Bipolar disorder requires a thoughtful, integrated approach. We draw from multiple modalities to address the different dimensions of the condition:

Cognitive Behavioral Therapy (CBT) adapted for bipolar disorder helps you identify the early warning signs of mood episodes, challenge the cognitive distortions that escalate during both manic and depressive phases, and develop coping strategies for managing triggers. CBT also supports medication adherence by addressing the beliefs that sometimes lead people to stop taking their medication during a manic phase.

Dialectical Behavior Therapy (DBT) is especially valuable for the emotional dysregulation that bipolar disorder creates. DBT skills in mindfulness, distress tolerance, and emotional regulation help you respond to mood shifts without making them worse. If emotional intensity and impulsivity are part of your experience, DBT gives you tools to tolerate what you’re feeling without acting on it in ways you’ll regret.

Internal Family Systems (IFS) can help you understand the different parts of your experience, including the part that craves the energy of hypomania, the part that collapses into depression, and the part that just wants stability. IFS creates a more compassionate relationship with all of those parts so you’re not constantly at war with yourself.

We also focus on the practical dimensions of living with bipolar: building daily structure and routines that support mood stability, managing the relational impact of mood episodes (including repair with partners, family, and friends), processing grief about the life you imagined versus the life bipolar disorder has shaped, and reducing the shame and self-stigma that so many people with bipolar disorder carry.