Bipolar Disorder

What is bipolar disorder? What is mania and hypomania? What are the warning signs of bipolar disorder? What are the potential triggers of bipolar disorder?
“Coming down from an episode is like cleaning up a party that I wasn’t even invited to, where everything has fallen apart, and it’s all my fault because I am the one who made the mess.” Jess, 47

These are the sorts of feelings that people who live with bipolar disorder might experience. It’s a bewildering condition that can take people to the highest of highs and bring them down to the lowest of lows.

Usually triggered by stress, but sometimes completely random, bipolar disorder is a spectrum disorder that affects everyone differently. As the name would suggest, there are two extremes to the condition that require a targeted, individualised approach.

What is bipolar disorder?

Bipolar disorder is a potentially serious psychiatric disorder, characterised by mania (a dramatic elevation in mood and energy) that is often followed by depression (which can last weeks, months or occasionally even years).

What is mania and hypomania?

Mania is a dramatic elevation in mood and energy. The intensity of mania can vary from mild (hypomania) to severe (mania). Mania can lead to hospitalisations and sometimes includes psychotic symptoms, such as delusions and paranoia. However, less severe or ‘mild mania,’ termed hypomania, often doesn’t lead people to seek help. In fact, someone experiencing hypomania is unlikely to feel they need help at all – after all, who would think to seek help for high confidence, a mind bursting with fresh ideas and endless energy? While hypomania can only sometimes be problematic enough for someone to seek professional assistance, it is often accompanied by its far more troubling cousin: depression. It is common that during these depressive episodes, people look towards seeking professional help, and the bipolar disorder is finally brought to light. The mania and hypomania aspect of bipolar disorder is often accompanied by:
  • Patterns of thinking (cognitive biases)
  • Learnt behaviours (behavioural tendencies)
  • Relationship difficulties (attachment style)
Bipolar disorder can come in many forms, and symptoms can vary substantially between people. Bipolar disorder is surprisingly common, with 2 in every 100 people diagnosed with the condition. You might even be familiar with some of the highly successful people known to have been diagnosed with bipolar, such as Kanye West, Stephen Fry, Mel Gibson, Frank Sinatra, Russel Brand, Mariah Carey, Selena Gomez, Sinéad O’Connor and even Winston Churchill. Although all of these people admit to struggling with their symptoms, many have come out publicly to highlight the benefits of accessing professional help and education about the disorder. Here is a video of Stephen Fry, speaking to his younger self, highlighting the importance of seeking bipolar disorder treatment.

What are the different types of bipolar disorder?

There are four main types of bipolar disorder, but in reality, symptoms may not fall precisely into these categories:
Bipolar 1
Periods of both severe depression and mania
Bipolar 2
Periods of both severe depression and hypomania
Rapid cycling Bipolar
Either Bipolar 1 or 2, except episodes are shorter and occur more frequently (at least 4 episodes a year).
Cyclothymia
Periods of feeling low (mild depression) followed by periods of feeling energetic, excited and happy (hypomania).
What are the warning signs of bipolar disorder?
Here are some of the warning signs you may want to look out for if you or a loved one are suspicious that you may need bipolar disorder treatment:
  • Knowing that something is just not quite right
  • Random, extended fits of laughter for no apparent reason
  • Feeling a lesser need for sleep
  • Feeling elated, audacious or invincible
  • Losing your appetite
  • Feeling agitated, restless or uncomfortable in your skin
  • Feeling like you’re losing control of your thoughts because they’re racing
 
