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Bipolar Disorder: Understanding Mood Shifts and Treatment Options

  • Writer: Coastal Breeze Mental Health
    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.

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