Psychologists and psychiatrists at Shier Private Practice, in Scottsdale, AZ specialize in the treatment of bipolar disorder. Our private outpatient clinic offers a comprehensive psychiatric/medical assessment and treatment plan. Treatment may include medications, behavioral therapies or a combination of treatments.

Bipolar disorder is classified into different types based on the severity and pattern of mood episodes:
1. Bipolar I Disorder – Defined by manic episodes lasting at least seven days or requiring hospitalization. Depressive episodes often occur as well.
2. Bipolar II Disorder – Characterized by hypomanic episodes (less severe than full mania) alternating with major depressive episodes.

The symptoms of bipolar disorder vary depending on whether the person is experiencing mania/hypomania or depression:

Manic or Hypomanic Episode Symptoms

• Elevated or irritable mood
• Increased energy or restlessness
• Racing thoughts or rapid speech
• Decreased need for sleep
• Impulsivity or risky behavior (e.g., excessive spending, reckless driving)
• Inflated self-esteem or grandiosity
• Distractibility

Depressive Episode Symptoms

• Persistent sadness or hopelessness
• Fatigue or low energy
• Loss of interest in activities
• Sleep disturbances (insomnia or oversleeping)
• Appetite and weight changes
• Difficulty concentrating or making decisions
• Thoughts of death or suicide

For a bipolar disorder diagnosis, individuals must experience distinct mood episodes that significantly affect their daily life.

The exact cause of bipolar disorder is unknown, but several factors contribute to its development:

• Genetics – Family history increases the risk.
• Brain Structure and Function – Differences in brain chemistry may play a role.
• Environmental Triggers – Stress, trauma, or substance use can trigger episodes.

Without treatment, bipolar disorder can cause serious disruptions in daily life, leading to:

• Relationship and work difficulties
• Financial instability due to impulsive spending
• Increased risk of substance abuse
• Higher suicide risk during depressive episodes

A comprehensive psychiatric evaluation, including a biopsychosocial assessment, is necessary to diagnose bipolar disorder and differentiate it from other mood disorders.

Treatment Options

• Medications – Mood stabilizers, antipsychotics, and antidepressants may be prescribed.
• Psychotherapy – Cognitive Behavioral Therapy (CBT), Interpersonal and Social Rhythm Therapy (IPSRT), and psychoeducation can help manage symptoms.
• Lifestyle Adjustments – Maintaining a regular sleep schedule, managing stress, and avoiding triggers can help reduce mood episodes.

Despite the availability of effective treatments, many individuals with bipolar disorder may not seek or receive proper care.

Along with medical treatment, self-care strategies can help manage bipolar disorder:

1. Maintain Routine – Regular sleep, meals, and exercise can help regulate mood.
2. Medication Adherence – Consistently taking prescribed medications is crucial.
3. Avoid Substance Use – Alcohol and drugs can worsen symptoms.
4. Track Mood Changes – Keeping a mood journal can help identify patterns.
5. Build a Support System – Connecting with family, friends, and support groups can provide emotional stability.
6. Stress Management – Relaxation techniques, such as mindfulness and meditation, can help prevent mood episodes.

Last update: February 12, 2025

The content on this website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.