What are the potential triggers of bipolar disorder?
We also encourage you to note potential triggers for your condition, some examples of which may be:
  • Stress at work, home or school
  • Conflict or socially upsetting circumstances
  • A break-up or change in your romantic life
  • Bereavement
  • Lack of sleep
  • Recreational drug use
  • Prescribed medications that are not appropriate for your condition
Our approach to bipolar disorder treatment
Bipolar disorder is likely caused by a combination of genetics interacting with environmental risk factors. However, scientists still haven’t been able to pinpoint the specific causes. The good news is that many people with the condition still live happy and successful lives, but finding the right bipolar disorder treatment approach and symptom management plan is crucial. We have extensive experience in providing bipolar disorder treatment using a range of approaches, from medication to therapy. Treating bipolar disorder takes expertise and experience, as it is easy to misdiagnose someone with bipolar with either depression or psychosis, due to the changes in their symptoms over time. Receiving a diagnosis from a psychiatrist before moving ahead with medications is incredibly important in the case of bipolar disorder, as specific medications can worsen symptoms or trigger an episode, while other medications may only treat some of the symptoms. At LPC we know that psychoeducation is essential for successful treatment of bipolar disorder. We encourage you to get to know the nature of your bipolar disorder patterns, so you learn to recognise the signs before an episode takes hold. These are specific to you, and no two people will have exactly the same set of warning signs, but they may be similar. We follow the Maudsley Prescribing Guidelines for bipolar disorder, which recommends using both antipsychotics and mood stabilisers, with anti-anxiety drugs often being useful as an add-on to these medications. Specific medication will be prescribed depending on what type of bipolar disorder symptoms someone has (see below). Research has even shown that certain medications work most effectively when they are taken in conjunction with another medication. For example, medications that are commonly prescribed together include lithium and an antidepressant, lithium and lamotrigine, or olanzapine and fluoxetine. We also use other evidence-based methods that have been shown to improve or reduce symptoms of bipolar disorder. Some of these approaches are:
  • Psychotherapy: Cognitive Behavioural Therapy (CBT), Interpersonal Therapy
  • Psychoeducation: providing education and advice on how to recognise triggers and manage symptoms to individuals with bipolar, as well as their families/partners
  • Stress management: mindfulness, meditation, or self-care activities
  • Exercise plans
By taking control of your condition under the guidance of our experienced professionals, there is no reason that a diagnosis of bipolar disorder should hold someone back from what they want to achieve.
Talk to us to discuss treatment options

Patient success stories

I am 26, I was 24 when I was diagnosed with type 1 bipolar disorder. Becoming sick at this point of my life was very discombobulating. I was very ignorant about bipolar disorder and therefore disorientated when it came to understanding my mania and depression.
Since I have started feeling better and that depression flip switched off, I have been regularly speaking to Dr Alameda. I really feel appreciative of his holistic care, having a talented psychiatrist helping me stabilise and prevent me from relapsing this year.
I would also like to mention how brilliant Jennifer and Kirsty (Dr Pertusa and Dr Alamada’s secretaries) have been, they have an amazing bedside manner and I enjoy their phone calls.
Jenna, 28
Our Doctors
Here to help you with Bipolar Disorder

Dr Luis Alameda

Dr Srinivas Lanka

Dr Nagore Benito

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Hannah Cartwright

I’m Hannah Cartwright, a Registered Associate Nutritionist (ANutr) certified with the Association for Nutrition, UK. I hold a Masters degree in Human Nutrition, Bachelor degree in Psychology, and have completed accredited nutritional counselling courses in Disordered Eating and Body Image.

Conditions I treat:

Disordered eatingEmotional eatingBody imageOptimising gut healthDigestive symptomsIrritable bowel syndromeFood intolerancesNutritional deficienciesWeight managementDiet optimisationFitness goalsNutrition for runners and preparing for marathonsHormonal imbalancesMenopause

I believe nutrition is about nourishing your body with the food you enjoy and embracing a healthy way of living so you can live your life to the fullest.

Fees

First consultations: £200 (1 hour)

Follow-up consultations: £170 (1 hour)

Dr Maria M. Herves

I am a General Psychiatrist with great interest in childhood and adolescence psychiatry. I have been working specifically in this field over the last 10 years. I believe that supporting mental health at early stages in life can prevent it from developing further into more persistent difficulties in adulthood.

