How Do Psychiatrists Diagnose Bipolar Disorder Accurately?

At Meridian Psychiatry and Wellness, we understand that mood changes are confusing. One day you are energetic, and the next day you are low. Such dips and rises are not merely mood shifts; they can be a sign of bipolar disorder.

Bipolar disorder is a mental health issue that is noted for changes in mood, energy, and pursuits. Some people are extremely energetic, while others are deeply sad and tired. This impacts their daily lives.

So, how do psychiatrists diagnose bipolar disorder accurately? At Meridian, we don't rely on guesswork. We also listen, question appropriately, and perform a correct diagnosis.

Techniques Psychiatrists Take to Diagnose Bipolar Disorder Accurately

Step 1: Talking and Listening

The first step is a talk. At Meridian Psychiatry and Wellness, the information will be gathered through open-ended questions to understand your feelings. It is not an examination but a safe area where your voice counts.

We might ask:

• How have your moods been lately?

• Have you felt very energetic or unable to slow down?

• Are you feeling intensely down or detached from things you usually find enjoyable?

• Have these changes impacted your work, school, or relationships?

This conversation helps us identify patterns and see if you show signs of bipolar disorder.

Step 2: Exploring Personal and Family History

Psychiatrists also look into your history. Bipolar disorder will usually initiate in late adolescence or adulthood, and the symptoms may hit earlier, particularly in children and teenagers.

Our team will ask:

• When did your mood symptoms start?

• Have you had treatment or hospital visits before?

• Does anyone in your family experience bipolar disorder, depression, or additional mental health challenges?

At Meridian Psychiatry and Wellness, we care for patients aged 6 and older. Our provider, Justina Hicks, takes a holistic approach.

Step 3: Using the DSM-5 Diagnostic Checklist

Psychiatrists use the DSM-5 to ensure accuracy. It discusses features of bipolar disorder, which guide clinicians in making informed diagnoses.

Signs of Mania (High Phase)

• Feeling unusually "up" or happy most of the day

• Talking faster than usual or having racing thoughts

• Needing little sleep

• Taking risks, like spending too much money or reckless driving

Signs of Depression (Low Phase)

• Being sad or hopeless for the last two weeks or longer.

• Losing interest in activities you enjoyed before.

• Over or Insufficient Sleep.

• Always being tired.

• Thinking about death or suicide.

A person may not have all these signs, but several must be present for a while.

At Meridian Psychiatry and Wellness, our provider Justina Hicks, PMHNP-BC, uses this evidence-based approach to ensure that every patient receives a precise and personalized assessment.

Step 4: Ruling Out Other Medical Conditions

There are medical problems, medicines, or drugs that can also lead to mood disorders. This is the reason why, at times, psychiatrists advise:

• Blood tests

• Physical exams

• Reviewing current medications

Our unique approach at Meridian combines mental and medical health and wellness for adults 18 and above. With over 15 years of critical care experience, Justina Hicks understands how physical health can impact

Step 5: Monitoring Over Time

Sometimes, bipolar disorder is challenging to recognize in a single appointment if someone requests assistance during a low period. This is why psychiatrists can monitor the symptoms within weeks or months.

At Meridian Psychiatry and Wellness, we may ask patients to:

• Keep a mood journal.

• Use an app to track your feelings, energy, and sleep.

This helps capture the whole picture, including possible manic or hypomanic episodes.

Step 6: Involving Family and Friends (With Permission)

You might not always recognize your mood swings. So, psychiatrists may speak with someone close to you if you give permission. Family members, teachers or friends can share valuable insights, such as:

• Mood or behavior changes

• School or work problems

• Risky actions during manic phases

At Meridian, we work with your support system to diagnose you accurately and carefully.

Why Accurate Diagnosis Matters

An accurate diagnosis leads to the correct treatment plan that would transform many lives.

Bipolar disorder may be misdiagnosed as depression, and therefore, such patients may receive medications that will aggravate the manic symptoms. However, a correct diagnosis allows individuals to:

• Start mood-stabilizing medications

• Develop healthy routines and coping strategies

• Build stronger relationships

• Regain control over their lives

At Meridian, we don't just treat symptoms; we treat people. We aim to provide individualized care with empathy, compassion, and evidence-based treatment.

Types of Bipolar Disorder

Bipolar is not the only form. These are the key ones that we diagnose and treat:

Bipolar I Disorder

• Involves full manic episodes lasting at least 7 days

• Often includes depressive episodes

Bipolar II Disorder

• It involves hypomania (a considerably less severe disorder than mania)

• Long-term depression accompanies it

Cyclothymic Disorder

• Frequent mood swings that are less severe

• Lasts for 2+ years in adults (1+ year in children)

Each type requires a tailored treatment plan. At Meridian Psychiatry and Wellness, we identify your symptoms carefully and match you with the proper care.

Helping Kids and Teens

Kids and teens can also develop bipolar disorder. But their moods may look different. For example:

• Instead of feeling sad, they may be very irritable

• Instead of being excited, they may be hyperactive

At Meridian Psychiatry and Wellness, we talk to the parents, teachers, and caregivers to know what is happening. We treat people aged 6 and above and are equipped with age-sensitive tools so that young people feel safe and understood.

The Future of Bipolar Disorder Diagnosis

With the ongoing research, new diagnostic tools and methods are being established to enhance the accuracy and speed of diagnosis regarding bipolar disorder. Such developments may include genetic tests and brain imaging.

Final Thought

Psychiatrists can diagnose bipolar disorder through listening and questioning. Visit a mental health expert to find out what to do in case of mood changes.

At Meridian Psychiatry and Wellness, we listen closely, use trusted tools, and take the time to understand you. Call us today and start your journey toward wellness. We’re now accepting new patients for mental health care starting at age 6.

FAQs

Q: Is bipolar disorder hereditary?

Yes, genetics can influence the development of bipolar disorder, especially if a close family member has it.

Q: Can bipolar disorder be misdiagnosed?

Yes, it is often misdiagnosed as major depression, particularly if manic or hypomanic episodes are absent or not recognized.