Bipolar Disorders
When Moods Swing Between Highs and Lows
Bipolar disorders are more than occasional ups and downs. They are serious, lifelong mood conditions marked by significant shifts between emotional highs (mania or hypomania) and lows (depression). These shifts affect energy, thinking, behavior, sleep, and the ability to function in daily life.
Bipolar is not a character flaw or “moodiness”—it is a neurobiological condition that requires careful evaluation and individualized treatment. With consistent care, many people with bipolar disorders lead stable, fulfilling lives.
Understanding Bipolar Disorder
Bipolar disorders involve episodes of mood change that are distinct from normal emotional variability:
Manic or hypomanic episodes: Elevated mood, increased energy, impulsivity, rapid thoughts, reduced need for sleep.
Depressive episodes: Low mood, lack of motivation, fatigue, hopelessness.
The pattern, intensity, and frequency of these episodes vary by type. Common forms include:
Bipolar I Disorder: At least one full manic episode with depressive episodes.
Bipolar II Disorder: Hypomanic episodes paired with significant depression.
Cyclothymic Disorder: Frequent mood shifts that don’t fully meet criteria for manic or major depressive episodes.
Accurate diagnosis is crucial because bipolar symptoms can overlap with depression, anxiety, or ADHD—making thorough assessment essential.
Common Symptoms of Bipolar Disorder
Symptoms differ between mood states and among individuals. Examples include:
Manic or hypomanic symptoms
Excess energy, unusually high activity levels
Little need for sleep
Racing thoughts or rapid speech
Impulsive decision-making
Elevated or irritable mood
Depressive symptoms
Persistent sadness or emptiness
Loss of interest in once‑enjoyed activities
Fatigue or slowed thinking
Changes in appetite or sleep
Feelings of hopelessness or thoughts of suicide
Not everyone has clear “highs” or “lows”—some people cycle gradually or have mixed features that blur mood states.
Causes and Risk Factors
Bipolar disorder does not have a single known cause. Instead, it arises from a combination of genetic, biological, and environmental influences.
Common contributors include:
Family history of bipolar or mood disorders
Differences in brain structure and neurotransmitter regulation
Stressful life events, trauma, or substance use as triggers
Understanding these factors helps guide personalized treatment.
How Bipolar Disorder Is Diagnosed
Diagnosis involves a detailed clinical evaluation—not a lab test. At Valiant Mental Health, our approach includes:
A comprehensive review of mood patterns over time
Detailed psychiatric interview
Assessment of sleep, energy, cognition, and behavior
Screening for co‑occurring conditions (e.g., anxiety, ADHD, PTSD)
Accurate diagnosis improves treatment outcomes and reduces the risk of misdiagnosis (e.g., labeling bipolar symptoms as depression alone).
Evidence‑Based Treatment Options
Medication Management
Medication is the cornerstone of bipolar disorder treatment. Rather than one‑size‑fits‑all, treatment is individualized and may include:
Mood stabilizers (e.g., lithium, lamotrigine)
Atypical antipsychotics for mood regulation
Careful use of antidepressants when needed, typically only alongside a mood stabilizer
Effective medication plans reduce mood swings, improve functioning, and help prevent relapse. For a broader overview of how psychiatric medications are used across conditions, see our Medication Management page.
Therapy and Psychosocial Support
Psychotherapy complements medication by helping you:
Recognize early warning signs of mood shifts
Build routines that support stability (e.g., sleep, stress management)
Improve communication and relationships
Strengthen coping strategies during difficult periods
Options like interpersonal and social rhythm therapy or cognitive approaches can be especially helpful in maintaining long‑term stability.
Telepsychiatry for Bipolar Disorders
Telepsychiatry allows you to receive high‑quality bipolar care from home or work, which can be especially useful if mood symptoms make attending in‑person appointments difficult. Many patients benefit from consistent virtual follow‑ups, symptom monitoring, and medication adjustments delivered via telehealth.
Learn more about how care works at our Telepsychiatry page.
Insurance and Bipolar Care
Mental health care coverage varies by plan, and bipolar disorder treatment is often covered through major insurance providers when medically necessary. Valiant Mental Health works with many plans to help you access services including evaluations, medication management, and ongoing follow‑up. For specifics on coverage, co‑pays, and out‑of‑pocket options, visit our Insurance Plan page.
