
Board-Certified · Internal Medicine · Medical Director
All 50 states + DC·Video visit
In-network: Aetna, BCBS, UnitedHealthcare +18 more plans
Request an online visit for Bipolar disorder. A licensed provider reviews your case and prescribes treatment when appropriate.

Board-Certified · Internal Medicine · Medical Director
All 50 states + DC·Video visit
In-network: Aetna, BCBS, UnitedHealthcare +18 more plans
Bipolar disorder is a mood disorder defined by episodes of mania or hypomania alternating with depressive episodes. Manic episodes include elevated or irritable mood, decreased need for sleep, pressured speech, racing thoughts, impulsivity, and sometimes psychosis. Bipolar I requires a full manic episode; bipolar II involves hypomania plus major depression. Diagnosis is clinical and often delayed by years. Mood stabilizers (lithium, valproate, lamotrigine) and certain second-generation antipsychotics are the foundation of treatment; antidepressants alone can precipitate mania and are used cautiously and only in combination.