Bipolar disorder is often misdiagnosed or misunderstood. With accurate diagnosis and the right treatment, stability is achievable.
Bipolar disorder is a mood disorder involving episodes of depression and elevated or irritable mood (mania or hypomania). These episodes are distinct from everyday mood changes - they are more intense, longer-lasting, and often significantly impact functioning, relationships, and decision-making.
Bipolar I involves full manic episodes that may require hospitalization. Bipolar II involves hypomanic episodes (less severe than full mania) alternating with depression. Cyclothymia involves milder but chronic mood cycling. All three are real and deserve proper diagnosis and treatment.
Bipolar disorder is frequently misdiagnosed as depression - particularly when a person first seeks help during a depressive episode. This matters because antidepressants alone, without mood stabilizers, can worsen the course of bipolar disorder. Accurate diagnosis is essential.
A careful, unhurried evaluation is the foundation of good bipolar treatment. I take a thorough history - including family history, prior episodes, and what has and hasn't worked in the past - before recommending any treatment. I take the diagnostic process seriously because the wrong treatment can do real harm.
Mood stabilizers and other medications are often the cornerstone of bipolar treatment, and I'll work with you to find an approach that supports stability without sacrificing quality of life. I also incorporate psychoeducation about mood tracking, early warning signs, and what to do when things start to shift. All sessions are via telehealth across Virginia, available in English and Tiếng Việt.
If you are in crisis right now, please do not wait for an appointment.
Call or text 988 — the Suicide & Crisis Lifeline. Free, confidential, available 24/7.
For emergencies, call 911 or go to your nearest emergency room.
Alice Tran Psychiatric Care does not operate 24/7 and does not provide crisis services. Emails, voicemails, text or portal messages are typically responded to within 24 to 72 business hours.
You don't have to do it alone.