What Is Bipolar Disorder and How Is It Treated?

Bipolar disorder is a complex mental health condition that affects millions of people worldwide, altering how individuals think, feel, and function. Known for its distinct mood shifts—from euphoric highs to debilitating lows—bipolar disorder can be challenging both for those who live with it and for the loved ones supporting them. Fortunately, with the right diagnosis and treatment, people with bipolar disorder can lead full, meaningful lives.

In this blog, we’ll explore what bipolar disorder is, the symptoms to look for, and the most effective treatment options available today.

What Is Bipolar Disorder?

Bipolar disorder—formerly known as manic-depressive illness—is a mood disorder characterized by episodes of mania and depression. These episodes go beyond everyday mood changes. They can be intense and disruptive, often affecting sleep, energy levels, behavior, and the ability to think clearly.

There are several types of bipolar disorder, each with its own patterns:

  1. Bipolar I Disorder: Defined by at least one manic episode that may be preceded or followed by a major depressive episode. Manic episodes in Bipolar I are severe and can sometimes require hospitalization.

  2. Bipolar II Disorder: Involves a pattern of depressive episodes and hypomanic episodes (a less severe form of mania). While mania is less extreme, the depressive episodes can be just as debilitating.

  3. Cyclothymic Disorder (Cyclothymia): Characterized by periods of hypomanic symptoms and depressive symptoms that last for at least two years (one year in children and teens) but do not meet the diagnostic criteria for a full hypomanic or depressive episode.

  4. Other Specified and Unspecified Bipolar and Related Disorders: These are diagnoses used when symptoms don’t match the criteria of the three main types but still include abnormal mood swings.

Symptoms of Bipolar Disorder

Bipolar disorder symptoms depend on the type and phase of the illness but generally include:

During manic or hypomanic episodes:

  • Elevated or irritable mood

  • Inflated self-esteem or grandiosity

  • Decreased need for sleep

  • Increased talkativeness

  • Racing thoughts

  • Distractibility

  • Risky behavior (e.g., reckless spending, unprotected sex, substance use)

During depressive episodes:

  • Persistent sadness or hopelessness

  • Loss of interest in previously enjoyable activities

  • Fatigue or low energy

  • Sleep disturbances (insomnia or oversleeping)

  • Changes in appetite

  • Difficulty concentrating

  • Thoughts of death or suicide

These mood shifts can happen rarely or multiple times a year and vary significantly in intensity and duration from person to person.

Causes and Risk Factors

The exact cause of bipolar disorder is not fully understood, but several factors may contribute:

  • Genetics: Bipolar disorder tends to run in families. If you have a parent or sibling with the condition, your risk may be higher.

  • Brain Structure and Function: Brain imaging studies show differences in the structure and activity of certain brain areas in people with bipolar disorder.

  • Environmental Triggers: Stress, trauma, or major life changes can trigger symptoms or episodes in people predisposed to the condition.

  • Substance Use: Drug or alcohol abuse may worsen or even trigger bipolar symptoms.

How Is Bipolar Disorder Treated?

Bipolar disorder is a lifelong condition, but it can be managed effectively with a comprehensive treatment plan. Bipolar disorder treatment aims to stabilize mood, prevent relapses, and help individuals function well in daily life.

  1. Medication

Medication is often a foundational component of treatment for bipolar disorder. Common classes of medications include:

  • Mood stabilizers (e.g., lithium)

  • Antipsychotics (e.g., olanzapine, quetiapine)

  • Antidepressants (used with caution and usually in combination with mood stabilizers)

  • Anti-anxiety medications (for short-term use in managing acute symptoms)

Medication regimens are tailored to each person and often require adjustments over time to achieve optimal balance with minimal side effects.

  1. Psychotherapy

Therapy plays a vital role in helping people manage their illness. Evidence-based approaches include:

  • Cognitive Behavioral Therapy (CBT): Helps individuals identify negative thought patterns and develop healthier coping strategies.

  • Interpersonal and Social Rhythm Therapy (IPSRT): Focuses on stabilizing daily routines and sleep patterns, which are crucial for mood regulation.

  • Family-Focused Therapy: Educates families and improves communication, which can help reduce relapses and improve support networks.

  1. Lifestyle Management

Healthy daily routines can support treatment and prevent episodes. These include:

  • Regular sleep schedule

  • Balanced diet and physical activity

  • Stress-reduction techniques such as mindfulness and meditation

  • Avoiding alcohol and recreational drugs

  • Tracking moods and symptoms with journals or apps

  1. Education and Support

Understanding the disorder empowers individuals to recognize early warning signs of mood shifts and seek help proactively. Support groups—both in-person and online—offer a sense of community and shared experience.

  1. Hospitalization or Intensive Care (When Necessary)

In severe cases, such as when someone is at risk of harming themselves or others, hospitalization may be necessary to stabilize mood and ensure safety.

Living with Bipolar Disorder

While bipolar disorder can be challenging, many individuals learn to manage it successfully and go on to lead productive, fulfilling lives. The key lies in early diagnosis, individualized treatment, and consistent care.

If you or someone you love is showing signs of bipolar disorder, don’t wait. Reach out to a licensed mental health provider. Early intervention can make a significant difference in outcomes and quality of life.

Bipolar Disorder Treatment Atlanta, GA

Bipolar disorder is more than just “mood swings”—it’s a serious mental health condition that requires compassionate, professional support. Fortunately, with the right combination of medication, therapy, lifestyle changes, and support, it is entirely possible to achieve stability and thrive.

At Imagine Wellness Centers, we specialize in evidence-based treatment for bipolar disorder and other mood disorders. Whether you’re seeking a diagnosis, a second opinion, or long-term support, our team is here to help.