{"id":8165,"date":"2022-01-27T18:08:00","date_gmt":"2022-01-27T18:08:00","guid":{"rendered":"https:\/\/www.talkspace.com\/mental-health\/conditions\/?page_id=8165"},"modified":"2023-04-19T18:19:10","modified_gmt":"2023-04-19T18:19:10","slug":"bipolar-disorder","status":"publish","type":"page","link":"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/","title":{"rendered":"Bipolar Disorder"},"content":{"rendered":"\r\n\r\n\t\r\n\t\r\n\t<hr class=\"section-sidebar-visible\" \/>\r\n\t\t<!--section-reviewed -->\r\n\t\t<div class=\"section-reviewed-by section-sidebar-visible\">\r\n\t\t\r\n\t\t\t<!--media -->\r\n\t\t\t<div class=\"media\">\r\n\t\t\t\t<!--media-right -->\r\n\t\t\t\t<div class=\"media-left media-middle\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<div class=\"image-thumbail\" style=\"background-image:url('https:\/\/www.talkspace.com\/mental-health\/conditions\/wp-content\/uploads\/sites\/2\/2021\/04\/liz-kelly-headshot.png');\"><\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t<!--media-right -->\r\n\t\t\t\t<!--media-body -->\r\n\t\t\t\t<div class=\"media-body media-middle\">\r\n\t\t\t\t\t<span class=\"reviewed-by-title\">Medically reviewed by<\/span>\r\n\t\t\t\t\t<h6 class=\"reviewed-by-author font-bold\" style=\"display:none;\">Liz Kelly, LCSW<\/h6>\r\n\t\t\t\t\t<h6 class=\"reviewed-by-author font-bold\">Liz Kelly, LCSW<\/h6>\r\n\t\t\r\n\t\t\t\t\t<p>Reviewed On: June 1, 2021<\/p>\r\n\t\t\t\t<\/div>\r\n\t\t\t\t<!--media-body -->\r\n\t\t\t<\/div>  \r\n\t\t\t<!--media -->\r\n\t\t\r\n\t\t<\/div>\r\n\t\t<!--section-reviewed -->\r\n\r\n\t<hr class=\"section-sidebar-visible\" \/>\r\n\r\n\t\t\r\n\n\n\n\n\n\n\n\n<section class=\"treat-section\">\n\t<div class=\"container-new\">\n\t\t<h3>How to Treat Bipolar Disorder<\/h3>\t\t<div class=\"treat-items\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<div class=\"treat-item\">\n\t\t\t\t\t<div>\n\t\t\t\t\t\t<h4>Therapy<\/h4><p><p>Talk therapy, or psychotherapy, can be an effective part of a person\u2019s treatment plan. This form of treatment entails a variety of therapeutic techniques that help a person spot and change unwanted emotions, thoughts, and behaviors. It provides education, support, and a roadmap for those struggling with bipolar disorder.<\/p>\n<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t<a class=\"btn-primary\" href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/therapy-treatment-types\/\">Learn more<\/a>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"treat-item\">\n\t\t\t\t\t<div>\n\t\t\t\t\t\t<h4>Treatment<\/h4><p><p>Since bipolar disorder is a lifelong mental health condition, treatment options focus primarily on managing symptoms. Treatment for bipolar disorder should only be determined by medical doctors with support from a psychologist and possibly a licensed therapist or social worker.<\/p>\n<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t<a class=\"btn-primary\" href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/how-to-treat\/\">Learn more<\/a>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"treat-item\">\n\t\t\t\t\t<div>\n\t\t\t\t\t\t<h4>Medication<\/h4><p><p>Certain medications help with managing symptoms of bipolar disorder. Psychopharmaceuticals, for example, are used to help balance mood and can be used immediately after diagnosis. This process may take some time, and a person might need to try several different bipolar disorder medications before finding the ones that work best.<\/p>\n<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t<a class=\"btn-primary\" href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/medications\/\">Learn more<\/a>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"treat-item\">\n\t\t\t\t\t<div>\n\t\t\t\t\t\t<h4>Alternative Treatments<\/h4><p><p>There are several things that in addition to medication and therapy that can help treat bipolar disorder. These may include changing your lifestyle, joining a support group, relying on your support network, or looking into alternative medication options.<\/p>\n<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t<a class=\"btn-primary\" href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/borderline-personality-disorder\/natural-alternative-treatments\/\">Learn more<\/a>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n\t<section class=\"faq section\" id=\"section-faq\">\n\t\t<div class=\"container-new\">\n\t\t\t<div class=\"faq-wrap\">\n\t\t\t\t<div class=\"accordion-container\">\n\t\t\t\t\t<h2>Frequently Asked Questions<\/h2>\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t\t\t<a href=\"javascript:;\">What are the differences in manic and depressive symptoms?<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t<p><h3><b>Manic &amp; Hypomanic Episode Symptoms<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Both manic and hypomanic episodes include three or more of the below symptoms:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Talking much more than usual\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Racing thoughts<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Being distracted<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling the need for less sleep<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Elevated Mood: Feeling abnormally upbeat, jumpy or wired<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased activity levels, energy or agitation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inflated sense of well-being and self-confidence\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor decision-making and increased impulsive behavior<\/span><\/li>\n<\/ul>\n<h3><b>Major Depressive Episode Symptoms<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The third <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/symptoms\/\"><span style=\"font-weight: 400;\">symptom of bipolar disorder<\/span><\/a><span style=\"font-weight: 400;\"> is depression, which can severely impact a person\u2019s daily life. A person is experiencing a major depressive episode if they are experiencing five or more of the following symptoms:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe loss of interest or feeling no pleasure in normal activities\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Noticeable weight loss when not trying to lose weight, weight gain, or changes in appetite\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling sad, empty, hopeless, or teary all the time. In children\/teens, this depressed mood can present as irritability\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleeping too much or not being able to sleep, as with insomnia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Having less energy or always feeling tired\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling worthless or overly guilty\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Struggling to concentrate or make decisions\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling suicidal or having suicidal thoughts<\/span><\/li>\n<\/ul>\n<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t\t\t<a href=\"javascript:;\">Can bipolar disorder coexist alongside other conditions?