Doctor’s Insights: Navigating Life With Bipolar Disorder By Dr Antti Rintanen MD Of The Internet Doctor

(image: Emily Underworld: Unsplash)

Living with bipolar disorder can often feel like your emotions are swinging between two extremes. The highs (mania) can be energising but risky, and the lows (depression) can be draining and isolating. As a doctor, I’ve worked with many patients who face this condition—and I’ve seen firsthand how the right tools, treatments, and habits can lead to a more stable and fulfilling life.

What Is Bipolar Disorder?

Bipolar disorder is a mental health condition marked by episodes of depression and mania or hypomania. These mood shifts can affect how a person thinks, feels, and acts. It’s more than just having a bad day or being in a good mood—it can seriously impact relationships, work, and daily functioning.

According to the World Health Organisation, bipolar disorder is one of the top causes of disability for people between 15 and 44 years old.

Medications: The Backbone of Treatment

Most people with bipolar disorder need medication to help manage their symptoms. Lithium, for example, has been used for decades and is one of the most reliable treatments to prevent manic episodes and reduce the risk of suicide. Other options include other mood stabilisers and certain antipsychotic medications.

It’s really important to stick with your medication plan. Stopping suddenly—even if you feel better—can cause serious setbacks. Never adjust or stop medications without medical supervision—even if you’re feeling better, as this significantly increases the risk of relapse, especially into mania. If you have side effects, don’t stop on your own—talk to your doctor about switching or adjusting your dose.

How Therapy Helps

Therapy can help you understand your thoughts, manage emotions, and build better habits. One helpful option is Cognitive Behavioural Therapy (CBT). It teaches people to recognise unhelpful thought patterns and replace them with healthier ones. CBT is especially useful for managing depression and maintaining stability between episodes, though it is less effective during manic phases.

Another type of therapy, called Interpersonal and Social Rhythm Therapy (IPSRT), focuses on keeping your daily schedule steady—especially your sleep and social routines. Why does this matter? Because disruptions to your daily rhythm can trigger mood episodes.

Family-focused therapy also makes a big difference. When your loved ones understand your condition and know how to respond, you’re more likely to stay on track. If you face trauma around your condition, then EMDR therapy can also help with any PTSD or anxiety symptoms.

These therapies don’t replace medication, but they add valuable tools for coping, improving communication, and building resilience.

Everyday Habits That Make a Difference

Beyond medication and therapy, lifestyle habits have a huge effect on mood. Here are a few evidence-based strategies:

  • Stick to a regular sleep schedule. Going to bed and waking up at the same time helps stabilize your mood.

  • Get moving. Exercise—even walking—has been shown to lift mood and reduce stress.

  • Eat well. Omega-3 fats (like those found in fish or flaxseed) may support brain health. While the evidence is mixed, some studies suggest they could help support mood as part of a healthy diet.

  • Manage stress. Mindfulness, breathing exercises, or journaling can help you stay grounded.

  • Avoid alcohol and drugs. These can interfere with treatment and trigger episodes.

It’s worth remembering that lifestyle changes work best alongside—not in place of—medication and therapy. These small, daily actions help support long-term stability and overall well-being.

Pay Attention to Early Warning Signs

Everyone’s symptoms are different, but common early signs of mania include less need for sleep, racing thoughts, and impulsive decisions. Signs of depression may include feeling hopeless, withdrawing from others, or sleeping too much.

Keeping a mood diary or using an app can help track how you’re doing. You might also ask a trusted friend or family member to gently point out changes you might not notice.

Build a Strong Support System

Having a support system—whether friends, family, or a support group—makes a real difference. Research shows that people with strong social support tend to manage bipolar disorder better and have fewer hospitalisations.

It also helps when your loved ones are informed and involved. When people understand what you’re going through, it’s easier for them to support you in ways that actually help.

Final Thoughts

Living with bipolar disorder isn’t easy, but it’s manageable. With the right treatment, daily routines, emotional awareness, and a good support network, it’s absolutely possible to live a meaningful and empowered life.

You are more than your diagnosis. And there are tools—backed by science—that can help you thrive.

About the Author

Dr. Antti Rintanen is a licensed physician from Finland and founder of The Internet Doctor, where he shares reliable, accessible health advice. He writes about both physical and mental well-being with a focus on evidence-based care.

Building A Stronger Family Together: Benefits Of Family Therapy by Miranda Spears

(image: Pexels)

In an environment where life’s hectic pace can strain family relationships, family therapy seems like a ray of hope for preserving relationships and promoting comprehension. Although the phrase “family therapy” can conjure up ideas of resolving disputes, the advantages of this approach go much beyond that, including enhanced relationships, better communication, and emotional healing.

Enhancing Communication Skills for Stronger Connections

Healthy relationships are based on effective communication, and family counseling services are essential for improving this ability. Communication failures are a common cause of miscommunication, conflict, and emotional distancing in families. Families can acquire and hone skills that enhance their capacity for eloquent and sympathetic thinking and emotional expression via counselling. Therapists help family members express their needs and actively listen to one another via various techniques, including role-playing and guided conversations. A family’s ability to communicate better can result in more meaningful and fruitful relationships. For instance, activities aimed at recognising and resolving communication patterns that fuel conflict are often included in counselling sessions. Family members can lessen the number of disagreements and misunderstandings by learning to have talks with more empathy and understanding.