Conditions I treat:
ADHDAnxietyAutismBehaviour problemsBipolar disorderChronic painComplex trauma and PTSDDBT(Dialectical behaviour therapyDepressionEmotional DysregulationFamily workFibromyalgiaMemory problemsOCDPanic AttacksParentingPersonality DisordersPsychosisPsychosomaticSchool bullying and cyberbullyingSleep problems

I regard the patient as the product, not the problem. They are a result of their environmental, genetic and social influences, all of which can be addressed and supported with professional help.

Fees
First Consultation:
£580
(1 hour)
First Consultation:
£870
(1.5 hours)
First Consultation:
£1145
(2 hours)
Follow-up consultations:
£290
(30 min)
Follow-up consultations:
£385
(40 min)
Follow-up consultations:
£580
(60 min)

Dr Nagore Benito

I am a General Adult Psychiatrist with extensive experience in the diagnosis and treatment of most mental health conditions. I offer a person-centered and holistic approach.

Conditions I treat:
ADHDAnxietyBDDBipolar disorderDepression OCDPanic AttacksPsychosisSleep problemsTrauma & PTSD

The best six doctors anywhere, and no one can deny it are sunshine, water, rest, and air, exercise and diet. These six will gladly you attend If only you are willing Your mind they’ll ease Your will they’ll mend And charge you not a shilling
– Nursery rhyme quoted by Wayne Fields, What the River Knows, 1990

Dr Jonathan Garabette

I am a Psychiatrist specialising in General Psychiatry and Medical Psychotherapy.
I treat most mental health difficulties and offer a range of approaches including medication, psychological therapies and lifestyle modification.

Conditions I treat:
Addictions AnxietyBDDBipolar disorderBorderline Personality DisorderComplex TraumaDepersonalisationDepression Eating DisordersInsomniaOCDSleep problemsPanic AttacksPsychosisTrauma & PTSD

I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you.

Fees
Initial Consultation:
£1160
(2 hours)
Initial Consultation:
£870
(1.5 hours)
Follow-up Consultation:
£580
(1 hour)
Follow-up Consultation:
£290
(30 min)

Dr Srinvas Lanka

I am a Consultant Psychiatrist specialising in Adult Psychiatry and Neuropsychiatry. I treat a wide variety of mental health and emotional conditions and have specialist expertise in managing complex and long term conditions.

Conditions I treat:
ADHDAutismAddictions AnxietyBDDBipolar disorderBrain inuryBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaMemory problemsOCDPanic AttacksPersonality DisordersPsychosisSleep problemsTrauma & PTSD

I try to understand your treatment goals, values, limitations and preferences, so we can personalise your treatment using the best approach that gives you sustained recovery.

Fees
ADHD Initial Consultation:
£1160
(2 hours)
Initial Consultation:
£870
(1.5 hours)
Follow-up Consultation:
£290
(30 min)
Follow-up Consultation:
£580
(1 hour)

Dr Lara Lavadiño

I am a General Adult Psychiatrist specialised in Adult, Child and Adolescent Psychiatry. I have specialist expertise in managing complex and long term conditions. I am an EMDR (Eye Movement Desensitization and Reprocessing) certified psychotherapist also integrating Cognitive-Behavioural Therapy (CBT), Systemic Therapy and Psychodynamic Psychotherapy principles.

Conditions I treat:
ADHDAnxietyAutismBDDBehaviour problemsBrain injuryChronic fatigueChronic painDepressionDissociationFibromyalgiaLearning DisabilityOCDPanic AttacksPanic/AgoraphobiaParentingPerformance anxiety in Music, Acting and SportsPerinatal PsychiatryPersonality DisordersPsychosisSleep problemsSocial phobiaTinnitus and VertigoTrauma & PTSD

I believe in a positive psychiatry approach, empowering both children and adults to overcome any difficulties by providing education and support on their condition, along with a holistic and personalised treatment plan.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Luis Alameda

I am a General Adult Psychiatrist and a Neuroscience Researcher. I specialise in severe mental conditions including trauma. I offer an individualised intervention integrating psychotherapy and medical approaches.