<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t<p><p><span style=\"font-weight: 400;\">Bipolar disorder often co-occurs with other conditions, ultimately making treatment and management much more difficult. Some of the following additional conditions can potentially lessen the effectiveness of treatment or worsen symptoms of bipolar.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Bipolar depression <\/b><span style=\"font-weight: 400;\">\u2014 While <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/articles\/bipolar-vs-depression\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">bipolar disorder and depression<\/span><\/a><span style=\"font-weight: 400;\"> are two separate conditions, bipolar depression can occur during depressive episodes. It often presents as feelings of guilt, unpredictable mood swings, irritability, or feelings of extreme restlessness. Sometimes speaking slowly, gaining weight, and sleeping more than normal is also experienced.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Major depression <\/b><span style=\"font-weight: 400;\">\u2014 While bipolar disorder and depressive disorder are two separate conditions, <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/articles\/major-depressive-disorder-symptoms\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">major depression<\/span><\/a><span style=\"font-weight: 400;\"> is often experienced during bipolar depressive disorders.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Anxiety \u2014 <\/b><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/generalized-anxiety-disorder\/\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/a><span style=\"font-weight: 400;\"> has various causes and can coexist with bipolar disorder.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Substance abuse <\/b><span style=\"font-weight: 400;\">\u2014 Substance abuse and addiction is a common comorbidity for those with bipolar disorder. In addition, when using substances, more extreme manic and depressive episodes can occur.<\/span><\/li>\n<li aria-level=\"1\"><b>Attention deficit hyperactivity disorder (ADHD)<\/b><b style=\"font-size: revert; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif; color: initial;\">\u00a0<\/b><span style=\"font-weight: 400;\">\u2014 Often bipolar disorder and <\/span><a style=\"font-size: revert; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif;\" href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/attention-deficit-hyperactivity-disorder\/\"><span>ADHD<\/span><\/a><span style=\"font-weight: 400;\"> occur simultaneously. Making it particularly challenging is the fact that many symptoms overlap between the two disorders. For example, impulsivity and inattention are major symptoms of both disorders.<\/span><\/li>\n<\/ul>\n<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t\t\t<a href=\"javascript:;\">What disorders are related to bipolar disorder?<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t<p><p><span style=\"font-weight: 400;\">Many people experience additional disorders that are related to bipolar disorder. Sometimes the coexistence of multiple conditions or disorders can lead to misdiagnosis or difficulty diagnosing or creating treatment plans for bipolar disorder.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Anxiety disorders <\/b><span style=\"font-weight: 400;\">\u2014 Anxiety disorders are common with bipolar disorder. Types of anxiety disorders that are often present in those who also have bipolar disorder include general anxiety disorder (GAD), panic disorder, and social phobias.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Post traumatic stress disorder (PTSD) <\/b><span style=\"font-weight: 400;\">\u2014 Research shows that people who have bipolar disorder have an increased chance of developing the psychiatric disorder <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/post-traumatic-stress-disorder\/\"><span style=\"font-weight: 400;\">post traumatic stress disorder<\/span><\/a><span style=\"font-weight: 400;\"> (PTSD). While they are two distinct mental health diagnoses, they share several common symptoms that can make diagnosis and treatment sometimes difficult.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Schizophrenia <\/b><span style=\"font-weight: 400;\">\u2014 The hallucinations and\/or delusions often experienced by someone with bipolar disorder can make it easy to confuse the condition with <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/schizophrenia\/\"><span style=\"font-weight: 400;\">schizophrenia<\/span><\/a><span style=\"font-weight: 400;\">. That said, it <\/span><i><span style=\"font-weight: 400;\">is <\/span><\/i><span style=\"font-weight: 400;\">possible to have both disorders. When this occurs, it\u2019s known as schizoaffective disorder.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Borderline personality disorder <\/b><span>\u2014 While <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/borderline-personality-disorder\/\"><span>borderline personality disorder<\/span><\/a><span> (BPD) and bipolar disorder can have an overlap in symptoms \u2014 including extreme emotions and impulsive behavior \u2014 the disorders are actually quite different. BPD has a significant impact on how someone feels and thinks about themself and others in their life. For a more in-depth understanding of the two, learn more about <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/articles\/bipolar-vs-borderline-personality-disorder\/\" target=\"_blank\" rel=\"noopener\"><span>borderline personality vs. bipolar disorder<\/span><\/a><span>.<\/span><\/li>\n<\/ul>\n<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t\t\t<a href=\"javascript:;\">What types of therapy are used for bipolar disorder?<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t<p><p><span style=\"font-weight: 400;\">After seeking a diagnosis, talk therapy can become a vital part of treatment and can include several types of therapy, including:<\/span><\/p>\n<h3><b>Interpersonal and social rhythm therapy (IPSRT)<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">This type of therapy focuses on the idea that a consistent routine allows for better mood management. A therapist will work with an individual to stabilize daily rhythms such as sleeping, exercise, and eating.