Achieving Stability: Bipolar Disorder Co-Occurring Treatment at MBO
Understanding the Scope of BP and SUD
About 4.4% of adults have experienced bipolar disorder (BP) at some point in their lives, making it a common mental health concern for many individuals. Additionally, there are many established treatment options available for those who need support and healing during recovery.
Bipolar disorder is sometimes coupled with a co-occurring condition, such as substance use disorder (SUD). In these cases, the challenges of managing both conditions can be overwhelming.
However, with a comprehensive, personalized approach, people can effectively manage their symptoms and improve their quality of life.
The Complex Relationship Between BP and Co-Occurring Conditions
Bipolar disorder is a complex mental health condition characterized by extreme mood swings. These range from manic highs to depressive lows.1
Bipolar disorder is often accompanied by co-occurring conditions, and this dual diagnosis presents unique challenges, as the symptoms of each condition can worsen the other.
For example, substance misuse can trigger mood episodes in people with bipolar disorder, while the emotional dysregulation associated with bipolar disorder can increase the risk of substance abuse as a form of self-medication.
Our Approach to Mental Health Treatment
At Mind Body Optimization (MBO), we understand the complexities of bipolar disorder and co-occurring conditions. Our integrative approach to mental health treatment combines evidence-based practices with holistic therapies to address the unique needs of each person.
By treating the whole person — mind, body, and spirit – we aim to help our clients achieve lasting recovery and emotional well-being.
Understanding Bipolar Disorder and Co-Occurring SUD
An Overview of Bipolar Disorder
Bipolar disorder is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). These mood swings can range from mild to severe and can affect a person’s energy levels, behavior, and ability to function.
There are several types of bipolar disorder, each with its own set of symptoms and severity:2
- Bipolar I Disorder: With bipolar I, a person experiences manic episodes that last at least seven days or are severe enough to require immediate hospitalization. Depressive episodes may also occur, often lasting at least two weeks.
- Bipolar II Disorder: Bipolar II is characterized by a pattern of depressive episodes alternating with hypomanic episodes. These are less severe than full manic episodes.
- Cyclothymic Disorder: Cyclothymic disorder is a milder form of bipolar disorder characterized by periods of hypomanic symptoms as well as periods of depressive symptoms. These symptoms are less severe than those seen in the other disorders.
Differentiating Between Manic and Depressive Episodes
Manic Episodes
- Elevated or irritable mood
- Increased energy or activity levels
- Reckless or impulsive behavior
- Racing thoughts
- Decreased need for sleep
- Grandiose beliefs about one’s abilities
Depressive Episodes
- Feelings of sadness, hopelessness, or emptiness
- Fatigue
- Difficulty concentrating
- Changes in appetite or sleep patterns
- In some cases, thoughts of death or suicide
Risk Factors for Bipolar Disorder
- Genetics: Bipolar disorder tends to run in families. This suggests a genetic component to the disorder.
- Brain structure and functioning: Differences in brain structure and functioning may contribute to the development of bipolar disorder.5
- Environmental factors: Stressful life events, such as trauma or loss, can trigger or worsen bipolar symptoms in some people.
Challenges of Bipolar Disorder
Common Patterns and Comorbidities
Studies have found a lifetime prevalence of 38% for any SUD in those with bipolar I disorder.6
People with bipolar disorder may turn to substances as a way to self-medicate. This leads to increased substance abuse and worsening of bipolar symptoms.
Conversely, substance use may trigger mood episodes in those with bipolar disorder. This creates a cycle of dependence and instability.
Addressing Complexities and Enhancing Recovery
Medication Management
Therapy
Various types of therapy can be beneficial in bipolar disorder co-occurring treatment. For example, cognitive-behavioral therapy (CBT) can help people identify and change negative thought patterns and behaviors.
Family therapy can also be important, as it can help improve communication and support networks.
Lifestyle Changes
- Regular exercise
- A balanced diet
- Sufficient sleep
Mindfulness and Relaxation Techniques
Mindfulness practices, such as meditation, can help people manage stress and improve their ability to cope with difficult emotions. These techniques can be particularly beneficial for people with bipolar disorder.
Peer Support Groups
Bipolar Disorder Co-Occurring Treatment Planning
Assessment
Individualized Treatment Plan
Each person receives a personalized treatment plan that takes into account their unique needs, preferences, and goals.
This plan may include a combination of:
- Medication
- Therapy
- Lifestyle changes
Continuum of Care
- Inpatient treatment
- Outpatient treatment
- Aftercare services
Collaborative Approach
Bipolar disorder co-occurring treatment often involves a team of professionals working together to provide comprehensive care.
This team may include:
- Psychiatrists
- Therapists
- Social workers
- Addiction specialists
- Mental healthcare providers
- Other specialists
Monitoring and Adjusting the Treatment Plan
- Changing medications
- Modifying therapy approaches
- Adjusting other aspects of the treatment plan
Addressing Triggers and Enhancing Stability in Bipolar Disorder Co-Occurring Treatment
Examples of Triggers for BP and SUD
Stress
- Practicing relaxation techniques, such as deep breathing or meditation
- Engaging in regular physical activity
- Seeking support from friends, family, or a therapist
Sleep Disruptions
Disruptions in sleep patterns can trigger mood episodes in people with bipolar disorder.
Improving sleep quality can be done through:
- Establishing a regular sleep routine
- Practicing good sleep hygiene
- Avoiding stimulants like caffeine and electronics before bedtimeÂ
Substance Use Cues
Negative Thought Patterns
Social Isolation
Developing Coping Skills
Enhancing Stability Through Lifestyle Modifications
Bipolar Disorder Co-Occurring Treatment Is a Path to Healthier Living
Choose Care That Prioritizes You: Dual Diagnosis Treatment for Bipolar Disorder at MBO
Mind Body Optimization offers high-quality bipolar disorder co-occurring treatment.
The primary facets of our care include:
- Integrated Approach: MBO takes an integrated approach to dual diagnosis treatment, combining medication, therapy, and lifestyle changes to address both disorders at the same time.
- Personalized Care: Each person receives a personalized treatment plan tailored to their specific needs, ensuring that they receive the most effective care possible.
- Continuum of Care: MBO offers a continuum of care, including outpatient and aftercare services, to support people at every stage of their recovery journey.
Committed to Compassionate Care
Contact Mind Body Optimization Today
If you or someone you know is struggling with bipolar disorder and substance use, don’t wait to seek help.
Contact Mind Body Optimization today to learn more about our bipolar disorder co-occurring treatment programs and take the first step toward lasting recovery and lasting healing.
Together, we can pave a path worth following. One where we can all find sustainable change.
Resources
- https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955
- https://www.nimh.nih.gov/health/topics/bipolar-disorder
- https://www.health.harvard.edu/a_to_z/bipolar-disorder-manic-depressive-illness-or-manic-depression-a-to-z
- https://journals.sagepub.com/doi/10.1177/2045125318769235
- https://www.tandfonline.com/doi/full/10.31887/DCNS.2008.10.2/lclark
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2094705/#:~:text=In%20subjects%20with%20bipolar%20I,of%20any%20drug%20use%20disorder.
