rhythm therapy for the treatment of bipolar disorder.

What is a bipolar evaluation?

Psychological evaluation – The doctor or bipolar disorder specialist will conduct a complete psychiatric history. You will answer questions about your symptoms, the history of the problem, any treatment you’ve previously received, and your family history of mood disorders.

Why do people with bipolar need medication?

Most people with bipolar disorder need medication in order to keep their symptoms under control. When medication is continued on a long-term basis, it can reduce the frequency and severity of bipolar mood episodes, and sometimes prevent them entirely. If you have been diagnosed with bipolar disorder, you and your doctor will work together to find the right drug or combination of drugs for your needs. Because everyone responds to medication differently, you may have to try several different medications before you find one that relieves your symptoms.

How to change behavior in bipolar disorder?

Talk to your health care providers about the behaviors you want to change and then set concrete goals for making those changes. Educate your loved ones about bipolar disorder.

How does interpersonal therapy help with bipolar?

Interpersonal therapy focuses on current relationship issues and helps you improve the way you relate to the important people in your life. By addressing and solving interpersonal problems, this type of therapy reduces stress in your life. Since stress is a trigger for bipolar disorder, this relationship-oriented approach can help reduce mood cycling.

What are the signs that a person with bipolar disorder needs to be hospitalized?

When to Consider Hospitalization for Bipolar Disorder. Some of the warning signs that a person with bipolar disorder needs to be hospitalized are: Hallucinations — an abnormal perception of one of the senses, like seeing or hearing things or people that aren’t really there.

Can a health care provider talk to you?

Privacy. A health professional will not discuss with you what has happened between health care providers and your loved one (unless your loved one has signed papers allowing his or her health care providers to talk to you). However, if you contact your loved one’s doctor with concerns that his moods or behaviors are becoming unstable and hospitalization may be required, he or she can work on an involuntary commitment if needed.

Can bipolar disorder be treated with alcohol?

After the overdose is managed, the doctor in the emergency room can help make the decision about inpatient treatment for your loved one.

Can you seek inpatient treatment for bipolar disorder?

Deciding when to seek inpatient treatment for bipolar disorder isn't easy. Know the warning signs that indicate you need the help of a hospital care team. The reality of life with bipolar disorder is that there are times when profound mood shifts can put the person with bipolar and the people around that person at risk.

Can bipolar disorder be a mania?

The reality of life with bipolar disorder is that there are times when profound mood shifts can put the person with bipolar and the people around that person at risk. Severe highs (called mania) and lows (depression) require treatment, which may mean inpatient care in a hospital.

Can you admit someone with bipolar to hospital?

People with bipolar disorder are usually in denial about the need for treatment, and you probably won’t be able to persuade your loved one to voluntarily admit him or herself.

Does insurance affect inpatient treatment?

Insurance coverage may also affect how much inpatient treatment your loved one qualifies for. Safety. If you can’t get your loved one into treatment and you’re concerned for own your safety, leave the situation, even if it means leaving your own home.

How to help someone with bipolar disorder?

Know which family and friends are there to help during a crisis or a tough time. Educate your loved ones about bipolar disorder so they can best support you. Ask them to help you recognize the warning signs of manic or depressive episodes.

How is bipolar disorder treated?

Bipolar disorder is treatable with a combination of medication and therapy.

What is the difference between bipolar and manic?

Each type of bipolar disorder includes periods of highs and lows. The major difference between forms of the disorder is how extreme the mood swings are and how long they last . In all types, there are periods between manic or depressive episodes when symptoms lessen or people feel stable.

How does therapy help with manic episodes?

Therapy helps people accept their disorder , recognize the warning signs of a manic or depressive episode, develop coping skills for handling stress, and stick with a medication schedule. Therapy also improves communication and relationships among families. Long-term, continuous treatment.

What is bipolar disorder?

Bipolar disorder is a serious mental illness that causes unusual shifts in mood, ranging from extreme highs (mania) to lows (depression). On This Page: Types of Bipolar Disorder. Signs and Symptoms.

What are the symptoms of a manic episode?

A severe manic or depressive episode may trigger psychotic symptoms such as delusions (false beliefs) or hallucinations (seeing or hearing things that others do not see or hear).

How to stop manic episodes?

Stick to a consistent routine. Go to sleep and wake up at the same time each day. Being sleep deprived can put people at risk for manic or depressive episodes. Sleeping more than usual may be a sign of a depressive episode. Limit caffeine, which can disrupt sleep.

How to keep bipolar under control?

In most circumstances, a combination of medication, psychotherapy, and lifestyle management can keep bipolar disorder under control. But sometimes, more help is needed and hospitalization may be necessary.

What happens if you have bipolar disorder?

A severe bipolar episode can cause extreme or even dangerous behavior. This can include suicide attempts or threats against others. You should take this behavior seriously and take action immediately. If the situation seems out of control or about to get out of control, you may need to call the police for assistance.

How long does a hospital stay for bipolar?

Hospitalization can last a few days to a few weeks, or longer, depending on the individual’s circumstances. In his book “The Bipolar Handbook: Real-Life Questions with Up-to-Date Answers,” Dr. Wes Burgess says that if you’re wondering if hospitalization is necessary, it likely means it’s time to go.

What to do if your mental health is out of control?