<\/span><\/p>\n<h3><b>Cognitive behavioral therapy (CBT)<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The focus of <\/span><a href=\"https:\/\/www.talkspace.com\/blog\/cognitive-behavioral-therapy-what-to-expect\/\"><span style=\"font-weight: 400;\">cognitive behavioral therapy<\/span><\/a><span style=\"font-weight: 400;\"> is identifying unhealthy, negative beliefs and behaviors and replacing them with healthy, positive ones. CBT can be a valuable way to identify what triggers bipolar episodes.<\/span><\/p>\n<h3><b>Psychoeducation<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Learning about bipolar disorder can help a person and their loved ones better understand the condition and guide them in identifying issues, making a plan to prevent relapse, and sticking with treatment.<\/span><\/p>\n<h3><b>Family-focused therapy<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Community support and communication can help a person stick with their treatment and better manage the warning signs of possible mood swings.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is still more research to be done surrounding when and how intensive therapy and treatment can best have an impact on bipolar disorder. Much of the discussion pertains to whether early interventions may be able to prevent or limit full-blown episodes.<\/span><\/p>\n<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t\t\t<a href=\"javascript:;\">What are common types of medications used in bipolar disorder treatment?<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t<p><p><span style=\"font-weight: 400;\">Medication is likely going to be an important component of any bipolar disorder treatment plan. When used in conjunction with therapy and other techniques, it can be possible to manage bipolar disorder with the right medication. Types of bipolar disorder medications and doses will be based on an individual\u2019s specific symptoms.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Mood stabilizers <\/b><span style=\"font-weight: 400;\">\u2014 Mood stabilizers are commonly prescribed to treat bipolar disorder during manic or hypomanic episodes. These are often considered to be one of the most important medications to treat bipolar disorder.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Atypical antipsychotics <\/b><span style=\"font-weight: 400;\">\u2014 Used to treat both types of episodes (manic and depressive), atypical antipsychotics can be an effective form of treatment for both long- and short-term plans. Additionally, they can be used to treat psychotic symptoms like delusions, hallucinations, and mania symptoms.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Anticonvulsants <\/b><span style=\"font-weight: 400;\">\u2014 Anticonvulsants can be prescribed either on their own or with the combination of an antipsychotic drug or <\/span><a href=\"https:\/\/www.talkspace.com\/psychiatry\/medications\/lithium\/\"><span style=\"font-weight: 400;\">lithium prescription<\/span><\/a><span style=\"font-weight: 400;\">. Many anticonvulsants are recognized as a type of mood stabilizer.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Benzodiazepines <\/b><span style=\"font-weight: 400;\">\u2014 Though not usually a core bipolar treatment, benzodiazepines (or \u201cbenzos\u201d) can help quickly control manic symptoms. Can be prescribed for short-term use until other mood stabilizing drugs start to take effect.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Once prescribed, the medication shouldn\u2019t be stopped without first consulting a health care provider first. Medications for bipolar disorder are meant to be taken consistently, as prescribed, even once a person starts feeling better. If an individual stops taking a prescribed medication, it may actually lead to a worsening of bipolar symptoms.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Depending on a person\u2019s situation and unique needs, in addition to medications, symptoms of bipolar disorder can be managed with the following treatment options:\u00a0\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Day treatment \u2014 <\/b><span style=\"font-weight: 400;\">\u00a0Day treatment programs are able to offer the necessary support for the individual as they work to control their symptoms.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Continuous treatment \u2014 <\/b><span style=\"font-weight: 400;\">Bipolar disorder may require lifelong treatment along with medication even when a person feels better. Skipping any kind of maintenance treatment can result in a relapse of symptoms and may result in depression or symptoms of mania.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hospitalization \u2014 <\/b><span style=\"font-weight: 400;\">If a person is behaving dangerously, psychiatric treatment at a hospital can help keep the individual calm and safe while stabilizing their mood during a manic or major depressive episode.<\/span><\/li>\n<\/ul>\n<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t\t\t<a href=\"javascript:;\">What are other bipolar disorder treatment options?<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t<p><p><span style=\"font-weight: 400;\">Medication isn\u2019t the only way to treat bipolar disorder. The most effective form of treatment is going to be a combination of the right medication (or medications) and psychotherapy (also known as talk therapy). Since bipolar disorder is a lifelong mental health condition, long-term and continuous treatment is going to be important, even in cases when people are in between episodes and aren\u2019t experiencing major manic or depressive symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some types of treatment, in addition to medication, to treat bipolar disorder can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Talk therapy <\/b><span style=\"font-weight: 400;\">\u2014 <\/span><a href=\"https:\/\/www.talkspace.com\/blog\/what-is-talk-therapy\/\"><span style=\"font-weight: 400;\">Talk therapy<\/span><\/a><span style=\"font-weight: 400;\"> (or psychotherapy) is an essential part of any bipolar treatment plan. Learn how to identify, talk about, and address thoughts and feelings that may be contributing to symptoms of bipolar disorder.