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Mood & Anxiety

Bipolar Treatment

Bipolar disorder is a recurring mood condition that responds well to coordinated treatment. We focus on stability, insight, and the practical skills that protect long-term wellness.

Why Families Choose Pand

Up to half of people with bipolar I experience psychotic features during manic or depressive episodes — and when they do, conventional mood-only treatment is insufficient. Pand Health's expertise in both bipolar disorder and the psychosis spectrum lets us recognize that overlap quickly, choose medications that address both dimensions, and prevent the misdiagnoses that delay recovery by years.

~4.4%

U.S. adults affected (lifetime)

Late teens–25

Typical onset

Up to ~50%

Psychotic features in Bipolar I episodes

Understanding Bipolar

Bipolar disorder is a mood condition marked by extreme shifts in energy, activity, and emotional state. Episodes of mania or hypomania alternate with depression, and the transitions can be sudden enough to disrupt school, work, and relationships. Bipolar I includes full manic episodes; Bipolar II includes hypomanic episodes alongside depression; cyclothymia produces milder chronic mood fluctuation. Psychotic features can occur in severe episodes — and identifying that overlap early is essential for the right treatment plan.

Symptom Dimensions

We treat the full picture — not only the symptoms that are most visible.

Positive symptoms

Experiences added to ordinary perception and thinking.

  • Hallucinations or delusions during severe manic or depressive episodes
  • Mood-congruent grandiose or persecutory beliefs
  • Disorganized or rapid, pressured speech

Signs and Symptoms

  • Periods of elevated, expansive, or irritable mood
  • Depressive episodes with low energy or hopelessness
  • Impulsive decisions during high-mood periods
  • Sleep changes that drive mood shifts
  • Racing thoughts or pressured speech

Our Approach

  • Evidence-based medication management (mood stabilizers, atypical antipsychotics when indicated)
  • CBT, family-focused therapy, and interpersonal & social rhythm therapy
  • Sleep and routine stabilization as a clinical priority
  • Early-warning monitoring with the family included
  • Coordinated care when psychotic features are present

Manic and Hypomanic Episodes

  • Reduced need for sleep, increased energy, euphoria or irritability
  • Impulsive, risky, or out-of-character decisions
  • Rapid, pressured speech and racing thoughts
  • Inflated self-confidence or grandiosity

Depressive Episodes

  • Deep sadness, emptiness, or hopelessness
  • Fatigue, hypersomnia, or insomnia
  • Difficulty concentrating or making decisions
  • Suicidal thoughts requiring careful clinical attention

Types of Bipolar Disorder

  • Bipolar I — full manic episodes, often with depressive episodes
  • Bipolar II — hypomanic episodes alongside major depression
  • Cyclothymia — chronic, milder mood fluctuation lasting a year or longer

When Psychosis Enters the Picture

Severe manic or depressive episodes can include hallucinations or delusions. When that happens, the treatment plan must shift — medication selection, therapy modality, and family education all change. Our dual specialty in mood and the psychosis spectrum means we don't have to refer the most complex piece of the picture out.

The Standard of Care

Coordinated Specialty Care — Delivered with Fidelity

Pand Health applies the same Coordinated Specialty Care principles we use for psychosis to every condition we treat: a single multidisciplinary team, evidence-based therapies delivered with fidelity, family included as partners, and care coordinated across psychiatry, therapy, and real-world functioning. We adhere strictly to best practices established by NIMH, the APA, and leading academic centers such as McLean Hospital, Yale PRIME, and the OnTrackNY network — because shortcuts produce relapse, and integration produces recovery.

Ready to talk through bipolar care?

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