Conditions I treat:
AnxietyBorderline Personality DisorderBipolar disorderBrain inuryBehaviour problemsChronic painDepression Dissociative disordersNarcissistic Personality DisorderOCDPanic AttacksPersonality DisordersPsychosisReactions to acute stressSchizophreniaSchizoaffective DisorderSleep problemsTrauma & PTSD

I believe that difficulties in managing mental health are a normal part of life and far more common than you might think. They present an opportunity to understand the problem, become more self-aware and progress on your journey.

Fees
First Consultation:
£395
(1 hour)
Follow-up consultations:
£220
(30 min)
Follow-up consultations:
£330
(45 min)

Dr Iyas Assalman

I am a Consultant Psychiatrist specialised in General Adult Psychiatry. I treat a wide variety of mental health and emotional conditions and I have an expertise in treating Adults with ADHD.

Conditions I treat:
ADHDAnxietyBDDBehaviour problemsBipolar disorderDepressionMemory problemsOCDPanic AttacksPsychosisSleep problemsTrauma and PTSD

Rather than seeing you as a diagnosis or trying to change your personality, I want to understand my patients as a whole person.

Fees
First Consultation:
£495
(1 hour)
First Consultation:
£745
(1.5 hours)
First Consultation:
£980
(2 hours)
Follow-up consultations:
£290
(30 min)
Follow-up consultations:
£385
(40 min)
Follow-up consultations:
£495
(60 min)

Dr Regina Sala

I am a caring and approachable medical doctor specializing in cognitive, behavioural and emotional well-being in children, adolescents, adults and their families. My ethos is to offer excellence of care based on evidence-based research with respect and compassion.

Conditions I treat:
ADHDAutismAddictions AnxietyAttachment difficultiesBDDBehaviour problemsBereavement, grief and lossBipolar disorderBrain injuryChronic painDepressionEating DisordersFamily TherapyFibromyalgiaIntellectual disabilityMedically unexplained symptomsOCDPanic AttacksPersonality DisordersPsychosisPsychosomatic symptomsSleep problemsSocial communication disorderSpecific learning disordersTics and Tourette’s syndromeTrauma & PTSD

I see my patients as human beings and aim to foster a sincere and relaxed environment so that we can build trust during our sessions. I believe in a positive body-mind integration with neuroscience’s principles to empower self-awareness, resilience and personal growth

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Dinesh Kumar

I’m Dr Dinesh Kumar and I am a Consultant Psychiatrist with over 20 years of clinical experience, gained while working in Australia, NHS and private sector.

Conditions I treat:
ADHDAnxietyPTSDBipolar disorderPhobiasDepression OCDSchizophreniaPsychosisPanic disordersPersonality disorder
When developing your personalised treatment plan, my goal is to help you as a person rather than a patient, so that you can achieve your full potential.
Fees
ADHD Initial Consultation:
£985
(2 hours)
Initial Consultation:
£495
(60 min)
Follow-up Consultation:
£245
(20 min)
Follow-up Consultation:
£290
(30 min)
Follow-up Consultation:
£345
(40 min)
Follow-up Consultation:
£495
(60 min)
Follow-up Consultation:
£745
(90 min)
Follow-up Consultation:
£985
(120 min)

Dr Triveni Joshi

I am a Consultant Psychiatrist specialising in Child and Adolescent Psychiatry with over 15 years clinical experience. I treat a wide variety of mental health and emotional conditions with an emphasis on holistic treatment and working with parents/carers.