How Valiant Mental Health Supports You
At Valiant Mental Health, bipolar disorder care is:
Collaborative and personalized
Grounded in evidence‑based psychiatric practice
Designed to integrate medication, therapy, and lifestyle support
Accessible via telehealth in multiple states
You’ll work with a licensed psychiatric nurse practitioner who listens, educates, and partners with you to build a treatment plan that supports stability and your life goals.
How Valiant Mental Health Helps Treat Bipolar disorder
If you’re struggling with Bipolar, you don’t have to figure out the next steps on your own. At Valiant Mental Health, we take a practical, evidence-based approach to care—focused on helping you feel better and function better over time.
Your care plan is individualized and may include one or more of the following:
Medication Management
When appropriate, medication can play an important role in treating Bipolar. We focus on careful evaluation, thoughtful medication selection, and ongoing monitoring to balance symptom relief with side effects. Medication decisions are collaborative and adjusted based on how you respond—not a one-size-fits-all approach.
👉 Learn more about our Medication Management
Therapy
Many people benefit from therapy alongside or instead of medication. Evidence-based therapies—such as cognitive behavioral therapy (CBT) and related approaches—can help you develop skills to manage symptoms, reduce distress, and improve daily functioning. We work with you to determine whether therapy, medication, or a combination is the best fit.
👉 Learn more about our Therapy Services
Telepsychiatry
Care should be accessible. We offer secure telepsychiatry appointments so you can receive high-quality psychiatric care from the comfort of your home. Telepsychiatry allows for flexible scheduling and continuity of care without sacrificing clinical quality.
👉 Learn more about Telepsychiatry
Whether you’re newly seeking help or looking for a better treatment approach, our goal is to support you with clear guidance, professional expertise, and compassionate care—every step of the way.
Ready to Begin?
👉 Request an Appointment »
👉 Learn More About Medication Management »
👉 Explore How Telehealth Works »
You don’t have to leave home to start feeling better. Let’s take that first step together.
This page is intended for educational purposes and does not replace a professional psychiatric evaluation.
What Our Patients Are Saying
Valiant Mental Health is rated 5.0 stars on Google based on patient reviews.
Posted on Google Kyleigh FarrellTrustindex verifies that the original source of the review is Google. I was able to get in the same day and he was very kind, I would absolutely recommend! :)
Owner's reply
Thank you so much for your kind words! We’re glad you had a positive experience. While we can’t always accommodate same-day appointments, we always do our best to get patients scheduled as quickly as possible. We appreciate your recommendation!Posted on Google A LTrustindex verifies that the original source of the review is Google. I've been seeing Randy for probably a year now. His style of counseling is right up my alley: No bs and no coddling. I can speak directly and openly with no judgement (and sometimes I even get a laugh out of him.) Anyone who thinks he's dismissive or claims he said he can't help them obviously needs to do some introspection. If he said he can't help, I guarantee the entire statement was "I can't help you if you're unwilling to help yourself." Therapy is about wanting to be there and wanting to improve mental health. Anyone unwilling to face the ugly in their lives won't be successful in therapy, *regardless* of the therapist.
Owner's reply
Thank you for taking the time to share this thoughtful review. I truly appreciate your perspective and your encouragement of personal accountability in the therapeutic process. Therapy works best when individuals are willing to engage honestly with themselves, and your insight into that is powerful. I’m grateful for your support and wish you continued growth and success on your journey.Posted on Google Jackson McAllisterTrustindex verifies that the original source of the review is Google. Took to long to write this,, i have never had a problem with randy, he is understanding and encouraging and i am happy to be under his care.
Owner's reply
Thank you so much for taking the time to leave this review. I’m truly grateful for your kind words. I’m glad to hear you’ve felt supported and encouraged during our work together. It’s an honor to be part of your care, and I’m here whenever you need anything.Posted on Google Grace Van EttenTrustindex verifies that the original source of the review is Google. Randy was very patient, addressing all my concerns, and he listens extremely well, clarifying misunderstandings instead of jumping to conclusions. He was also very clear about medications and the negative and positive side effects of each type, and how they interact with my medical history personally. He is a *very* good psychiatrist. Most of all, I appreciate the flexibility he offers in scheduling appointments at nighttimeor daytime, weekdays or weekends, and in person or online. This is incredibly helpful for shift work and unpredictable schedules. I have had bad experiences with psychiatrists in the past, and I recommend him as one of the best options around.
