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What is Bipolar Disorder?

Bipolar disorder is a chronic mental health condition that causes extreme mood swings, including emotional highs (known as mania), where you are excited and full of energy, and emotional lows (known as depression), where you feel sad and hopeless. These episodes of mood swings can happen rarely, a couple of times a year, or more rapidly, and the episodes can last for a few hours, several days, or weeks.

The mood swings associated with bipolar disorder can affect every aspect of your life, including your sleep, judgment, behaviors, energy levels, and cognition. 

Between episodes, you may have long periods of emotional stability, but as bipolar disorder is a lifelong condition, it’s important to regularly monitor and manage your symptoms. 

There are a few different types of bipolar disorders, including:

  • Bipolar I disorder: You’ve had at least one manic episode, and it may come before or after a major depressive episode. The mania may cause a break with reality. A depressive episode isn’t always needed for this diagnosis
  • Bipolar II disorder: You’ve had at least one major depressive episode and at least one hypomanic episode. But you’ve never had a full manic episode.
  • Cyclothymia. You’ve had at least two years of many periods of hypomanic symptoms and depressive symptoms. The depressive symptoms are less severe than major depression.

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“I cannot recommend Dr. Colleen McGuire highly enough. She has been an incredible support in helping me manage my mental health, and her care has truly been life-changing. From the very beginning, she created a safe, welcoming, and non-judgmental space where I felt heard, valued, and understood.”

Symptoms of Bipolar Disorder

Mania and depression are the two major signs of bipolar disorder, but what do mania and depression look like? There are some symptoms to look out for, including the following: 

Mania Symptoms

  • Abnormally elevated mood
  • Irritability
  • Extreme changes in thoughts, energy, and activity levels
  • Engaging activities that can cause physical, social, or financial harm (increased impulsivity)
  • Delusions and hallucinations
  • Rapid speech
  • Racing thoughts

Depression Symptoms

  • Tiredness
  • Changes in appetite
  • Loss of interest in activities you once enjoyed
  • Feelings of worthlessness or hopelessness
  • Overwhelming sadness
  • Difficulty concentrating
  • Insomnia or excessive sleep
  • Thoughts of death or suicide (suicidal ideation)

Risk Factors of Bipolar Disorder

While anyone can develop bipolar disorder, several risk factors make it more likely in some patients than others. One of the main risk factors includes having a first-degree relative (parent or sibling) with the disorder. Drug and alcohol misuse, periods of high stress, or trauma can increase your likelihood as well.

Treatment Options for Bipolar Disorder

Medication 

Medication is typically one of the first steps taken toward treating bipolar disorder, and there are several options. The type of medication prescribed will depend on your symptoms and the type of bipolar disorder you have. The most common medications used are mood stabilizers, antipsychotics, anti-anxiety medications, and antidepressants. These medications can help address the extreme mood swings and ensure you are more able to manage your emotions. Medications are often paired with therapy.

Therapy

Along with medication, therapy can also be an effective treatment for bipolar disorder. At Cottonwood Psychiatry, Dr. McGuire will build a custom therapy plan that meets your unique symptoms and lifestyle factors. Cognitive behavioral therapy (CBT) and dialectic behavior therapy (DBT) are typically what she recommends the most, but different approaches can work for different clients. 

During therapy, you’ll focus on identifying unhealthy beliefs and behaviors, work on regulating your emotions and distress tolerance, and learn new ways to manage stress. 

Bipolar Disorder FAQs

Can bipolar disorder be managed with telehealth appointments at Cottonwood Psychiatry?

Yes, Cottonwood Psychiatry offers comprehensive bipolar disorder management via telehealth, allowing patients to access diagnosis, medication adjustments, and psychotherapy remotely for greater convenience and continuity of care.

What types of therapy are effective for bipolar disorder at Cottonwood Psychiatry?

Therapeutic approaches such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and medication management are personalized for each client, addressing mood stabilization and coping skills.

Can Cottonwood Psychiatry coordinate care for individuals with both bipolar disorder and substance use challenges?

Yes, the practice provides integrated treatment and can coordinate psychiatric care for patients with both bipolar disorder and co-occurring addiction or substance use issues, leveraging therapy and medication strategies.

How soon can I expect improvements after starting bipolar disorder treatment?

While every patient is unique, many individuals notice some symptom relief within weeks of beginning medication and therapy, especially when following a tailored treatment plan consistently.

Does Cottonwood Psychiatry help develop lifestyle plans for bipolar disorder management?

Yes, staff assist patients in crafting skillful diet and exercise routines to support mood stability alongside regular psychiatric care and therapy sessions.

Schedule a Consultation

Discover a healthy treatment plan for your bipolar disorder with the help of Dr. McGuire at Cottonwood Psychiatry. She will be your partner and guide as you take the journey to a healthier you. Take the first step and schedule a consultation today. Call our Denver office or message us via our online contact form.

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Dr. Colleen McGuire

Dr. Colleen McGuire, DO, is a Board-Certified Doctor of Osteopathic Medicine specializing in Psychiatry with a background in Anthropology and Music from the University of New Mexico, pre-med studies in Denver, and a medical degree from Touro University in California. She completed her residency at the University of Colorado, serving as Chief Resident, and has held key roles such as Attending Psychiatrist and Assistant Professor at Denver Health, as well as working in various inpatient, outpatient, and telepsychiatry settings. Dr. McGuire specializes in trauma, midlife hormonal issues, and alternatives to medication, utilizing therapies like Acceptance and Commitment Therapy (ACT). Known for her empathetic, client-centered approach and strong collaborative relationships, she is licensed in multiple states and enjoys mentoring nurse practitioners and physician assistants. Outside of work, she is a classical pianist, swimmer, and animal lover who values personal growth and creativity.

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Doctor of Osteopathic Medicine at  |  + posts

Dr. Colleen McGuire, DO, is a Board-Certified Psychiatrist with a holistic approach to mental health. She completed her medical training at Touro University and residency at the University of Colorado, where she served as Chief Resident. Specializing in trauma, midlife hormonal issues, and alternatives to medication, Dr. McGuire integrates therapies like Acceptance and Commitment Therapy (ACT). Licensed in multiple states, she is known for her empathetic, client-centered care and dedication to mentoring. Outside work, she enjoys piano, swimming, and spending time with animals.