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Electroconvulsive therapy (ECT) <\/b><span style=\"font-weight: 400;\">\u2014 ECT is a procedure that stimulates the brain and is known to help people with bipolar disorder gain significant relief from symptoms. Typically, ECT requires a series of sessions over multiple weeks, and it requires general anesthesia. When talk therapy and medication are not effective, ECT may be instrumental in relieving and treating symptoms of both manic and depressive episodes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Transcranial magnetic stimulation (TMS) <\/b><span style=\"font-weight: 400;\">\u2014 TMS is another approach that\u2019s newer than ECT. It also involves brain stimulation using magnetic waves. The difference between TMS and ECT is that TMS is administered while patients are awake, eliminating the need for general anesthesia. It\u2019ll be administered almost every day for one month. While TMS is effective for treating depression, how well it works to treat bipolar disorder is still being researched.<\/span><\/li>\n<\/ul>\n<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t\t\t<a href=\"javascript:;\">How can you manage bipolar disorder beyond treatment?<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t<p><p><span style=\"font-weight: 400;\">There are several things that in addition to medication and therapy that can help treat bipolar disorder.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Exercise regularly <\/b><span style=\"font-weight: 400;\">\u2014 Regular exercise can help ease depression and stabilize moods. It\u2019s also known to improve sleep habits. All of these can be beneficial in managing bipolar disorder.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Journal and keep a life chart <\/b><span style=\"font-weight: 400;\">\u2014 Life charts are a way to track daily mood symptoms, sleep patterns, medication and other treatments, and major life events that may spark a bipolar episode.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Keep a consistent sleep cycle <\/b><span style=\"font-weight: 400;\">\u2014 Getting enough sleep is a known mood stabilizer. It can also reduce irritability and is useful in establishing healthy routines that can help manage bipolar disorder.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Eat a balanced and healthy diet <\/b><span style=\"font-weight: 400;\">\u2014 Eating a healthy diet, including foods high in omega-3 fatty acids, it\u2019s always a good thing. With bipolar disorder, it can also be important to reduce the intake of any trans and saturated fats, both of which are linked to chemical imbalances in the brain.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Learn calming techniques <\/b><span style=\"font-weight: 400;\">\u2014 Calming techniques like yoga, acupuncture, massage therapy, and mindful meditation are all ways to reduce stress and anxiety, both of which can complicate bipolar disorder. While they can\u2019t cure it, calming techniques are a definitive way to manage bipolar symptoms. They can be an extremely valuable part of any treatment plan.<\/span><\/li>\n<\/ul>\n<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t\t\t<a href=\"javascript:;\">How do I cope with bipolar disorder?<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t<p><p><span style=\"font-weight: 400;\">Though living with bipolar disorder is often a challenge, there are coping techniques that can help make it easier to manage. Bipolar disorder is a lifelong condition and will always require treatment. The most important part of coping with it is finding a treatment plan that works, and then staying on it.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other ways to cope with bipolar disorder can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Being patient<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Staying committed to therapy appointments\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Taking medication as directed, even between episodes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Being open and honest with a therapist or doctor about symptoms and treatment options<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoiding excessive alcohol and drug use or abuse<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Keeping structure to daily activities \u2014 eat, sleep, and exercise regularly and on a routine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Learning to recognize symptoms and mood swings<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Asking for help<\/span><\/li>\n<\/ul>\n<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t\t\t<a href=\"javascript:;\">What happens if bipolar disorder goes untreated?<\/a>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content\">\n\t\t\t\t\t\t\t\t\t\t<p><p><span style=\"font-weight: 400;\">When left untreated, bipolar disorder can develop into a significantly more severe condition. It\u2019s not uncommon for symptoms to increase in severity, and in the most extreme cases, they can become so severe that they lead to suicide. Both manic and depressive episodes can become not only more intense, but also more frequent when an effective treatment plan isn\u2019t put into place.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other complications that can arise as a result of untreated bipolar disorder include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Social issues<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Financial or legal issues<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Emotional and physical symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Damaged relationships \u2014 both personal and professional (learn more about <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/relationships-dating\/\"><span style=\"font-weight: 400;\">bipolar disorder and relationships<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor performance \u2014 at work or school<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.talkspace.com\/blog\/suicidal-ideation-what-is\/\"><span>Suicidal ideation<\/span><\/a><span> or attempts<\/span><\/li>\n<\/ul>\n<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/section>\n\n\t<script type=\"application\/ld+json\">\n\t\t{\n\t\t  \"@context\": \"https:\/\/schema.org\",\n\t\t  \"@type\": \"FAQPage\",\n\t\t  \"mainEntity\": [\n\t\t\t\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t  \"@type\": \"Question\",\n\t\t\t\t\t  \"name\": \"What are the differences in manic and depressive symptoms?