If the situation seems out of control or about to get out of control, you may need to call the police for assistance. Many hospitals can handle a wide range of mental health issues. To find out more, check with your primary care provider or the hospitals themselves. Some of these resources may help.

Can you be hospitalized for bipolar?

Hospitalization can be an option for anyone who has bipolar disorder. It depends on the circumstances, but it’s often used for those considering suicide or harming other people, or for those behaviors that can result in serious bodily injury or death of the person or others around them.

Can you get someone admitted to a hospital?

It may be challenging to get someone admitted to a hospital, even if they wish to go. The hospital may keep them for a shorter period than you think is necessary. In either case, if the hospital isn’t giving the care that’s needed, it may be time to try another hospital.

Is hospitalization necessary for bipolar?

Hospitalization is considered an emergency option in bipolar disorder care. It becomes necessary in extreme cases where the disorder is causing someone to be an immediate threat to themselves or others. It may also be used when medications need monitoring or adjustment.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Abhimanyu Chandak
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Bipolar disorder lasts for a lifetime, with treatments aiming at managing the symptoms by psychotherapy and medication.
Medication

Mood stabilizers: Helps control extreme mood variations.

Carbamazepine . Lamotrigine . Valproate


Antipsychotic drugs: Help reduce symptoms of psychosis such as illusion, hallucination, etc.

Olanzapine . Quetiapine . Lurasidone . Cariprazine


Antidepressants: Helps stabilize the mood swings.

Sertraline . Fluoxetine . Citalopram . Desvenlafaxine . Duloxetine . Levomilnacipran . Venlafaxine


Antianxiety drugs: Reduces anxiousness.

Alprazolam . Clonazepam . Diazepam . Lorazepam . Oxazepam

Therapy

Psychotherapy:Interpersonal and social rhythm therapy, cognitive behavioral therapy, Psychoeducation and Family-focused therapy are used.

Electroconvulsive therapy (ECT):Passing mild electrical current to the brain to alter its chemistry and functioning. Usually given in severe cases.

Transcranial magnetic stimulation (TMS):Applying a magnetic field to the brain to alter its functions; still being tested. Usually given in severe cases.

Specialist to consult

Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.

Coping and Support

  • To determine if you have bipolar disorder, your evaluation may include: 1. Physical exam.Your doctor may do a physical exam and lab tests to identify any medical problems that could be causing your symptoms. 2. Psychiatric assessment.Your doctor may refer you to a psychiatrist, …
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Psychotherapy

  • You'll probably need to make lifestyle changes to stop cycles of behavior that worsen your bipolar disorder. Here are some steps to take: 1. Quit drinking or using recreational drugs.One of the biggest concerns with bipolar disorder is the negative consequences of risk-taking behavior and drug or alcohol abuse. Get help if you have trouble quitting on your own. 2. Form healthy relation…
See more on mayoclinic.org

Medications

  • There isn't much research on alternative or complementary medicine — sometimes called integrative medicine — and bipolar disorder. Most of the studies are on major depression, so it isn't clear how these nontraditional approaches work for bipolar disorder. If you choose to use alternative or complementary medicine in addition to your physician-recommended treatment, ta…
See more on mayoclinic.org

Other Treatments

  • Coping with bipolar disorder can be challenging. Here are some strategies that can help: 1. Learn about bipolar disorder.Education about your condition can empower you and motivate you to stick to your treatment plan and recognize mood changes. Help educate your family and friends about what you're going through. 2. Stay focused on your goals.Learning to manage bipolar disorder c…
See more on mayoclinic.org

Treatment Considerations For Women and For Children

  • You may start by seeing your primary care doctor or a psychiatrist. You may want to take a family member or friend along to your appointment, if possible, for support and to help remember information.
See more on mayoclinic.org

Treatment

  • There are many medications for treating bipolar disorder, so a psychiatrist, who is best qualified to identify which drugs work best for a specific patient, should oversee treatment. A psychiatrist is a type of medical doctor (MD or DO) with specialized training in mental health care.
See more on webmd.com

Prognosis

Diagnosis

Types

  • Psychotherapy, support groups and psychoeducation about the illness are essential to treating bipolar disorder: 1. Cognitive behavioral therapy(CBT) helps change the negative thinking and behavior associated with depression. The goal of this therapy is to recognize negative thoughts and to teach coping strategies. 2. Family-focused therapy helps pe...
See more on nami.org

Overview

  • With the prescribing doctor, work together to review the options for medication. Different types of bipolar disorder may respond better to a particular type. The side effects can vary between medications and it may take time to discover the best medicine.
See more on nami.org

Symptoms

  • Electroconvulsive Therapy
    In rare instances, ECTcan be considered as an intervention for severe mania or depression. ECT involves transmitting short electrical impulses into the brain. Although ECT is a highly effective treatment for severe depression, mania or mixed episodes, it is reserved for specific situations a…
See more on nami.org

Prevention

  • Women. Women with bipolar disorder who are of childbearing age, or who are considering getting pregnant, need special attention. A complex risk-benefit discussion needs to occur to look at the treatment options available. Some medicines can have risk to the developing fetus and to children in breast milk. However, there is also evidence that being off of all medications increases the lik…
See more on nami.org

Interactions

Results

Benefits

Research

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