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Mood Disorders

Bipolar Disorder — Diagnosis & Treatment in Maryland

Bipolar disorder is frequently misdiagnosed as depression. Accurate diagnosis and mood stabilizer treatment significantly improves outcomes and quality of life.

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Common Signs & Symptoms

  • !Episodes of depression alternating with mania or hypomania
  • !Manic: elevated mood, reduced sleep need, impulsivity, grandiosity
  • !Hypomanic: milder elevation without full functional impairment
  • !Periods of normal mood between episodes

What Causes This?

  • Strong genetic component (heritability 60–80%)
  • Dysregulation of circadian rhythms and dopamine systems
  • Stressors can trigger episodes

Treatment Approaches

Mood Stabilizers

Lithium, valproate, and lamotrigine reduce episode frequency and severity.

Atypical Antipsychotics

Quetiapine and aripiprazole — effective mood stabilizers with FDA approval.

Psychoeducation

Understanding triggers and early warning signs is a critical component.

Frequently Asked Questions

Can antidepressants alone worsen bipolar disorder?

Yes — antidepressants without mood stabilizer coverage can trigger mania or rapid cycling. Accurate diagnosis is critical.

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Think This Could Be Your Issue?

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