What is Bipolar Disorder?
Bipolar Disorder is a mental health condition characterized by significant mood changes from the highest highs (mania or hypomania) to the lowest lows (depression).
The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), categorizes bipolar disorder into several types, primarily based on the nature and severity of mood episodes experienced by the individual:
1. Bipolar I Disorder: This type is defined by manic episodes lasting at least 7 days or by manic symptoms that are so severe immediate hospital care is needed. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depressive symptoms and manic symptoms at the same time) are also possible.
2. Bipolar II Disorder: Defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes that are typical of Bipolar I Disorder.
3. Cyclothymic Disorder (Cyclothymia): Defined by periods of hypomanic symptoms as well as periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents); however, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
Each of these types involves clear changes in mood, energy, and activity levels. These moods range from periods of extremely "up," elated, and energized behavior (known as manic episodes) to very sad, "down," or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.
Diagnosis involves a careful clinical examination and detailed medical history by a qualified mental health professional. The DSM-5 outlines specific criteria for each type of bipolar disorder and requires that the symptoms are not better explained by another psychiatric condition.
Treatment typically includes a combination of medications, psychotherapy, and lifestyle adjustments to manage symptoms and prevent the recurrence of mood episodes. Mood stabilizers, antipsychotic medications, and antidepressants can be used to regulate mood, while psychotherapeutic interventions such as cognitive-behavioral therapy (CBT) and psychoeducation are integral for teaching coping strategies and managing daily life.
Frequently Asked Questions
Services
What types of services do you provide?
We provide two main services: psychopharmacology evaluations and medication management. First, you’ll meet with a provider for an evaluation to determine your treatment plan, which may include medication, therapy, lifestyle changes, or other recommendations. Second, if medication is appropriate, our providers will help you manage and adjust your medication to make sure it works effectively.
What is the difference between therapy and medication management?
Therapy, sometimes called “talk therapy,” involves talking with a mental health professional to address mental health issues through dialogue and behavioral strategies. Medication management, on the other hand, is a medical approach where a mental health professional prescribes, monitors, and adjusts psychiatric medication to treat mental health conditions to address your physiological symptoms. Often, a combination of talk therapy and medication management is beneficial.
Does this replace my need for a therapist?
Our providers are here to address your concerns and offer support, but it’s important to note that they are not meant to replace a licensed therapist. Evidence suggests that for many mental health conditions, a combination of medication and psychotherapy is the most effective approach.
How does online psychiatry work?
Virtual psychiatry works just like in-person psychiatry, except instead of sitting in a doctor’s office, you’ll talk to your provider during live video appointments.
What to Expect
What should I expect during a mental health assessment or evaluation?
You’ll connect 1:1 with your new provider to discuss your needs. If appropriate, they’ll prescribe medication and send it to your pharmacy of choice. Regular check-ins will help you track how you’re feeling and any side effects, and your provider will make any needed adjustments.
How do I prepare for my first appointment? How long are typical appointments?
Before your scheduled appointment, you’ll receive new patient forms, which you’ll need to complete in advance. We will also ask for your insurance information, a valid form of identification, a list of any of your current medications, and any relevant medical records or previous psychiatric evaluations.
Typical appointment times vary depending on the nature of your visit and your treatment plan. Initial consultations usually last around 60 minutes, during which you'll have an in-depth discussion with your provider. Follow-up appointments are typically shorter, ranging from 15 to 30 minutes, but this may be adjusted based on your specific needs and progress.
What should I do in case of an emergency or crisis?
If you’re having a medical or mental health emergency, call 911.
Call or text 833-773-2445 for 24/7 Crisis and Mental Health Support from the Massachusetts Behavioral Health Help Line.
Appointments
How do I schedule an appointment?
To schedule an appointment, please fill out our Appointment Request Form. Someone from the Monomoy Health team will contact you for more information and to help schedule your first appointment. We look forward to working with you!
Do you offer virtual/online appointments?
Yes, we offer virtual appointments. That means you can meet with your provider from the comfort of your home. We recommend choosing a well-lit and quiet space for your meeting.
Are my appointments and information confidential?
Yes. We adhere to the highest standards of privacy and confidentiality to ensure that your personal and medical information is safe, and privacy is a top priority in our practice. For more information, please download our HIPAA policy.
Our providers specialize in…
For more information about each of these conditions, click on each word in the list.
- Addiction and Substance Use Disorders
- Dementia and Alzheimer’s Disease
- Anxiety Disorders
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Autism Spectrum Disorder
- Bipolar Disorders
- Depression
- Disruptive, Impulse-Control and Conduct Disorders
- Dissociative Disorders
- Eating Disorders
- Gender Dysphoria
- Hoarding Disorder
- Obsessive-Compulsive Disorder
- Opioid Use Disorder
- Perinatal Depression (formerly Postpartum)
- Personality Disorders
- Post-Traumatic Stress Disorder (PTSD)
- Prolonged Grief Disorder
- Schizophrenia
- Seasonal Affective Disorder (SAD)
- Sleep Disorders
- Somatic Symptom Disorder