\",\n\t\t\t\t\t  \"acceptedAnswer\": {\n\t\t\t\t\t\t\"@type\": \"Answer\",\n\t\t\t\t\t\t\"text\": \"<h3><b>Manic &amp; Hypomanic Episode Symptoms<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Both manic and hypomanic episodes include three or more of the below symptoms:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Talking much more than usual\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Racing thoughts<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Being distracted<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Feeling the need for less sleep<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Elevated Mood: Feeling abnormally upbeat, jumpy or wired<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Increased activity levels, energy or agitation<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Inflated sense of well-being and self-confidence\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Poor decision-making and increased impulsive behavior<\/span><\/li>\n<\/ul>\n<h3><b>Major Depressive Episode Symptoms<\/b><\/h3>\n<p><span style=\"font-weight: 400\">The third <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/symptoms\/\"><span style=\"font-weight: 400\">symptom of bipolar disorder<\/span><\/a><span style=\"font-weight: 400\"> is depression, which can severely impact a person\u2019s daily life. A person is experiencing a major depressive episode if they are experiencing five or more of the following symptoms:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Severe loss of interest or feeling no pleasure in normal activities\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Noticeable weight loss when not trying to lose weight, weight gain, or changes in appetite\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Feeling sad, empty, hopeless, or teary all the time. In children\/teens, this depressed mood can present as irritability\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sleeping too much or not being able to sleep, as with insomnia<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Having less energy or always feeling tired\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Feeling worthless or overly guilty\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Struggling to concentrate or make decisions\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Feeling suicidal or having suicidal thoughts<\/span><\/li>\n<\/ul>\n\t\t\t\t\t  }\n\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t  \"@type\": \"Question\",\n\t\t\t\t\t  \"name\": \"Can bipolar disorder coexist alongside other conditions?\",\n\t\t\t\t\t  \"acceptedAnswer\": {\n\t\t\t\t\t\t\"@type\": \"Answer\",\n\t\t\t\t\t\t\"text\": \"<p><span style=\"font-weight: 400\">Bipolar disorder often co-occurs with other conditions, ultimately making treatment and management much more difficult. Some of the following additional conditions can potentially lessen the effectiveness of treatment or worsen symptoms of bipolar.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Bipolar depression <\/b><span style=\"font-weight: 400\">\u2014 While <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/articles\/bipolar-vs-depression\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">bipolar disorder and depression<\/span><\/a><span style=\"font-weight: 400\"> are two separate conditions, bipolar depression can occur during depressive episodes. It often presents as feelings of guilt, unpredictable mood swings, irritability, or feelings of extreme restlessness. Sometimes speaking slowly, gaining weight, and sleeping more than normal is also experienced.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Major depression <\/b><span style=\"font-weight: 400\">\u2014 While bipolar disorder and depressive disorder are two separate conditions, <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/articles\/major-depressive-disorder-symptoms\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">major depression<\/span><\/a><span style=\"font-weight: 400\"> is often experienced during bipolar depressive disorders.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Anxiety \u2014 <\/b><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/generalized-anxiety-disorder\/\"><span style=\"font-weight: 400\">Anxiety<\/span><\/a><span style=\"font-weight: 400\"> has various causes and can coexist with bipolar disorder.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Substance abuse <\/b><span style=\"font-weight: 400\">\u2014 Substance abuse and addiction is a common comorbidity for those with bipolar disorder. In addition, when using substances, more extreme manic and depressive episodes can occur.<\/span><\/li>\n<li><b>Attention deficit hyperactivity disorder (ADHD)<\/b><b style=\"font-size: revert;font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif;color: initial\">\u00a0<\/b><span style=\"font-weight: 400\">\u2014 Often bipolar disorder and <\/span><a style=\"font-size: revert;font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif\" href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/attention-deficit-hyperactivity-disorder\/\"><span>ADHD<\/span><\/a><span style=\"font-weight: 400\"> occur simultaneously. Making it particularly challenging is the fact that many symptoms overlap between the two disorders. For example, impulsivity and inattention are major symptoms of both disorders.<\/span><\/li>\n<\/ul>\n\t\t\t\t\t  }\n\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t  \"@type\": \"Question\",\n\t\t\t\t\t  \"name\": \"What disorders are related to bipolar disorder?\",\n\t\t\t\t\t  \"acceptedAnswer\": {\n\t\t\t\t\t\t\"@type\": \"Answer\",\n\t\t\t\t\t\t\"text\": \"<p><span style=\"font-weight: 400\">Many people experience additional disorders that are related to bipolar disorder. Sometimes the coexistence of multiple conditions or disorders can lead to misdiagnosis or difficulty diagnosing or creating treatment plans for bipolar disorder.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Anxiety disorders <\/b><span style=\"font-weight: 400\">\u2014 Anxiety disorders are common with bipolar disorder. Types of anxiety disorders that are often present in those who also have bipolar disorder include general anxiety disorder (GAD), panic disorder, and social phobias.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400\"><b>Post traumatic stress disorder (PTSD) <\/b><span style=\"font-weight: 400\">\u2014 Research shows that people who have bipolar disorder have an increased chance of developing the psychiatric disorder <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/post-traumatic-stress-disorder\/\"><span style=\"font-weight: 400\">post traumatic stress disorder<\/span><\/a><span style=\"font-weight: 400\"> (PTSD). While they are two distinct mental health diagnoses, they share several common symptoms that can make diagnosis and treatment sometimes difficult.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Schizophrenia <\/b><span style=\"font-weight: 400\">\u2014 The hallucinations and\/or delusions often experienced by someone with bipolar disorder can make it easy to confuse the condition with <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/schizophrenia\/\"><span style=\"font-weight: 400\">schizophrenia<\/span><\/a><span style=\"font-weight: 400\">. That said, it <\/span><i><span style=\"font-weight: 400\">is <\/span><\/i><span style=\"font-weight: 400\">possible to have both disorders. When this occurs, it\u2019s known as schizoaffective disorder.