Bipolar Disorder
Bipolar disorder is a complex mood disorder characterized by episodes of mania or hypomania alternating with depression. East Coast Telepsychiatry provides expert psychiatric evaluation and evidence-based mood stabilization management via secure video visits.
The short answer
What are the signs of bipolar disorder in adults?
Signs of bipolar disorder in adults can include distinct periods of unusually elevated or irritable mood, decreased need for sleep, racing thoughts, unusually increased activity, rapid speech, impulsive or risky decisions, and episodes of depression. Mood changes must be evaluated in context because sleep loss, substances, medications, trauma, ADHD, and other conditions can produce overlapping symptoms. Accurate diagnosis matters because treatment for bipolar disorder differs from treatment for depression alone.
Common Symptoms
- Manic episodes — elevated mood, reduced sleep, impulsive decisions
- Depressive episodes — persistent sadness, low energy
- Dramatic mood swings interfering with work or relationships
- Impulsive spending or risky behavior during episodes
- Periods of very high productivity followed by crashes
Common questions
- How is bipolar disorder evaluated?
- A clinician reviews the timing and pattern of mood episodes, sleep, energy, behavior, functioning, family history, medications, substances, and medical conditions. Information from a trusted person can sometimes help clarify changes over time. A screening tool may support the conversation, but it does not diagnose bipolar disorder by itself.
- Can a psychiatrist help with bipolar disorder?
- Yes. Psychiatric care can include diagnostic evaluation, mood-stabilization planning, medication management, monitoring, and coordination with therapy or other clinicians. Ongoing follow-up is important because treatment plans may need adjustment as symptoms, sleep, health, or medications change.
Written and reviewed by Amy Pharr, APRN, FPMHNP-C — Board-Certified Psychiatric Mental Health Nurse Practitioner
Source: NIMH: Bipolar Disorder Overview
