Bipolar Disorder Treatment
Bipolar disorder is a complex mental health condition characterized by extreme shifts in mood, energy levels, and behavior. These mood swings range from emotional highs—known as mania or hypomania—to intense lows, or depressive episodes. These fluctuations can greatly affect daily functioning and overall well-being.
At Evergreen Behavioral Health, we are dedicated to providing empathetic and effective care for individuals living with bipolar disorder. Our goal is to help clients manage their symptoms and work toward a more stable, rewarding life.
Understanding Bipolar Disorder
There are several types of bipolar disorder, each defined by distinct patterns of mood changes:
- Bipolar I Disorder is the most severe form. It involves manic episodes that last at least seven days or are severe enough to require hospitalization. Depressive episodes are also common, typically lasting two weeks or longer, leading to intense and disruptive mood cycles.
- Bipolar II Disorder features a pattern of depressive episodes and hypomania, which is a milder form of mania. While hypomania doesn’t usually result in psychosis or major disruptions, the depressive periods can be just as challenging as those in Bipolar I.
- Cyclothymic Disorder (Cyclothymia) is a less intense but more persistent condition. It involves frequent mood swings that include symptoms of both hypomania and depression over a period of at least two years. Though these symptoms don’t meet the full criteria for manic or major depressive episodes, they can still have a lasting impact on a person’s quality of life.
- Other Specified and Unspecified Bipolar Disorders include significant mood disturbances that don’t fully align with the typical categories of bipolar disorder but still cause noticeable disruption to daily life.
Understanding the diverse forms of bipolar disorder is essential for accurate diagnosis and personalized treatment. Managing the condition often requires a comprehensive approach that combines medication, psychotherapy, and healthy lifestyle adjustments.
Effects of Bipolar Disorder

Bipolar disorder extends far beyond typical mood fluctuations. It can influence nearly every dimension of a person’s life—affecting emotional regulation, physical well-being, social interactions, and everyday functioning. The abrupt shifts between manic and depressive states can severely disrupt routines, relationships, employment, and self-care.
By examining the physical, emotional, and social dimensions of bipolar disorder, we gain a clearer picture of the obstacles individuals face and the kind of support that fosters better long-term outcomes.
Physical Effects of Bipolar Disorder
Though primarily classified as a mental illness, bipolar disorder often has a significant impact on physical health. One of the most common challenges is disrupted sleep. During manic episodes, individuals may sleep very little, feeling energized yet ultimately depleted. In contrast, depressive phases may involve excessive sleep or insomnia—both of which can intensify mood symptoms and deplete energy.
These sleep disturbances interfere with the body’s natural rhythms, contributing to ongoing mood instability. Additionally, people with bipolar disorder face a heightened risk for physical conditions such as heart disease, diabetes, and obesity. These risks may be linked to poor lifestyle habits during mood episodes, including overeating, inactivity, or substance use.
Chronic stress also plays a critical role. Elevated stress levels may lead to inflammation, headaches, gastrointestinal issues, and more. Furthermore, medications used in treatment—such as mood stabilizers and antipsychotics—can cause side effects like weight gain, tremors, or metabolic complications. This highlights the need for holistic care that addresses both mental and physical health.
Mental and Emotional Impact of Bipolar Disorder
Emotionally, bipolar disorder can dramatically influence how a person feels and interacts with the world. Manic episodes may bring elevated moods, irritability, impulsivity, or a false sense of invincibility—often resulting in poor decisions, risky behaviors, and interpersonal conflict. Concentration and judgment are frequently impaired.
During depressive episodes, individuals may experience deep sadness, hopelessness, guilt, and a pervasive sense of worthlessness. These emotional lows can be immobilizing, making even basic daily tasks feel insurmountable. Suicidal thoughts may also occur during these episodes, emphasizing the need for prompt and compassionate intervention.
Cognitive functions are also affected. Many individuals report difficulties with memory, focus, and decision-making. Everyday responsibilities can feel mentally exhausting, leading to a loss of confidence and connection to self. Still, with the right treatment plan and therapeutic support, emotional and cognitive symptoms can be effectively managed.
How Bipolar Disorder Affects Social Life
The social impact of bipolar disorder is often profound. Manic behaviors—such as talking excessively, interrupting others, or engaging in impulsive acts like overspending or substance use—can alienate loved ones and create tension in personal and professional relationships.
On the other hand, depressive episodes may cause individuals to retreat from social interactions entirely. Isolation, combined with feelings of shame or being misunderstood, can erode support networks and contribute to deeper loneliness.
Work and school life may also be affected. Fluctuating moods can impair performance, reduce reliability, and damage workplace dynamics—sometimes resulting in job instability or unemployment.
Unfortunately, the stigma associated with mental illness can further compound these difficulties, leading many to suffer in silence. However, with access to therapy, peer support groups, and open communication with trusted individuals, those living with bipolar disorder can foster healthier relationships and a more stable, connected life.
Signs of Bipolar Disorder
Bipolar disorder presents in a wide variety of ways, influencing not only mood but also physical health, behavior, and cognitive function. Early recognition of the symptoms is key to seeking proper treatment and maintaining long-term stability. Below are the most common physical, behavioral, and psychological indicators associated with bipolar disorder.
Physical Signs of Bipolar Disorder
Although bipolar disorder is primarily a mental health condition, it often comes with noticeable physical changes—especially during mood episodes. These symptoms can affect sleep, energy levels, and general physical well-being. Common physical signs include:
- Disrupted sleep patterns, such as insomnia or excessive sleeping
- Low energy or fatigue during depressive phases
- Restlessness or increased physical activity during manic episodes
- Changes in appetite or significant weight fluctuations
- Headaches, gastrointestinal discomfort, or other stress-related ailments
- Rapid heartbeat or visible agitation
- Reduced need for sleep during manic periods, without feeling tired
Behavioral Signs of Bipolar Disorder
Behavioral changes are often among the most apparent signs of bipolar disorder. These shifts typically reflect the extremes of mania or depression and may interfere with daily responsibilities, relationships, and decision-making. Common behavioral signs include:
- Engaging in impulsive or high-risk activities (e.g., excessive spending, reckless driving)
- A surge in productivity or agitation during manic episodes
- Social withdrawal or isolation during depressive periods
- Speaking quickly or excessively
- Increased irritability or sudden anger
- Poor decision-making or impaired judgment
- Struggles with focus and task completion
Psychological Signs of Bipolar Disorder
The psychological effects of bipolar disorder can be deeply disruptive, involving dramatic changes in mood, thought patterns, and self-image. These symptoms often contribute significantly to emotional distress and daily impairment. Common psychological signs include:
- Intense mood fluctuations, ranging from euphoria to despair
- Inflated self-confidence or grandiosity during mania
- Feelings of hopelessness, shame, or worthlessness during depression
- Racing thoughts or rapidly shifting ideas
- Suicidal thoughts or a fixation on death
- Anxiety or panic, especially around mood transitions
- Difficulty concentrating, thinking clearly, or making decisions
How to Treat Bipolar Disorder

