Learn how to manage the ups and downs of life.

Psychotherapy for Bipolar Disorder

In-Person in Charlotte & Online Throughout NC & SC

What is Bipolar Disorder?

Bipolar disorder, also known as manic-depressive illness, is a mental health condition that affects a person's mood, energy levels, and ability to function in daily life. Individuals with bipolar disorder experience extreme and often unpredictable shifts in mood, swinging between episodes of mania and depression.

During manic episodes, individuals may feel elated, euphoric, or extremely irritable. They may exhibit increased energy, engage in impulsive behavior, and experience racing thoughts. They may also have difficulty sleeping and display a heightened sense of self-importance. On the other hand, depressive episodes involve intense sadness, loss of interest in activities, feelings of hopelessness, changes in appetite and sleep patterns, and even thoughts of suicide.

There are ways to manage bipolar symptoms effectively and live your best life.

As a psychotherapist, I can guide you through some of the best treatment options for bipolar disorder. It is important to note that treatment plans will be tailored to each client’s needs and may vary.

Psychotherapy

Psychotherapy is an essential component of bipolar disorder treatment. Different therapeutic approaches, such as cognitive-behavioral therapy (CBT), can help clients understand their condition, develop coping skills, manage stress, and improve relationships. In addition, psychotherapy provides a safe and supportive space to explore emotions, thoughts, and behaviors related to bipolar disorder.

Psychoeducation

Educating individuals and their loved ones about bipolar disorder is crucial. Understanding the nature of the condition, its symptoms, triggers, and available treatments empowers individuals to take a vested interest in their care. In addition, psychoeducation helps individuals recognize early warning signs, implement self-care strategies, and seek appropriate support.

Lifestyle adjustments

Making positive lifestyle changes can significantly impact mood stability. Maintaining a regular sleep schedule, engaging in regular exercise, practicing stress management techniques (such as meditation or deep breathing exercises), and adopting a balanced diet are important aspects of self-care for individuals with bipolar disorder. Avoiding alcohol and recreational drugs is also crucial, as they can worsen symptoms and interfere with treatment effectiveness.

Medication management

Medication like mood stabilizers is essential in managing bipolar disorder symptoms. Mood stabilizers help regulate mood swings and prevent manic or depressive episodes. Antidepressants or antipsychotic medications may also be prescribed in some cases. Working closely with a psychiatrist to find the most suitable medication and dosage is essential.

Support networks

Engaging with support groups or seeking support from friends, family, or online communities can provide invaluable emotional support and understanding. Sharing experiences with others who have similar challenges can help clients feel less alone and provide practical strategies for managing bipolar symptoms.

Treatment plans are tailored to each client’s needs, and a collaborative approach with mental health professionals is crucial. Consulting with a psychiatrist and a psychotherapist can help develop a comprehensive treatment plan addressing both the medical and psychological aspects of bipolar disorder, maximizing the chances of achieving and maintaining stability.

Common questions about Psychotherapy for Bipolar Disorder

  • As a psychotherapist, I use a combination of the client’s self-report of symptoms, a screening tool called the MDQ questionnaire, and family history since there can be a hereditary component to the disorder. Other conditions mimick Bipolar Disorder, so getting a complete history is essential to make an informed diagnosis.

  • Fair question. Discussing medication with clients in therapy can feel like a taboo topic. However, for the conditions I treat, including Bipolar Disorder, in my view, it is harmful not to discuss all options. As a psychotherapist, I never suggest specific medications. However, I will provide psychoeducation about medications and refer to psychiatrists when needed. My goal for clients is to achieve stability and have an excellent quality of life. Multiple studies have shown psychotherapy in combination with medication is the most effective treatment for Bipolar Disorder.

  • I get this question often. Bipolar Disorder is more common than people realize. It is a mental health condition that impacts approximately 5.7 million adult Americans, or about 2.6% of the U.S. aged 18 and older. (National Institute of Mental Health). Psychotherapy is a powerful tool to reduce the stigma around the condition.

    In addition, support groups can be an essential part of reducing shame and achieving self-acceptance.

At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you’re living with this illness and functioning at all, it’s something to be proud of, not ashamed of. ― Carrie Fisher