Owner's reply
Thank you so much for taking the time to share this thoughtful review. I’m truly glad to hear that you felt heard, supported, and informed during your visits. Clear communication and collaborative decision-making are very important to me, and I’m happy the medication discussions were helpful for you. I also understand how challenging shift work and unpredictable schedules can be, so I’m grateful to know that the flexible appointment options have made things easier. I’m sorry to hear you’ve had difficult experiences in the past, but I appreciate your trust in me and Valiant Mental Health. It means a lot that you would recommend my care to others. Please don’t hesitate to reach out anytime you need support.Posted on Google Ruth MorganTrustindex verifies that the original source of the review is Google. Randy is very detail oriented and he’ll pay attention to all your concerns. He cares abt his pts and is constantly there for them anytime day or night!
Owner's reply
Thank you so much for your kind words! I truly appreciate you taking the time to share your experience. I’m glad to hear you’ve felt supported and heard—that’s always my goal. Your feedback means a lot, and I’m grateful for the opportunity to be part of your care. If you ever need anything, don’t hesitate to reach out.Posted on Google TransientSapienTrustindex verifies that the original source of the review is Google. Randy is an expert in his field and he walked me through a critical time in my life and helped me quit alcohol use. He goes out of his way to ensure his patients well being
Owner's reply
Thank you so much for sharing this. I’m truly glad to hear you’re doing well and making progress. It takes real strength to step forward during a difficult time, and I’m grateful you trusted me to support you through it. If you ever need anything in the future—whether it’s maintaining progress, managing stress, or navigating new challenges—we're here to help.Posted on Google Natalia TTrustindex verifies that the original source of the review is Google. Absolutely love coming here! My past experiences with other providers has been so-so, but Mr. Goleman actually cares and Im sincerely grateful. look forward to working with him. I appreciate the easy check in and everything else. Thank you for understanding and working with me. I look forward to better days!
Owner's reply
Thank you for your kind words. We are happy to help where we can.Posted on Google Brandon AndrusTrustindex verifies that the original source of the review is Google. I cannot recommend Valiant Mental Health enough! Randy truly cares about his patients and has his heart fully in this field. He is extremely prompt with communication and always gets back to you quickly when you need something. His professionalism, consistency, and compassion stand out, and he is very good at what he does. I highly recommend Randy and Valiant Mental Health to anyone seeking quality mental health care.
Owner's reply
Thank you so much for sharing this thoughtful review! I’m honored to hear that my communication and care have made a difference for you. At Valiant Mental Health, we strive to provide compassionate, consistent, and responsive support for every patient, and it’s wonderful to know that has been your experience. Your recommendation means a great deal — we truly appreciate your trust.Posted on Google Claire HansonTrustindex verifies that the original source of the review is Google. Randy Goleman is the best in the area. He is timely and professional, and it is evident how much of a passion he has for helping others and providing the best possible care.
Owner's reply
Thank you so much for your kind words! It truly means a lot to hear that my passion for helping others shows through in the care I provide. I’m grateful for the opportunity to support you and the community, and I’ll continue striving to offer the best possible care for every patient I serve.Posted on Google Laura FlanneryTrustindex verifies that the original source of the review is Google. Randy at Valiant Mental Health is outstanding. He communicates clearly, is reliable and consistent, and truly cares about his clients. He’s even gone out of his way to fit someone in during a medication emergency, which speaks volumes about his dedication. Highly recommend!
Owner's reply
Valiant Mental Health appreciates your kind words! Randy is dedicated to providing compassionate, reliable care, and we’re grateful for the opportunity to support you and your team.Showing only 4-5 star reviews
Frequently Asked Questions
What are the symptoms of bipolar disorder?
Symptoms include episodes of mania or hypomania (elevated mood, energy, or irritability) and depressive episodes (low mood, fatigue, loss of interest).
How is bipolar disorder diagnosed?
Diagnosis involves a comprehensive evaluation of mood patterns, severity, duration, and impact on daily life, as well as ruling out other conditions.
Can bipolar disorder be managed effectively?
Yes. Treatment often combines mood-stabilizing medications, therapy, and ongoing monitoring. Telepsychiatry ensures regular follow-ups and medication adjustments.
Can bipolar disorder be safely managed through telehealth, including monitoring for mood episodes?
Yes. Telehealth visits allow your provider to regularly check in on mood symptoms, sleep patterns, and medication side effects, which are all important for managing bipolar disorder, with more frequent follow-ups scheduled during periods of mood instability.
Does medication management for bipolar disorder require lab monitoring, and can that still happen with telehealth care?
Some bipolar medications, such as lithium or valproate, require periodic blood work. Your provider will send lab orders that you can complete at a local lab near you, with results reviewed during your telehealth visits.