Bipolar Disorder: Understanding Mood Shifts and Treatment Options
- Coastal Breeze Mental Health

- Nov 19, 2025
- 2 min read
What Is Bipolar Disorder
Bipolar disorder is a mood condition marked by recurring episodes of depression and mania or hypomania. These shifts are not simple mood changes. They reflect significant changes in energy, sleep, thinking, and behavior that can disrupt daily life.
Bipolar disorder is a lifelong condition, but with proper treatment many people achieve long term stability.
Common Symptoms of Bipolar Disorder
Depressive Episodes May Include:
Persistent sadness
Low motivation and energy
Loss of interest or pleasure
Sleep disruption
Changes in appetite
Feelings of hopelessness or guilt
Poor concentration
Manic or Hypomanic Episodes May Include:
Elevated or irritable mood
Decreased need for sleep
Racing thoughts
Impulsive spending or risky behavior
Increased talkativeness
Inflated confidence or agitation
Some individuals experience mixed episodes where depressive and manic symptoms occur together.
Why Bipolar Disorder Often Goes Undiagnosed
Many adults with bipolar disorder first seek care for depression. Without careful screening, bipolar symptoms may be missed. Antidepressant treatment alone can sometimes worsen mood instability if underlying bipolar disorder is present. Accurate diagnosis is essential before starting medication.
Medications Used to Treat Bipolar Disorder
Medication is the foundation of bipolar treatment. Common categories include:
Mood Stabilizers
Lithium
Valproate
Lamotrigine
Carbamazepine
Atypical Antipsychotics
Quetiapine
Lurasidone
Aripiprazole
Adjunctive Antidepressants
These may be used carefully and only alongside a mood stabilizer. Medication selection depends on the type of mood episodes, side effect profile, medical conditions, and treatment history.
Other Treatment Supports
Cognitive behavioral therapy and supportive therapy
Consistent sleep and daily routine
Stress management
Substance use reduction
Family education and support
Early identification of relapse warning signs
Medication is most effective when combined with lifestyle and behavioral strategies.
When to Seek Help for Bipolar Symptoms
If mood swings are affecting relationships, decision making, work performance, or personal safety, professional psychiatric care is essential. Bipolar disorder does not improve on its own without treatment.
Bipolar Treatment at Our Clinic
We provide:
Comprehensive psychiatric evaluations
Ongoing medication management
Careful monitoring for side effects and symptom response
In-person treatment in downtown Santa Cruz
Telehealth services statewide
Take the Next Step Toward Stability
If you are struggling with mood shifts or have previously been diagnosed with bipolar disorder, effective treatment is available. Reach out today to schedule a consultation and begin a structured plan for long term stability and improved quality of life.

