All conditions

    Conditions we treat

    Bipolar Disorder

    Mood that swings further than it should.

    Mood cycling between depressive lows and elevated or irritable highs.

    Calming illustration representing Bipolar Disorder, a condition treated by Dr. Simran Doria at MindNest Neuropsychiatry Clinic

    An overview

    Understanding bipolar disorder

    Bipolar disorder is a mood condition in which the brain shifts between depressive episodes and elevated states known as mania or hypomania. The highs can feel productive, creative or even euphoric at first, sleep needs drop, ideas race, confidence surges, but they are usually followed by impulsive decisions, strained relationships, and crashes that take months to recover from. Because depressive episodes are often more obvious than highs, bipolar disorder is frequently misdiagnosed as recurrent depression for years. Accurate diagnosis changes the entire trajectory of treatment. With the right mood-stabilising medication, regular sleep, ongoing follow-up and a family that understands the condition, people with bipolar disorder live stable, productive and meaningful lives, and many do their best work after diagnosis, not before.

    Common signs

    • Episodes of unusually elevated, expansive or irritable mood
    • Reduced need for sleep with high energy
    • Racing thoughts, fast speech, impulsive spending or decisions
    • Periods of deep depression between highs
    • Difficulty maintaining routine, work or relationships during episodes

    What contributes

    • Strong genetic component
    • Sleep disruption and circadian instability
    • Substance use and high-stress life events
    • Postpartum hormonal shifts in vulnerable individuals
    • Antidepressants used without a mood stabiliser in undiagnosed bipolar
    • Shift work, long-distance travel and seasonal change

    How we treat

    • Mood stabilisers and other targeted medication
    • Routine and sleep regulation as a core treatment
    • Psychoeducation for the patient and family
    • Long-term monitoring to prevent relapse
    • Early-warning sign tracking and crisis planning
    • Lifestyle structuring around sleep, work and substance use

    When to seek help

    • Episodes of unusually high energy, reduced sleep or pressured speech
    • Impulsive decisions, spending or risk-taking out of character
    • Deep depressive episodes that follow these 'high' phases
    • Family history of bipolar disorder with similar mood patterns in you
    • Antidepressants in the past seemed to 'flip' your mood upward
    • Mood shifts severe enough to affect work, study or relationships

    Who can benefit

    • Young adults experiencing a possible first mood episode
    • People previously diagnosed with depression who aren't fully responding
    • Families seeking guidance and psychoeducation
    • Patients wanting to stabilise mood and stay relapse-free long-term

    Not sure if this fits you?

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    Educational disclaimer: This page is for general information only and is not a diagnosis or a substitute for evaluation by a qualified clinician.