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Borderline personality disorder <\/b><span>\u2014 While <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/borderline-personality-disorder\/\"><span>borderline personality disorder<\/span><\/a><span> (BPD) and bipolar disorder can have an overlap in symptoms \u2014 including extreme emotions and impulsive behavior \u2014 the disorders are actually quite different. BPD has a significant impact on how someone feels and thinks about themself and others in their life. For a more in-depth understanding of the two, learn more about <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/articles\/bipolar-vs-borderline-personality-disorder\/\" target=\"_blank\" rel=\"noopener\"><span>borderline personality vs. bipolar disorder<\/span><\/a><span>.<\/span><\/li>\n<\/ul>\n\t\t\t\t\t  }\n\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t  \"@type\": \"Question\",\n\t\t\t\t\t  \"name\": \"What types of therapy are used for bipolar disorder?\",\n\t\t\t\t\t  \"acceptedAnswer\": {\n\t\t\t\t\t\t\"@type\": \"Answer\",\n\t\t\t\t\t\t\"text\": \"<p><span style=\"font-weight: 400\">After seeking a diagnosis, talk therapy can become a vital part of treatment and can include several types of therapy, including:<\/span><\/p>\n<h3><b>Interpersonal and social rhythm therapy (IPSRT)<\/b><\/h3>\n<p><span style=\"font-weight: 400\">This type of therapy focuses on the idea that a consistent routine allows for better mood management. A therapist will work with an individual to stabilize daily rhythms such as sleeping, exercise, and eating.<\/span><\/p>\n<h3><b>Cognitive behavioral therapy (CBT)<\/b><\/h3>\n<p><span style=\"font-weight: 400\">The focus of <\/span><a href=\"https:\/\/www.talkspace.com\/blog\/cognitive-behavioral-therapy-what-to-expect\/\"><span style=\"font-weight: 400\">cognitive behavioral therapy<\/span><\/a><span style=\"font-weight: 400\"> is identifying unhealthy, negative beliefs and behaviors and replacing them with healthy, positive ones. CBT can be a valuable way to identify what triggers bipolar episodes.<\/span><\/p>\n<h3><b>Psychoeducation<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Learning about bipolar disorder can help a person and their loved ones better understand the condition and guide them in identifying issues, making a plan to prevent relapse, and sticking with treatment.<\/span><\/p>\n<h3><b>Family-focused therapy<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Community support and communication can help a person stick with their treatment and better manage the warning signs of possible mood swings.<\/span><\/p>\n<p><span style=\"font-weight: 400\">There is still more research to be done surrounding when and how intensive therapy and treatment can best have an impact on bipolar disorder. Much of the discussion pertains to whether early interventions may be able to prevent or limit full-blown episodes.<\/span><\/p>\n\t\t\t\t\t  }\n\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t  \"@type\": \"Question\",\n\t\t\t\t\t  \"name\": \"What are common types of medications used in bipolar disorder treatment?\",\n\t\t\t\t\t  \"acceptedAnswer\": {\n\t\t\t\t\t\t\"@type\": \"Answer\",\n\t\t\t\t\t\t\"text\": \"<p><span style=\"font-weight: 400\">Medication is likely going to be an important component of any bipolar disorder treatment plan. When used in conjunction with therapy and other techniques, it can be possible to manage bipolar disorder with the right medication. Types of bipolar disorder medications and doses will be based on an individual\u2019s specific symptoms.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Mood stabilizers <\/b><span style=\"font-weight: 400\">\u2014 Mood stabilizers are commonly prescribed to treat bipolar disorder during manic or hypomanic episodes. These are often considered to be one of the most important medications to treat bipolar disorder.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Atypical antipsychotics <\/b><span style=\"font-weight: 400\">\u2014 Used to treat both types of episodes (manic and depressive), atypical antipsychotics can be an effective form of treatment for both long- and short-term plans. Additionally, they can be used to treat psychotic symptoms like delusions, hallucinations, and mania symptoms.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Anticonvulsants <\/b><span style=\"font-weight: 400\">\u2014 Anticonvulsants can be prescribed either on their own or with the combination of an antipsychotic drug or <\/span><a href=\"https:\/\/www.talkspace.com\/psychiatry\/medications\/lithium\/\"><span style=\"font-weight: 400\">lithium prescription<\/span><\/a><span style=\"font-weight: 400\">. Many anticonvulsants are recognized as a type of mood stabilizer.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Benzodiazepines <\/b><span style=\"font-weight: 400\">\u2014 Though not usually a core bipolar treatment, benzodiazepines (or \u201cbenzos\u201d) can help quickly control manic symptoms. Can be prescribed for short-term use until other mood stabilizing drugs start to take effect.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Once prescribed, the medication shouldn\u2019t be stopped without first consulting a health care provider first. Medications for bipolar disorder are meant to be taken consistently, as prescribed, even once a person starts feeling better. If an individual stops taking a prescribed medication, it may actually lead to a worsening of bipolar symptoms.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Depending on a person\u2019s situation and unique needs, in addition to medications, symptoms of bipolar disorder can be managed with the following treatment options:\u00a0\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Day treatment \u2014 <\/b><span style=\"font-weight: 400\">\u00a0Day treatment programs are able to offer the necessary support for the individual as they work to control their symptoms.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Continuous treatment \u2014 <\/b><span style=\"font-weight: 400\">Bipolar disorder may require lifelong treatment along with medication even when a person feels better. Skipping any kind of maintenance treatment can result in a relapse of symptoms and may result in depression or symptoms of mania.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Hospitalization \u2014 <\/b><span style=\"font-weight: 400\">If a person is behaving dangerously, psychiatric treatment at a hospital can help keep the individual calm and safe while stabilizing their mood during a manic or major depressive episode.