Bipolar disorder is a lifelong mental health condition that requires consistent care and support to manage mood fluctuations and maintain emotional balance. Although there is no definitive cure, individuals can live stable, fulfilling lives through a personalized combination of treatments. Successful management often involves medication, therapy, healthy lifestyle practices, and a reliable support network—all working together to reduce symptoms and enhance quality of life.
Therapy and Counseling
Psychotherapy plays a crucial role in bipolar disorder management. It provides a structured environment for learning coping skills, processing emotions, and building healthier thought patterns and behaviors.
- Cognitive-behavioral therapy (CBT) helps individuals challenge negative thinking and develop strategies to navigate stress and mood swings.
- Interpersonal and social rhythm therapy (IPSRT) promotes stability in daily routines and interpersonal relationships, helping to reduce mood disruptions.
- Psychoeducation equips individuals and their families with information about the condition, aiding in early recognition of symptoms and better self-management.
- Family therapy fosters stronger communication and support within the household, helping loved ones work together as a cohesive unit.
Medication Support
For many people, medication is a vital part of managing bipolar disorder. These treatments are designed to regulate mood and minimize the intensity and frequency of both manic and depressive episodes. Finding the most effective combination may require time and ongoing adjustments, as treatment is tailored to the individual.
- Mood stabilizers, such as lithium, are commonly used to manage both highs and lows. Alternatives like valproate or carbamazepine may also be prescribed.
- Antipsychotic medications, including risperidone, olanzapine, or quetiapine, are often used during severe manic or mixed episodes.
- Antidepressants may be introduced in combination with mood stabilizers to help treat depressive symptoms while avoiding manic triggers.
- Anti-anxiety medications, such as benzodiazepines, may provide short-term relief, though they are typically not recommended for extended use.
Regular consultations with a psychiatrist are important to monitor progress, manage side effects, and make necessary changes over time.
Lifestyle Changes and Self-Care Practices
Daily habits and routines can have a significant impact on mood regulation. Incorporating healthy lifestyle practices can help prevent episodes and improve overall mental and physical health.
- Maintain a consistent sleep routine, as sleep disturbances can trigger mood changes.
- Follow a balanced diet and engage in regular physical activity to support well-being.
- Practice stress-reduction techniques, such as mindfulness, meditation, or yoga.
- Avoid alcohol and recreational drugs, which can interfere with medication and worsen symptoms.
- Use a mood tracker or journal to monitor emotional patterns and identify potential triggers.
Building these habits can provide a strong foundation for long-term stability and empowerment in managing the condition.
Social and Emotional Support
A strong support system is invaluable for individuals living with bipolar disorder. Encouragement and understanding from others can help reduce feelings of isolation and increase resilience.
- Support groups offer connection with others who share similar experiences, fostering mutual understanding and encouragement.
- Involving family and close friends in the treatment process can strengthen relationships and improve communication.
- Consider workplace accommodations, such as flexible hours or mental health resources, to support employment while managing symptoms.
- Surround yourself with people who uplift and respect your journey—supportive relationships play a key role in recovery and well-being.
When Immediate Help is Needed
During severe manic or depressive episodes, urgent care may be necessary. Hospitalization can offer a safe and structured setting to stabilize mood and ensure safety—especially when suicidal thoughts or dangerous behaviors are present.
In times of crisis, 24/7 hotlines and emergency mental health services are available to provide immediate assistance and connect individuals to vital care.
Get Bipolar Disorder Treatment in South Portland, Maine

If you’re ready to take back control and move forward with strength, Evergreen Behavioral Health is here to help. Our compassionate team is dedicated to walking alongside you throughout your recovery journey, offering personalized care tailored to your unique needs. Through evidence-based therapies, holistic support, and a nurturing environment, we strive to create the foundation for lasting relief and personal transformation.
Call us at (888) 907-7290, email info@evergreenbh.com, or visit us in person at 707 Sable Oaks Drive in South Portland, ME (04106).
We’re here for you 24/7—you don’t have to face bipolar disorder alone.