Bipolar Disorder

Bipolar disorder involves intense mood swings, ranging from periods of high energy and excitement to times of deep sadness or low motivation. Managing these shifts can feel overwhelming, but the right support and a personalized plan make a meaningful difference. At FreeMind Psychiatry, Nwayabuife Obiagwu, MD, provides compassionate, tailored telehealth-only treatment to help stabilize moods and improve daily functioning—no office visit required. Get care from the comfort of home. Book a secure telehealth appointment online today to begin your journey toward balance.

What is bipolar disorder?

Bipolar disorder is a mental health condition marked by significant changes in mood, energy, and activity levels. People experience episodes of mania or hypomania—periods of unusually high energy, elevated mood, or irritability—as well as episodes of depression, with low mood, fatigue, and loss of interest in daily activities. These shifts can disrupt relationships, work, school, and overall functioning.

Bipolar disorder often begins in late adolescence or early adulthood, though it can appear earlier or later in life. Telehealth care makes ongoing monitoring and support more convenient.

What are the symptoms of bipolar disorder?

Mania or hypomania

Common features include increased energy, decreased need for sleep, racing thoughts, rapid speech, impulsive decisions, inflated self-esteem, and sometimes risky behaviors. Hypomania is a milder form that causes less impairment but still affects daily life.

Depression

Symptoms can include persistent sadness, fatigue, loss of interest or pleasure, difficulty concentrating, changes in sleep or appetite, feelings of guilt or worthlessness, and thoughts of self-harm.

Mixed episodes

Some individuals experience symptoms of mania and depression at the same time, which can be especially distressing. If you’re in crisis or concerned about safety, call 988 or your local emergency number.

What causes bipolar disorder?

The exact cause isn’t fully understood, but research points to a combination of genetic, biological, and environmental factors. A family history of bipolar disorder increases risk. Differences in brain circuits that regulate mood and impulse control also contribute. Environmental stressors, traumatic experiences, substance use, or major life changes may trigger or worsen episodes.

How is bipolar disorder treated?

FreeMind Psychiatry Group provides personalized virtual treatment that may include medication, therapy, and lifestyle strategies. GeneSight® testing helps inform medication choices. Mood stabilizers, certain antipsychotics, and, in select cases, carefully managed antidepressants can regulate mood. 

Psychotherapies—such as cognitive-behavioral therapy (CBT), interpersonal and social rhythm therapy, or family-focused therapy—build coping skills, strengthen communication, and support daily functioning.

Telehealth visits enable regular follow-ups, symptom tracking, and timely adjustments. Establishing consistent sleep/wake routines, managing stress, and avoiding substances also support long-term stability.

To reduce the impact of mood episodes and improve quality of life, schedule a telehealth appointment with Dr. Obiagwu using the online booking feature today.