<\/span><\/li>\n<\/ul>\n\t\t\t\t\t  }\n\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t  \"@type\": \"Question\",\n\t\t\t\t\t  \"name\": \"What are other bipolar disorder treatment options?\",\n\t\t\t\t\t  \"acceptedAnswer\": {\n\t\t\t\t\t\t\"@type\": \"Answer\",\n\t\t\t\t\t\t\"text\": \"<p><span style=\"font-weight: 400\">Medication isn\u2019t the only way to treat bipolar disorder. The most effective form of treatment is going to be a combination of the right medication (or medications) and psychotherapy (also known as talk therapy). Since bipolar disorder is a lifelong mental health condition, long-term and continuous treatment is going to be important, even in cases when people are in between episodes and aren\u2019t experiencing major manic or depressive symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Some types of treatment, in addition to medication, to treat bipolar disorder can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Talk therapy <\/b><span style=\"font-weight: 400\">\u2014 <\/span><a href=\"https:\/\/www.talkspace.com\/blog\/what-is-talk-therapy\/\"><span style=\"font-weight: 400\">Talk therapy<\/span><\/a><span style=\"font-weight: 400\"> (or psychotherapy) is an essential part of any bipolar treatment plan. Learn how to identify, talk about, and address thoughts and feelings that may be contributing to symptoms of bipolar disorder.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Electroconvulsive therapy (ECT) <\/b><span style=\"font-weight: 400\">\u2014 ECT is a procedure that stimulates the brain and is known to help people with bipolar disorder gain significant relief from symptoms. Typically, ECT requires a series of sessions over multiple weeks, and it requires general anesthesia. When talk therapy and medication are not effective, ECT may be instrumental in relieving and treating symptoms of both manic and depressive episodes.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Transcranial magnetic stimulation (TMS) <\/b><span style=\"font-weight: 400\">\u2014 TMS is another approach that\u2019s newer than ECT. It also involves brain stimulation using magnetic waves. The difference between TMS and ECT is that TMS is administered while patients are awake, eliminating the need for general anesthesia. It\u2019ll be administered almost every day for one month. While TMS is effective for treating depression, how well it works to treat bipolar disorder is still being researched.<\/span><\/li>\n<\/ul>\n\t\t\t\t\t  }\n\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t  \"@type\": \"Question\",\n\t\t\t\t\t  \"name\": \"How can you manage bipolar disorder beyond treatment?\",\n\t\t\t\t\t  \"acceptedAnswer\": {\n\t\t\t\t\t\t\"@type\": \"Answer\",\n\t\t\t\t\t\t\"text\": \"<p><span style=\"font-weight: 400\">There are several things that in addition to medication and therapy that can help treat bipolar disorder.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Exercise regularly <\/b><span style=\"font-weight: 400\">\u2014 Regular exercise can help ease depression and stabilize moods. It\u2019s also known to improve sleep habits. All of these can be beneficial in managing bipolar disorder.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Journal and keep a life chart <\/b><span style=\"font-weight: 400\">\u2014 Life charts are a way to track daily mood symptoms, sleep patterns, medication and other treatments, and major life events that may spark a bipolar episode.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Keep a consistent sleep cycle <\/b><span style=\"font-weight: 400\">\u2014 Getting enough sleep is a known mood stabilizer. It can also reduce irritability and is useful in establishing healthy routines that can help manage bipolar disorder.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Eat a balanced and healthy diet <\/b><span style=\"font-weight: 400\">\u2014 Eating a healthy diet, including foods high in omega-3 fatty acids, it\u2019s always a good thing. With bipolar disorder, it can also be important to reduce the intake of any trans and saturated fats, both of which are linked to chemical imbalances in the brain.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Learn calming techniques <\/b><span style=\"font-weight: 400\">\u2014 Calming techniques like yoga, acupuncture, massage therapy, and mindful meditation are all ways to reduce stress and anxiety, both of which can complicate bipolar disorder. While they can\u2019t cure it, calming techniques are a definitive way to manage bipolar symptoms. They can be an extremely valuable part of any treatment plan.<\/span><\/li>\n<\/ul>\n\t\t\t\t\t  }\n\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t  \"@type\": \"Question\",\n\t\t\t\t\t  \"name\": \"How do I cope with bipolar disorder?\",\n\t\t\t\t\t  \"acceptedAnswer\": {\n\t\t\t\t\t\t\"@type\": \"Answer\",\n\t\t\t\t\t\t\"text\": \"<p><span style=\"font-weight: 400\">Though living with bipolar disorder is often a challenge, there are coping techniques that can help make it easier to manage. Bipolar disorder is a lifelong condition and will always require treatment. The most important part of coping with it is finding a treatment plan that works, and then staying on it.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Other ways to cope with bipolar disorder can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Being patient<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Staying committed to therapy appointments\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Taking medication as directed, even between episodes<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Being open and honest with a therapist or doctor about symptoms and treatment options<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Avoiding excessive alcohol and drug use or abuse<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Keeping structure to daily activities \u2014 eat, sleep, and exercise regularly and on a routine<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Learning to recognize symptoms and mood swings<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Asking for help<\/span><\/li>\n<\/ul>\n\t\t\t\t\t  }\n\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\t{\n\t\t\t\t\t  \"@type\": \"Question\",\n\t\t\t\t\t  \"name\": \"What happens if bipolar disorder goes untreated?\",\n\t\t\t\t\t  \"acceptedAnswer\": {\n\t\t\t\t\t\t\"@type\": \"Answer\",\n\t\t\t\t\t\t\"text\": \"<p><span style=\"font-weight: 400\">When left untreated, bipolar disorder can develop into a significantly more severe condition. It\u2019s not uncommon for symptoms to increase in severity, and in the most extreme cases, they can become so severe that they lead to suicide. Both manic and depressive episodes can become not only more intense, but also more frequent when an effective treatment plan isn\u2019t put into place.