Bipolar disorder is characterized by periods of persistently elevated or irritable mood, accompanied by several of the following: feeling unusually highly confident or powerful, thoughts that are not grounded in reality, excessive energy, starting new projects with big goals in mind but not following through, decreased need for sleep or staying awake for days at a time, talking faster than usual or feeling like your mind is racing, and acting unsually impulsive (spending large amounts of money, having unprotected sex with people you barely know, driving recklessly, etc.). For many people, these manic or hypomanic “highs” can be quite pleasurable, but they are usually also followed by depressive lows which can be equally as severe.While I am not a medical doctor and cannot prescribe medications, medication is often needed to manage the symptoms of bipolar disorder. Coordination of care between your psychiatrist and me will be important in your overall recovery. Because of how pleasurable the bipolar “highs” can be, taking medications that dull this euphoria can feel counterintuitive. The problem with not taking them is the undesirable consequences people experience during the manic or hypomanic episodes or once they “come down.” The consequences may be in your relationships, impact your financial or medical health, or even cause legal issues. Taking medications regularly and as prescribed is important to your overall health, and may be an area we decide to discuss further in therapy. If you are looking for therapy for bipolar disorder, call me today so we can discuss how I might help you reach your goals.