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Do I have bipolar disorder? How to get an evaluation 

Do I have bipolar disorder? How to get an evaluation 

Learn the basics of bipolar disorder, including signs and symptoms and the first steps to take in order to get an evaluation.

Reviewed by:
Brenda Camacho, MD
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August 2, 2023
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Key takeaways

Bipolar disorder is a complex mental health condition that can make day-to-day life challenging. 

If you think you may have bipolar disorder or are struggling with your mental health, it’s important to see a qualified mental health professional, like a psychiatrist who can provide an evaluation, make an accurate diagnosis and provide effective treatment options so you can start feeling better. 

Below, we break down everything you need to know about the symptoms of bipolar disorder, when to get an evaluation, and what you should expect. 

What is bipolar disorder?

Formerly known as manic depression or manic-depressive disorder, bipolar disorder is a mood disorder characterized by intense emotions and swings in:

  • Mood 
  • Behavior 
  • Energy levels
  • The ability to function

These mood swings, or “episodes,” can last days or weeks at a time. They range from extreme highs (mania) to lows (depression). (More on how these episodes can feel in the symptoms section of this article.) 

It’s important to note that the intensity and frequency of these episodes can vary, and bipolar disorder will look different for everyone. Some people with bipolar disorder can function with few or no episodes throughout the year and maintain healthy professional and interpersonal relationships. But for most people, living with bipolar disorder disrupts their relationships, work, and day-to-day life.

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What are the symptoms of bipolar disorder?

It’s important to keep in mind that occasional changes in mood are a normal part of life for everyone and experiencing “highs” and “lows” isn’t necessarily a definitive sign of bipolar disorder. However, when symptoms begin interfering with your ability to function on a day-to-day basis, that’s a sign to seek out professional help for what may be a more serious mental health condition.

Here are some common symptoms of bipolar disorder: 

What are the symptoms of mania?

Not all people with bipolar disorder will experience intense periods of mania. Mania can be mild and last for only a few days—this is known as “hypomania.” Often, people are unaware that they’re in a hypomanic episode since they may not experience major disruptions in day-to-day life. 

  • Feelings of elation or extreme irritability
  • A decreased need for sleep
  • A sense of well-being that exceeds reality (euphoria) 
  • Feeling grandiose 
  • Talkativeness or faster speech that seems out of character
  • Irrational thoughts
  • Difficulty focusing
  • Intense anger 
  • Poor decision-making (spending sprees, reckless driving, unsafe sex) 
  • Risky or out-of-control behavior and impulsivity

What are the symptoms of depression?

People with bipolar disorder can also experience periods of depression, often following a period of mania. Symptoms can include:

  • Unstable self-image and poor sense of self 
  • Feelings of hopelessness
  • Fear of abandonment
  • Lack of interest or enjoyment in activities
  • Low energy or fatigue
  • Lack of focus or concentration, slowed behavior
  • Decrease or increase in appetite and disordered eating (binge eating or abstaining from eating) 
  • Decrease or increase in sleep
  • Excessive feelings of worthlessness or guilt
  • Frequent thoughts of death, self-harm, or suicidal behavior 

Like “manic” episodes, depressive episodes can also vary in severity, and not everyone who has bipolar disorder will experience depressive episodes. 

Bipolar disorder symptoms can overlap with those of other conditions like depression, making it difficult to properly diagnose. That’s why, if you think you may have bipolar disorder or are struggling with your mental health, it’s important to see a licensed mental health professional, like a psychiatrist, who can provide an evaluation and make an accurate diagnosis. 

What are the possible causes of bipolar disorder?

While there’s no single cause of bipolar disorder, the best research suggests that brain chemistry and genetics may play a role.

Additional risk factors include extreme stress and substance abuse. Also, those suffering from bipolar disorder may have other co-occurring conditions such as ADHD, anxiety disorders, substance use disorders, and post-traumatic stress disorder (PTSD).

What are the different types of bipolar disorder?

There are three main types of bipolar disorder: bipolar I, bipolar II, and cyclothymic disorder. Here’s what sets them apart:

  1. Bipolar I: People with Bipolar I will experience one or more episodes of mania and may or may not experience depressive episodes. Manic episodes must last for at least seven days or are so severe they require hospitalization. 
  2. Bipolar II: People with Bipolar II are primarily affected by major depression, with at least one experience of hypomania (a milder form of mania).
  3. Cyclothymia, or Cyclothymic Disorder: People with Cyclothymic Disorder will experience long-term hypomania and mild depression. While they may have periods of “normal” moods, these usually last less than eight weeks. 

Keep in mind that people can experience symptoms differently, and symptoms can change over time. It’s important to seek help from a mental health professional who will be able to evaluate your needs and provide a personalized treatment plan based on your current symptoms and progress.