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Other complications that can arise as a result of untreated bipolar disorder include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Social issues<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Financial or legal issues<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Emotional and physical symptoms<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Damaged relationships \u2014 both personal and professional (learn more about <\/span><a href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/relationships-dating\/\"><span style=\"font-weight: 400\">bipolar disorder and relationships<\/span><\/a><span style=\"font-weight: 400\">)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Poor performance \u2014 at work or school<\/span><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.talkspace.com\/blog\/suicidal-ideation-what-is\/\"><span>Suicidal ideation<\/span><\/a><span> or attempts<\/span><\/li>\n<\/ul>\n\t\t\t\t\t  }\n\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\t  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20with%20bipolar%20disorder%20in%20children%20and%20young%20teens.%20Attention%20deficit%20hyperactivity%20disorder%20(ADHD),%20anxiety%20disorders,%20and%20substance%20abuse%20are%20all%20common.%3C\/span%3E%3C\/p%3E%22,%22overview-button-text%22:%22%22,%22overview-button-url%22:%22%22%7D%5D","cta-title":"Convenient and secure therapy for Bipolar Disorder","cta-image":"%7B%22alt%22:%22%22,%22title%22:%22TS-CTA-Illustration-8%22,%22caption%22:%22%22,%22description%22:%7B%22raw%22:%22%22,%22rendered%22:%22%3Cp%20class=%5C%22attachment%5C%22%3E%3Ca%20href='https:\/\/www.talkspace.com\/mental-health\/conditions\/wp-content\/uploads\/sites\/2\/2023\/04\/TS-CTA-Illustration-8.png'%3E%3Cimg%20width=%5C%22216%5C%22%20height=%5C%22300%5C%22%20src=%5C%22https:\/\/www.talkspace.com\/mental-health\/conditions\/wp-content\/uploads\/sites\/2\/2023\/04\/TS-CTA-Illustration-8-216x300.png%5C%22%20class=%5C%22attachment-medium%20size-medium%5C%22%20alt=%5C%22%5C%22%20decoding=%5C%22async%5C%22%20srcset=%5C%22https:\/\/www.talkspace.com\/mental-health\/conditions\/wp-content\/uploads\/sites\/2\/2023\/04\/TS-CTA-Illustration-8-216x300.png%20216w,%20https:\/\/www.talkspace.com\/mental-health\/conditions\/wp-content\/uploads\/sites\/2\/2023\/04\/TS-CTA-Illustration-8.png%20464w%5C%22%20sizes=%5C%22(max-width:%20216px)%20100vw,%20216px%5C%22%20\/%3E%3C\/a%3E%3C\/p%3E%5Cn%22%7D,%22id%22:9848,%22link%22:%22https:\/\/www.talkspace.com\/mental-health\/conditions\/?attachment_id=9848%22,%22url%22:%22https:\/\/www.talkspace.com\/mental-health\/conditions\/wp-content\/uploads\/sites\/2\/2023\/04\/TS-CTA-Illustration-8.png%22,%22sizes%22:%22%22%7D","cta-button-text":"Get started","cta-button-url":"https:\/\/match.talkspace.com\/flow\/90\/step\/1","types-title":"Types of Bipolar Disorder","types-short-description":"<p>According to the<span>\u00a0<\/span><span style=\"text-decoration: underline;\"><span style=\"color: #ffffff;\"><a style=\"color: #ffffff; text-decoration: underline;\" href=\"https:\/\/www.nimh.nih.gov\/health\/topics\/bipolar-disorder\/index.shtml\">National Institute of Mental Health<\/a><\/span><\/span>, there are three<span>\u00a0<\/span><span style=\"text-decoration: underline;\"><span style=\"color: #ffffff;\"><a style=\"color: #ffffff; text-decoration: underline;\" href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/types\/\">types of bipolar disorder<\/a><\/span><\/span>, and all types involve very clear changes in mood. These three types of bipolar disorder include<span>\u00a0<\/span>bipolar I disorder, bipolar II disorder, and cyclothymic disorder (cyclothymia). Generally speaking, moods can range from moments of extreme elation, or \u201cup,\u201d and periods of irritability and hopelessness, or \u201cdown.\u201d\u00a0<\/p>\n<p>It is important to note that bipolar II is not a \u201cmilder\u201d form of bipolar I. Both require their own diagnosis, and while the manic episodes may not be as severe and dangerous with bipolar II disorder, there may be longer episodes of depression that cause significant harm. Learn more about the different types of bipolar disorder.\u00a0<\/p>","condition-types":"%5B%7B%22sub-title%22:%22Bipolar%201%20Disorder%22,%22sub-short-description%22:%22%3Cp%3EAs%20mentioned,%20a%20diagnosis%20of%20bipolar%20I%20requires%20a%20person%20to%20have%20either%20one%20or%20more%20manic%20episodes%20or%20mixed%20(manic%20and%20depressive)%20episodes.%3C\/p%3E%22,%22sub-button-text%22:%22Learn%20more%22,%22sub-button-url%22:%22https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/types\/bipolar-1\/%22%7D,%7B%22sub-title%22:%22Bipolar%202%20Disorder%20%22,%22sub-short-description%22:%22%3Cp%3EBipolar%20II,%20on%20the%20other%20hand,%20involves%20one%20or%20more%20depressive%20episodes%20and%20at%20least%20one%20episode%20of%20hypomania.%3C\/p%3E%22,%22sub-button-text%22:%22Learn%20More%22,%22sub-button-url%22:%22https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/types\/bipolar-ii\/%22%7D,%7B%22sub-title%22:%22Cyclothymic%20Disorder%22,%22sub-short-description%22:%22%3Cp%3ECyclothymia%20is%20marked%20by%20cycling%20symptoms%20of%20depression%20and%20hypomania,%20although%20unlike%20bipolar%20I,%20and%20occasionally%20bipolar%20II,%20cyclothymic%20disorder%20(on%20its%20own)%20doesn%E2%80%99t%20cause%20symptoms%20to%20the%20point%20of%20incapacitation,%20extreme%20mania,%20or%20deep%20depression.%3C\/p%3E%22,%22sub-button-text%22:%22Learn%20more%22,%22sub-button-url%22:%22https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/types\/cyclothymia\/%22%7D%5D","title":"","header-short-description":"","references-item":"%5B%5D","section-title":"Talkspace mental health services","link-item":"%5B%5D","footnotes":""},"categories":[11],"tags":[],"class_list":["post-8165","page","type-page","status-publish","has-post-thumbnail","hentry","category-bipolar-disorder"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bipolar Disorder: Symptoms, Causes &amp; Treatment \u2014 Talkspace<\/title>\n<meta name=\"description\" content=\"Learn all about bipolar disorder with help from Talkspace. Explore what bipolar disorder is, common symptoms, causes, types, and treatment options.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.talkspace.com\/mental-health\/conditions\/bipolar-disorder\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bipolar Disorder: Symptoms, Causes &amp; Treatment \u2014 Talkspace\" \/>\n<meta property=\"og:description\" content=\"Learn all about bipolar disorder with help from Talkspace. 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