bipolar Archives - Nick Vetter Counseling, Therapy and Life Coaching

October 30, 2025 by Nick Vetter

Bipolar I vs. Bipolar II: Key Differences and What They Mean for Treatment

Bipolar disorder is a complex mood disorder that affects millions of people worldwide. Many have heard the term (after all, some of you are living with it!), but did you know that there are two different types? Understanding the distinction between Bipolar I and Bipolar II is essential for proper diagnosis and bipolar therapy treatment, but it can also be helpful to know which you or your loved one has for your own knowledge.

What Is Bipolar I?

Bipolar I is characterized by manic episodes lasting at least seven days or severe enough to require hospitalization. Mania usually presents as an elevated mood, taking risky behaviors, a decreased need for sleep, racing thoughts, and inflated self-esteem or unflappable confidence. Depressive episodes are common but not required for diagnosis.

And Bipolar II?

Bipolar II, the more common form of bipolar disorder, involves hypomania—less intense than full mania—paired with major depressive episodes. While hypomania may not disrupt daily life to the same extent, the depressive phases can be debilitating.

Why Does the Difference Matter?

While mood stabilizers, psychotherapy, and lifestyle management are the recommended treatment for both, Bipolar I vs. Bipolar II requires a slightly different approach. Close medical monitoring is especially important for Bipolar I due to the severity of manic episodes. Bipolar II generally needs lower doses of medication to be effective, and bipolar therapy has a stronger focus on the depressive episodes vs. controlling mania.

Let Us Help You

If you suspect either kind of bipolar disorder, trust your care to us. Our mental health providers are well-versed in mood disorders and committed to providing a safe, supportive space for you to get to know yourself better. Give us a call today to get started!

October 30, 2025 by Nick Vetter

Supporting a Loved One With Bipolar Disorder

Supporting your family and friends is a wonderful thing. But if a friend or family member has bipolar disorder, it may be more of a challenge than you initially thought. Educating yourself about the condition, its symptoms, and treatment options—like bipolar therapy—is the first step to take. In this article, you’ll find a brief overview of the condition and some recommendations for those who want to be there for their bipolar loved ones.

Understanding the Bipolar Experience

Bipolar disorder is a mental health condition marked by extreme shifts in mood. People with this condition will experience alternating episodes of mania or hypomania (high energy, euphoria, impulsive behavior) and depression (low mood, fatigue, feelings of hopelessness, loss of interest in activities). These mood swings can last for days, weeks, or even longer, and the intensity varies between individuals.

Practical Ways You Can Help Someone With Bipolar Disorder

While you aren’t responsible for your loved one, there are things you can do if you want to be a pillar of support for them during hard times. Try to:

Encourage consistent therapy and medication management
Learn to identify early warning signs of mood changes
Provide stability by maintaining predictable routines
Practice patience to avoid judgment during difficult episodes

Supporting someone with bipolar disorder is emotionally draining, to say the least. Consider joining a support group together or seeking counseling for yourself to help with stress. Don’t let your own wellbeing fall to the wayside while trying to be kind!

Therapy Is Always a Resource for You

With a balance of patience and professional treatment, individuals with bipolar disorder can lead fulfilling lives. Also know that therapy is always available at our practice, for yourself or for your loved one. Interested in learning more? Give us a call today!

November 17, 2023 by Nick Vetter

How Bipolar Disorder Can Affect Relationships

Bipolar disorder is a condition that affects an individual’s mood. While manageable, the condition not only affects how a person thinks and feels, but also how they behave and act in romantic relationships. For instance, individuals with bipolar disorder experience severe high and low moods, which are typically called manic and depressive episodes. While in these emotional states, their behavior can scare and confuse their partner.

The good news is, with the right treatment plan, many individuals with bipolar disorder can have healthy and satisfying relationships.

Manic vs Depressive Episodes

In order to understand how bipolar disorder can affect relationships, we need to look at how the two main episodes affect a person’s personality and behavior.

When someone is in a manic state, they are often very irritable. This may cause them to disagree with their partner, and sometimes cause them to look for fights that aren’t really there.

Manic episodes also cause sufferers to partake in risky behaviors, such as binge drinking or gambling sprees. These risky behaviors can cause a lot of tension in the relationship.

Depressive episodes tend to cause the person to become very depressed and less communicative. They may be very weepy and feel hopeless. During these episodes the individual may pull away from their partner. They may also seem so lost and sad their partner feels overwhelmed and unable to help them.

Tips for Healthy Relationships

There is no relationship on the planet that doesn’t require a lot of work and effort. A relationship with a bipolar individual is no different. The good news is, there are numerous ways to build a loving and strong relationship in this situation:

Learn about the condition – The more you know about bipolar disorder, the more you can understand what your partner is experiencing.
Know their triggers – Triggers can disrupt your loved one’s mood, sending them into either a manic or depressive episode. Asking about potential triggers will help you support your loved one.
Creating a support plan – A comprehensive plan will help you support your partner. Your plan can include things like useful contacts, activities to avoid, necessary adjustments to daily routine, etc.

Takeaway

If you’ve been diagnosed with bipolar disorder, or if you are on the verge or diving into a relationship with someone who has, know that the condition does not mean you will be saddled with problems. But a healthy relationship will depend on effectively managing symptoms.

If you’d like to work with a licensed mental health therapist who specializes in working with individuals with bipolar disorder, please give my office a call. I’d be happy to discuss treatment plans and how I may be able to help you experience a profound and loving connection with others.

SOURCES:

https://www.medicalnewstoday.com/articles/324380

https://www.hopkinsmedicine.org/health/conditions-and-diseases/mood-disorders/bipolar-relationships-what-to-expect

https://www.bipolarlife.org.au/how-can-bipolar-disorder-affect-relationships/