Bipolar Disorder
Bipolar Disorder is a condition with both physical and mental changes, which are characterized by extreme swings in mood. For this reason, it is still referred by many people by its old name “Manic Depressive Disorder”.
Most typically individuals experience a combination of low moods or depression lasting for days on end alternating with periods of elation or elevated moods also lasting for days or weeks. These euphoric moods are referred to as periods of “hypomania” or mania depending on the degree of elevation of mood, and are accompanied by changes in sleep, thought process, speech, thought content, and general behavior.
Types and Subtypes of Bipolar Disorder
There are 3 major types of Bipolar Disorder according to the DSM V (Diagnostic and Statistical Manual of Mental Disorders), which are classified by the type and duration of the mood swings. Additionally, we further refine the diagnosis by looking at associated features or symptoms that accompany the individual’s presentation.
The presentation of bipolar disorder can vary greatly from individual to individual and must be thoughtfully evaluated and considered. Careful attention must be paid to the differential diagnosis to rule out mixed states, drug intoxication, psychotic states and many other possible conditions with similar presentations.
Causes of Bipolar Disorder
Most commonly the causes for this disorder are genetic but sometimes environmental or medical factors can unleash the symptoms. For instance, starting someone on an antidepressant may uncover a previously unknown tendency toward mania… an important reason as to why patients require careful medication monitoring when beginning a course of treatment. Moreover, illicit substances, in particularly stimulants, may have similar mania inducing effects.
Treatment of Bipolar Disorder
Bipolar Disorder is a treatable mental syndrome and individuals can lead very functional lives when they are compliant with their medication and treatment.
There are different classes of medication used to stabilize and treat individuals with bipolar disorder, which can be used individually, or often in combination. These include mood stabilizers such as lithium salts, anticonvulsants, benzodiazepines, atypical antipsychotics and other agents.
Frequently Asked Questions
1. What does a bipolar disorder psychiatrist in NYC actually do?
A bipolar disorder psychiatrist in NYC diagnoses the specific type and pattern of the condition, rules out look-alike conditions such as mixed states or substance-induced mood changes, and manages ongoing medication treatment. Dr. Barry J. Richman, MD evaluates each patient’s mood history in detail before recommending a course of care at his Manhattan practice.
2. What are the main types of bipolar disorder?
The DSM-5 recognizes three major types of bipolar disorder, classified by the length and severity of mood episodes. Distinguishing between them — and identifying accompanying features — is essential, which is why bipolar disorder treatment in Manhattan should start with a careful, individualized evaluation rather than a generic diagnosis.
3. What's the difference between hypomania and mania?
Hypomania and mania both involve elevated mood, changes in sleep, speech, and behavior, but differ in degree and duration. Mania is more severe and can significantly impair functioning, while hypomania is milder. A bipolar disorder specialist in NYC will assess which pattern a patient is experiencing to guide diagnosis and treatment.
4. What causes bipolar disorder?
Bipolar disorder is most commonly genetic, though environmental and medical factors can trigger symptoms. Starting an antidepressant, for example, can sometimes uncover a previously unknown tendency toward mania, and stimulant use can have a similar effect — one reason careful medication monitoring matters when beginning treatment.
5. Who is the best bipolar disorder doctor in New York for an accurate diagnosis?
Because bipolar disorder can resemble other conditions — including mixed states, drug intoxication, and psychotic disorders — an accurate diagnosis requires a thorough, experienced evaluation. Dr. Richman, a board-certified psychiatrist in Manhattan, is recognized for this kind of careful differential diagnosis in his approach to bipolar disorder treatment.
6. How is bipolar disorder treated?
Treatment typically involves mood-stabilizing medications such as lithium salts, anticonvulsants, benzodiazepines, and atypical antipsychotics, often used in combination. A bipolar disorder psychiatrist in NYC will tailor the specific medications and dosages to the individual patient’s presentation and response.
7. Can someone with bipolar disorder live a normal, functional life?
Yes. Bipolar disorder is a treatable condition, and individuals can lead highly functional lives when compliant with their medication and treatment plan. Consistent follow-up with a bipolar disorder specialist in NYC is key to maintaining stability over time.
8. How do I start bipolar disorder treatment in Manhattan?
Call Barry J. Richman MD Psychiatry at 212-889-5463 or book an appointment online. An accurate diagnosis begins with a comprehensive consultation at the Manhattan office.