Addressing and Resolving Conflict Effectively

Family life will always include conflict, but if unsolved concerns are not properly handled, they can become serious difficulties. Family therapy offers a neutral, safe environment for discussing and working through issues. Family members can share their opinions and feelings in talks led by therapists without worrying about being judged. Families are better able to resolve disputes in a way that fosters understanding rather than hate in this controlled setting. Families that get treatment concentrate on improving their ability to solve problems and resolve conflicts. Counselors often teach family members conflict-resolution strategies like compromise and negotiation, which help them identify points of agreement and strive toward amicable resolutions.

Strengthening Emotional Bonds and Family Cohesion

Family therapy has a crucial role in strengthening emotional ties and promoting unity within the family. Emotional distance often results from unsolved problems, unfulfilled desires, or traumatic experiences in the past. Family members can examine and resolve these underlying difficulties in therapy, which promotes emotional healing and fortifies bonds between them. Families might better comprehend one another’s experiences and viewpoints by using facilitated conversations and therapeutic activities. Activities intended to improve emotional connection, including telling personal tales or expressing appreciation, are often included in the therapy process. Through deeper connections fostered by these activities, family members can develop empathy and trust.

Improving Family Roles and Dynamics

Redefining and addressing family roles and dynamics is another aspect of family therapy that can have a big influence on relationships and family functioning. Rigid or dysfunctional role structures are a major source of discontent and conflict in many households. For instance, a family member can take on an emotionally taxing caregiver role, or there can be tasks that are not evenly distributed, leading to conflict. The chance to assess and modify these responsibilities to better suit the needs and abilities of each family member is offered by therapy. In order to recognise and treat problematic patterns in roles and dynamics, therapists collaborate with families. Families can investigate and reinterpret roles in a manner that fosters harmony and respect for one another via therapy. As an example, family members might work together to create new rules about who gets what or help each other adapt to new positions within the family.

Fostering Resilience and Coping Strategies

The development of resilience and useful coping mechanisms is yet another important advantage of family therapy. Families often deal with a variety of pressures that might harm their relationships and mental health, such as health problems, financial hardships, or life changes. Families that get therapy are given the skills and techniques to deal with these pressures and keep a good attitude. Therapists assist families in creating coping strategies that improve their capacity to deal with difficulties and adjust to changes. Teaching stress management strategies, developing problem-solving skills, and promoting healthy lifestyle choices are a few examples of therapeutic approaches. Families develop resilience, support one another through trying times, and manage to stay stable in the face of outside challenges.

Finally…

The advantages of family therapy for improving family dynamics and relationships are immeasurable. A family that receives family therapy can become more cohesive, resilient, and supportive—a place where people feel empowered to face life’s obstacles as a unit.

Miranda Spears is a freelance writer.

Eating Disorder Treatments to Consider if You Think a Friend May Be Struggling by Anita Ginsburg

(image: Hannah Busing: Unsplash)

Eating disorders are serious mental illnesses that affect millions of people worldwide. These disorders can have a devastating impact on a person’s physical health, mental well-being, and quality of life. If you think a friend may be struggling with an eating disorder, it is important to seek help as soon as possible. There are many different types of treatments available for eating disorders, and the right approach will depend on the individual’s unique needs and circumstances. This blog post will discuss some of the most effective eating disorder treatments to consider if you think a friend may be struggling.

Inpatient Treatment

Inpatient treatment is a highly specialised form of care that involves staying in a hospital or residential facility. This type of treatment is typically recommended for individuals who are experiencing severe eating disorders and need intensive support and supervision.This inpatient eating disorder treatment may include medical monitoring, individual and group therapy, and nutritional counselling. This approach can be highly effective in helping individuals regain weight, learn new coping skills, and develop healthier eating habits.

Outpatient Treatment

Outpatient treatment is another option for individuals who are struggling with an eating disorder. This type of care involves visiting a mental health clinic or hospital on a regular basis for counselling and other therapies. Outpatient treatment may be appropriate for individuals who are in the early stages of recovery, or who have a less severe eating disorder. It can also be a good option for those who need to balance treatment with work or other responsibilities.

Cognitive Behavioural Therapy

(CBT) Cognitive behavioural therapy (CBT) is a widely used form of psychotherapy that has been shown to be effective in treating eating disorders. This approach focuses on identifying and changing negative thought patterns that contribute to disordered eating behaviours. CBT can be used in both inpatient and outpatient settings, and may be combined with other types of therapies to create a comprehensive treatment plan.

Family-Based Treatment

(FBT) Family-based treatment (FBT) is a specialised approach to treating eating disorders in children and adolescents. This approach involves the entire family in the treatment process and is designed to help parents and caregivers support their child’s recovery. FBT has been shown to be highly effective in treating anorexia nervosa, and may also be used to treat other types of eating disorders.

Nutritional Counselling

Nutritional counselling can be an important component of eating disorder treatment. This type of therapy involves working with a registered dietitian to develop a healthy eating plan that meets the individual’s specific needs and goals. Nutritional counselling may be used in conjunction with other types of therapies, such as CBT, to create a comprehensive treatment plan.

Eating disorders are complex and challenging to treat, but with the right help, recovery is possible. If you think a friend may be struggling with an eating disorder, it is important to seek professional help as soon as possible. Inpatient and outpatient treatment, cognitive behavioural therapy, family-based treatment, and nutritional counselling are all effective options to consider.

Remember, recovery is a journey, and it may take time and patience to achieve lasting results. With the right support and treatment, your friend can learn to overcome their eating disorder and live a happy, healthy life.

If you’re in the UK please see the following charity to help too: https://www.beateatingdisorders.org.uk/ as we approach Eating Disorders Awareness Week.

This article as written by Anita Ginsburg and contains a non sponsored link.