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Bipolar Disorder Treatment Pennsylvania
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Understanding Bipolar Disorder
Bipolar disorder, formerly known as manic depression, involves mood disturbances that include emotional highs (mania or hypomania) and lows (major depression). The condition typically begins in late adolescence or early adulthood but can appear at any age. Episodes may last days or weeks and can vary in frequency and intensity.
There are several forms of bipolar disorder:
- Bipolar I disorder involves at least one episode of mania, which may be severe enough to require hospitalization. Depressive episodes are common but not required for diagnosis.
- Bipolar II disorder includes at least one episode of hypomania and one major depressive episode, without any history of full mania.
- Cyclothymic disorder (cyclothymia) consists of fluctuating periods of mild hypomanic and depressive symptoms lasting two years or more.
Other specified or unspecified bipolar disorders include mood disturbances related to medical conditions, substance use, or that do not meet full diagnostic criteria.
Symptoms of Bipolar Disorder
Bipolar disorder causes shifts in mood that range from high-energy states to periods of deep depression. Symptoms can vary in intensity and duration, and may differ between individuals.
Manic or Hypomanic Episodes
Symptoms of mania or hypomania include:
- Increased energy or activity level
- Inflated self-esteem or grandiosity
- Decreased need for sleep
- Rapid speech and racing thoughts
- Distractibility
- Poor decision-making, such as reckless spending or risky behavior
Mania may result in psychosis, including hallucinations or delusions. These cases often require emergency medical care or hospitalization.
Depressive Episodes
Symptoms of a depressive episode may include:
- Persistent sadness or hopelessness
- Loss of interest in activities
- Sleep disturbances
- Fatigue or slowed movement
- Difficulty concentrating
- Feelings of guilt or worthlessness
- Thoughts of suicide or self-harm
Mixed episodes can also occur, where symptoms of both mania and depression are present at the same time, often causing significant distress and increasing the risk of suicidal behavior.
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Causes and Risk Factors
While the exact cause of bipolar disorder is unknown, several contributing factors have been identified:
Genetics
Individuals with a family history of bipolar disorder are at higher risk.
Biological differences
Brain imaging studies have shown structural and functional differences in individuals with bipolar disorder.
Environmental triggers
Stressful life events, trauma, or substance use can trigger episodes in susceptible individuals.
Co-occurring conditions
Anxiety disorders, ADHD, and substance use disorders often occur alongside bipolar disorder and may complicate diagnosis and treatment.
Diagnosis and Evaluation
Diagnosis is typically made through a comprehensive clinical assessment that includes:
- A detailed psychiatric evaluation and history
- Physical exam and lab tests to rule out medical conditions
- Mood charting to track patterns over time
- Reports from family members, when available
Accurate diagnosis may take time, especially in early stages, due to overlapping symptoms with depression, borderline personality disorder, or schizophrenia. A thorough evaluation by a mental health professional is essential.
Bipolar Disorder Treatment Approaches
Bipolar disorder treatment centers in Pennsylvania often use a combination of medication, psychotherapy, and supportive services. Treatment plans are personalized and may be adjusted over time depending on symptoms and response to care.
Medications
Medication is the foundation of bipolar disorder treatment and often includes:
- Mood stabilizers such as lithium or valproate, which reduce the intensity and frequency of mood episodes
- Antipsychotic medications, which may help control manic or mixed symptoms
- Antidepressants, used cautiously in combination with a mood stabilizer to prevent triggering mania
- Anti-anxiety medications such as benzodiazepines, prescribed for short-term use during acute distress
Regular monitoring is required, particularly for medications like lithium or valproate, which can affect kidney and liver function or interact with other substances.
Psychotherapy
Talk therapy helps individuals develop insight, improve coping skills, and build routines that support mood stability. Evidence-based therapies include:
- Cognitive behavioral therapy (CBT) to identify negative thinking patterns and replace them with healthier thoughts
- Interpersonal and social rhythm therapy (IPSRT) to stabilize daily routines and improve relationships
- Family-focused therapy to involve loved ones in treatment and improve communication
- Psychoeducation to help individuals recognize early warning signs and understand their diagnosis
Therapy can be delivered in individual, group, or family settings and is often combined with medication for long-term results.
Levels of Care
Treatment centers in Pennsylvania offer different levels of care based on the severity of symptoms:
- Outpatient therapy for those who are stable and able to manage daily activities
- Intensive outpatient programs (IOP) involving multiple therapy sessions each week
- Partial hospitalization programs (PHP) with structured, full-day treatment while living at home
- Residential or inpatient care for individuals with severe symptoms or safety concerns requiring 24-hour monitoring
Hospitalization may be necessary during periods of crisis, especially when there is risk of harm to self or others.
Special Considerations for Children and Adolescents
Diagnosing and treating bipolar disorder in younger populations can be more complex. Symptoms may overlap with other conditions such as ADHD or conduct disorders. In these cases, evaluation by a child psychiatrist is recommended. Treatment usually involves a combination of therapy, family education, and medication when appropriate.
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Living With Bipolar Disorder
Living with bipolar disorder involves more than symptom management. Many treatment programs include strategies for building a stable lifestyle, such as:
- Creating consistent sleep and activity routines
- Avoiding alcohol and recreational drug use
- Developing a support system of family, friends, or peer groups
- Learning to recognize early signs of mood shifts
- Maintaining regular follow-up with a treatment team
Education is a key part of long-term recovery, helping individuals and their families understand the nature of bipolar disorder and how to prevent relapse.
Crisis Support and Emergency Care
Thoughts of suicide or self-harm are common during depressive or mixed episodes. Anyone experiencing a mental health crisis should seek immediate help. In Pennsylvania, individuals can call or text 988 to reach the Suicide & Crisis Lifeline. Emergency services or local hospitals are also available for urgent intervention.
Bipolar Disorder Treatment Pennsylvania: Get Help Now
Bipolar disorder is a serious but treatable mental health condition. With proper diagnosis and comprehensive care, most individuals can achieve long-term stability and improved quality of life. Treatment centers in Pennsylvania offer a range of services for people living with bipolar disorder, including medication management, psychotherapy, crisis stabilization, and family support.
If symptoms are affecting your ability to function or you suspect a loved one may be struggling, reaching out to a licensed provider is the first step toward effective care.
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Dr. Singh
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