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.

Feeling Low? Here’s What Can Help You Regain Control Of Life.

(image: Pexels: Temo Berishvili)

Each of us is our own worst critic and enemy when it comes to matters of the heart. We judge ourselves more harshly than others and when we set standards for our lives, they can often feel impossible. We listen to our own inner voice more than others and when we are overly critical, we’re actually approaching situations and life all wrong.

Who else do you listen to that tells you you’re bad at things? Probably no one else because no one will criticise you more than you do. When you’re feeling low, it can really help to do all that you can to feel better in yourself. You need to feel like a success!

For example, if you don’t own a business, being accomplished could come from studying hard in something new. If you do own a business, you could feel more accomplished with the help of the create chatbot feature you can add to your website – that accomplishment comes from knowing you’re offering value to customers. Things like this can make you feel fantastic about yourself, which is what you should try to achieve at all times.

So, how else can you feel more accomplished, when you’re feeling low?

Consider where you are in life.

How far have you come in life so far? It doesn’t matter where you are right now, you will have come far in life and you have to think about the journey you’ve undertaken. From a personality and mental point of view – even a physical change – you have changed and grown as a person and it’s so exciting! You need to own that and be proud of yourself for it because you are the best person to feel that pride

Appreciate who you are becoming.

No matter which pathways you’ve taken in life so far, you have to be proud of the person you are becoming. You have done so many things so far and hit so many milestones!. If you’re running your own business, you might consider that this is a massive accomplishment compared to where you imagined you would be right now.

Learn to be comfortable with you.

Not everyone goes through life feeling comfortable about who they are but you are a strong person who has overcome every negative situation in life so far. What’s to stop you doing this again and again? Nothing! You are the person in charge of your life, and you deserve to feel like you are doing something right. By changing the things you’re not proud of, you are going to mature and grow in ways you couldn’t imagine.

Create stability.

In your job, in your home life and in your relationships, you should do all that you can to feel more stable in life. Being in charge of that stability takes some time but it’s something that will make you feel like you’re winning in life and you deserve that. Pace yourself with it and take each day as it comes. Feeling low will not go away overnight. But by creating stability in areas of your life, this will help you.

If you are feeling low and think you may be depressed, please do go and see your GP and /or a therapist. There is no shame in reaching for help.

This article was written by a freelance writer.

How to help Teens with Mental Illness succeed at School: Guest blog by Brooke Chaplan

teenmentalillness

(image via B Chaplan)

It can often feel like the educational system is not set up to deal with anyone who falls outside of a fairly narrow set of parameters. If you know a teen who is dealing with a mental illness, you have most likely seen ways that the system fails to help him or her. If you want to help that teen succeed, though, you can take a few of the steps below.

 

Seek Out Treatment

The first, and perhaps most important, step is always ensuring that the teen in question is actually receiving treatment for his or her illness. While you might think that the teen’s coping skills are up to the task of school, the truth is that professional help is still the best way to stay on track. Whether this means therapy, medication, or a combination of the two, seeking out treatment is always a wise first step, from a doctor (GP) or psychiatrist if needed.

 

Find the Right School

The next step requires taking a look at the school environment. Some students do well in a typical school, while others might need a more therapeutic environment. Even choosing a smaller college prep high school may be the best way to help out a teen who has to deal with significant emotional problems. The setting in which education occurs matters, so make sure that your teen has the support he or she needs.

 

Create a Support Network

Make sure that the teen in question doesn’t have to do it all on their own. Setting up a support network that involves friends, therapists, and even teachers is a great way to give your teen a bit of extra help when it comes to dealing with the tough days. While you should be careful with how you talk about your teen’s illness, it’s also a good idea to make sure that others are aware of what he or she is going through.

 

Involve the Teen

Finally, give the teen a stake in his or her success. Let him or her be part of the decisions about schooling, therapy, and finding the right support. Developing a sense of agency is a must for any person who deals with a mental illness, so start the process sooner rather than later.

Don’t be afraid to seek out help when your teen is struggling. Find a good therapist, build support networks, and make sure that you’re making the right educational sources.

With the right kind of help, your teen can be quite academically and emotionally successful.

 

Brooke Chaplan is a freelance writer and blogger. She lives and works out of her home in Los Lunas, New Mexico. She loves the outdoors and spends most of her time hiking, biking, and gardening. For more information, contact Brooke via Facebook at facebook.com/brooke.chaplan or Twitter @BrookeCha

4 Ways to ease the fear of your Doctor Appointments: Guest blog by Ani O

fear1

(image: Tumblr)

Many of us consider a visit to the doctor’s office one full of worries about what they may tell you about your health. However, checking in with your doctor regularly is a great way to ensure that you stay healthy and catch any problems before they become major medical conditions. If you’re fearful of going to the doctor’s office, here are four ways to help ease that tension.

Research Your Doctor

One of the biggest things that can create fear about going to the doctor is the  unknown. You can help to ease some of your fear by doing some research online. Look at the medical facilities website and find the about section for your doctor, if there is one. You may discover a picture and a list of their qualifications and specialties. Just being able to see a picture of your new doctor can go a long ways towards easing anxiety about your upcoming visit.

Ask Questions About the Little Concerns

If you get a sense of overwhelming fear when you think about your upcoming doctor’s visit, it’s a good time to stop and ask questions. The stacking of multiple questions on top of one another likely is what’s keeping that fear alive inside of you. How early do you show up? What identification do they need from me? Do I have to fill out any paperwork if private care? These are all questions you can ask the medical office administration staff when you book your appointment. Getting answers to the small questions can help
to alleviate much of the fear associated with your upcoming visit.

Ask A Friend or Family Member  to Go Along

If you’re fearful of a doctor’s visit, then simply have someone you know go with you. Whether this is your parent, a spouse, boyfriend, girlfriend, or just your best friend, have someone you are comfortable around come with you. It’s easier to face fear when you have the strength and comfort of others you know around you.

 

Don’t Think You’re the Only One

We all tend to get a little anxiety when it comes to going to a doctor’s visit. It’s like we’re getting a grade on how well we’re taking care of our body. So, don’t get yourself caught up in the fact that there’s something wrong with you that you have anxiety about your appointment. Realize that most people do and it’s just a natural part of the human experience.

Easing your fear about going to the doctor’s office can be fairly simple as long as you have the right steps to do so. The above four tips should do wonders for alleviating most of your fear of your upcoming doctor’s visit. Remember that you’re not alone and you can get through it just like everybody else has.

 

This guest post was written by freelance writer Ani O, in the USA.