Bipolar disorder describes a more serious type of depression, where mood becomes unstable and affects the individual’s ability to function.
About 1% of our community has this condition, and it affects equal numbers of men and women. Bipolar disorder and depression tend to run in families.
In my experience as a psychologist treating bipolar disorder, I have found that there are many myths around bipolar disorder and how it is best treated.
Traditionally, treatment for bipolar disorder has been more medication focused – only now are we realising the impact of the social environment and just how effective counselling can be. In a perfect world it is a combination of both effective therapy and medication options that provide the most effective treatment for bipolar disorder.
I have taught in the Queensland Psychiatry program and presented at a bipolar conference several years ago with my colleague Dr Paul Pun, about how the treatment of bipolar disorder requires a client focused and therapy/medication approach in order to achieve the best outcomes for clients. Dr Pun and colleagues conducted workshops for 7 years in the Queensland psychiatry program.
It is only when clients feel in control of their treatment program that the best outcomes are achieved. In my practice as a psychologist I usually work with GPs and/or psychiatrists when managing more complex bipolar treatment programs. In the case of Bipolar 2, treatment can often be quite similar and not invasive.
I’m particularly keen to assist women with Bipolar Disorder to have a family and overcome the hurdles of pregnancy and the associated risks with taking medication at this time.
Bipolar Vs Depression
Bipolar disorder has some additional symptoms apart from depression.
Although a person with bipolar will have days or weeks of depression (low mood), at other times they will have days or weeks of high energy. This high energy is often a positive experience for the person, but may lead to difficulties in relationships. The high energy state often leads to sleeping less than 5 hours a night for a period longer than a week. Sometimes those with bipolar may only sleep 1-3 hours and feel rested.
In Australia it takes an average of 10 years after the first episode for an individual to be diagnosed with this condition. In part, this is because of lack of awareness in the community about the disorder. Often those with bipolar lead very successful lives, with times of depression versus periods of creativity.
Treating Bipolar Disorder
Treatment usually involves counselling to improve social supports and medication to help with mood. Social support is very important and structuring a healthy routine can decrease the impact of episodes and improve functioning in the long term. One of the most effective treatments for bipolar is Interpersonal Social Rhythms Therapy (IPSRT) or therapies that focus on family functioning and psycho-education.
I welcome new clients who are keen on self-management and want to take their treatment to the next level. Please book a single session and we can discuss the options.
Author: Vivian Jarrett, B Psych (hons), AMAPS, MAICD.
Vivian Jarrett is the Clinic Director at Vision Psychology in Mt Gravatt and now M1 Psychology at Loganholme. She is passionate about providing high quality psychology services to Australians from all walks of life.
To make an appointment with Vivian, please visit her online booking calendar.