Conditions I treat:
ADHDAngerAnxietyAutismBDDBipolar disorderBehavioural difficultiesDepression Emerging Personality DisordersOCDPanic AttacksParentingPsychosisSleep problemsTrauma & PTSD

I love to work with children. I wholeheartedly believe that early intervention is one of the best ways to successfully manage long term mental health problems.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Lynn Gruwez

I’m a Clinical Psychologist with experience across a range of mental health conditions. My goal as a therapist is to see each person as someone unique and human. I seek to understand in depth the nature of any mental health symptoms so that I can flexibly and creatively adapt therapy to suit your circumstances.

Conditions I treat:
ADHDAddictions AnxietyBDDBipolar disorderBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaOCDPanic AttacksSleep problemsTrauma & PTSD

I believe in a holistic, non-judgemental approach where clients have the space and freedom to share their fears without constraint. I have a strong interest and passion for Mindfulness.

Fees

Please contact us for more information

Dr Jonathan Garabette

I am a Psychiatrist specialising in General Psychiatry and Medical Psychotherapy. I treat most mental health difficulties and offer a range of approaches including medication, psychological therapies and lifestyle modification.
Conditions I treat:
Depression and Dysthymia​Depression and Dysthymia​Depression and Dysthymia​

I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£275
(30 minutes)
Follow-up consultations:
£320
(40 minutes)
Follow-up consultations:
£475
(60 minutes)

Dr Ana Tsakiri

My Trauma-informed practice and holistic therapeutic approach aims to support children during periods of acute crisis but also help them with long standing emotional and behavioural difficulties. I work with families to understand how adversity and trauma has impacted a child’s world causing emotional and mental health difficulties as well as physical symptoms. I am also a Consultant Psychiatrist specialised in Interventional Psychiatry with TMS therapy for young people with resistant emotional difficulties and severe depression.

Conditions I treat:
ADHDAnxietyAutismBehavioural problemsBDDBipolar disorderBrain inuryComplex TraumaDepression Eating DisordersEmotional Difficulties Family workInterpersonal relationship problemsOCDPanic AttacksParental Psychoeducation about Mental Health DisordersPersonality DisordersPhychosomatic symptomsPsychosisPTSDSleep problems

The aim is always for your child to overcome the negative influence of the experience, redefine how they feel and rebuild their confidence

Fees
First Consultation:
£395
(1 hour)
First Consultation:
£650
(1.5 hours)
First Consultation:
£790
(2 hours)
Follow-up consultations:
£245
(30 min)
Follow-up consultations:
£295
(40 min)
Follow-up consultations:
£395
(60 min)

Alexandra Madureira

I’m a Clinical Psychologist who thinks outside the box. I have a creative and passionate approach that focuses on healing emotions while also considering life situations and neurobiological mechanisms.

Conditions I treat:
ADHDAddictions AnxietyBDDBipolar disorderBrain inuryBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaMemory problemsOCDPanic AttacksPersonality DisordersTrauma & PTSD

I believe feeling safe is a prerequisite for change and therefore I focus on making people feel comfortable, so they can gain the courage to face and break unhelpful psychological patterns.

Fees

Please contact us for more information

Gemma Luke

My name is Dr Gemma Luke, a consultant clinical psychologist. I have been working in the field of mental health for over 20 years, and as a qualified clinical psychologist since 2011.

Conditions I treat:
Self-HarmAddictions AnxietyBDDBipolar disorderBehaviour problemsDepression Eating DisordersOCDPanic AttacksPersonality DisordersTrauma & PTSDOffending behaviour (domestic, violent, and sexual abuse)Behavioural issues

I am passionate about promoting positive mental health and strive to work holistically with both mind and body to help my clients achieve lasting change.

Fees

Initial consultations: £245 (1 hour)

Follow-up consultations: £245 (1 hour)

Dr Alberto Pertusa

I have a strong interest in behaviour modification, lifestyle optimisation and the use of self-quantification as a way to foster wellbeing and increase performance.

Conditions I treat:
ADHDAddictionsAnxietyBinge EatingOCDOrthorexiaSleep problems

I always strive to provide the highest standards of care to all my patients.
I endeavour to offer personalised and bespoke treatment in order to meet your specific needs