What to expect during a bipolar evaluation

If you think you may have bipolar disorder or are struggling with your mental health, a psychiatrist is a great place to start. In your first appointment, or initial evaluation, a psychiatrist will ask you about how you’ve been feeling. You’ll go over any current symptoms and your health history. 

Here are some examples of the types of questions you can expect to be asked: 

  • What symptoms are you experiencing? 
  • When did your symptoms first start? 
  • How long have you been experiencing symptoms? 
  • Do you have a family history of mental health conditions?

At Talkiatry, you can expect to have up to 60 minutes in your first appointment to allow plenty of time for you to discuss how you’ve been feeling and ask questions. 

After the evaluation, you’ll receive an initial diagnosis (if there is one). 

While this can feel scary, it can also be validating to finally put a name to what you’ve been experiencing. Your psychiatrist will help you navigate any emotions that come up and work with you on a path to move forward.

Once you’ve discussed your initial diagnosis, you’ll collaborate with your provider on an effective treatment plan.

Although bipolar disorder has no cure, treatment can drastically improve your symptoms. Treatment typically includes a combination of medication management and supportive therapy. 


The most common medications used to treat bipolar disorder are mood stabilizers. These include medications such as Lithium, seizure medications like Lamictal, and atypical antipsychotic medications, all of which also have FDA-approval for treating bipolar disorder.

Mood stabilizers work by decreasing abnormal activity in the brain, which can help eliminate and/or reduce the severity of mood episodes. In people with depressive episodes, an antidepressant may or may not also be added. 


Therapy can be an important tool to help with symptom management. It can take various forms: 

  • Cognitive behavioral therapy (CBT): helps you identify patterns of thinking around your condition and its symptoms while understanding exactly how your thoughts affect your actions 
  • Dialectical behavior therapy (DBT): emphasizes regulating emotions, being mindful, and learning to accept pain. It focuses on helping people change their behavior patterns rather than trying to think or talk through the issues they are struggling with. DBT has shown promise as an effective treatment option for bipolar disorder, but more research is needed.
  • Psychoeducation: helps you and your loved ones gain knowledge about the condition and what to expect 

About Talkiatry

Talkiatry is a national psychiatry practice that provides in-network, virtual care. Co-founded by a patient and a triple-board-certified psychiatrist, Talkiatry has over 300 doctors, 60 insurance partners, and first visits available in days. We treat patients with anxiety, depression, trauma, ADHD, and more. Get started with a short online assessment.

The information in this article is for informational and educational purposes only and should never be substituted for medical advice, diagnoses, or treatment. If you or someone you know may be in danger, call 911 or the National Suicide and Crisis Lifeline at 988 right away.


Bipolar Disorder - StatPearls | NCBI Bookshelf

The genetics of bipolar disorder | NCBI

Genetics of bipolar disorder | PMC

The genetics of bipolar disorder | ScienceDirect

Clinical Practice Guidelines for Management of Bipolar Disorder | PMC

Diagnosing and treating bipolar spectrum disorders | American Psychiatric Association

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Frequently asked questions

Does Talkiatry take my insurance?

We're in network with major insurers, including:

  • Aetna
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Even if your insurer isn't on the list, we might still accept it. Use the insurance eligibility checker in our online assessment to learn more.

Can I get an estimate of my visit cost?

The best way to get a detailed estimate of your cost is to contact your insurance company directly, since your cost will depend on the details of your insurance.  

For some, it’s just a co-pay. If you have an unmet deductible it could be more.  

Call the number on your insurance card and ask about your plan’s coverage for outpatient psychiatric services.

How does Talkiatry compare to face-to-face treatment?

For most patients, Talkiatry treatment is just as effective as in-person psychiatry (American Psychiatric Association, 2021), and much more convenient. That said, we don’t currently provide treatment for schizophrenia, primary eating disorder treatment, or Medication Assisted Treatment for substance use disorders.

What kind of treatment does Talkiatry provide?

At Talkiatry, we specialize in psychiatry, meaning the diagnosis and treatment of mental health conditions. Your psychiatrist will meet with you virtually on a schedule you set together, devise a treatment plan tailored to your specific needs and preferences, and work with you to adjust your plan as you meet your goals.

If your treatment plan includes medication, your psychiatrist will prescribe and manage it. If needed, your psychiatrist can also refer you to a Talkiatry therapist.

What's the difference between a therapist and psychiatrist?

Psychiatrists are doctors who have specialized training in diagnosing and treating complex mental health conditions through medication management. If you are experiencing symptoms of a mental health condition such as depression, anxiety, bipolar disorder, PTSD, or similar, a psychiatrist may be a good place to start.  

Other signs that you should see a psychiatrist include:  

  • Your primary care doctor or another doctor thinks you may benefit from the services of a psychiatrist and provides a referral    
  • You are interested in taking medication to treat a mental health condition  
  • Your symptoms are severe enough to regularly interfere with your everyday life

The term “therapist” can apply to a range of professionals including social workers, mental health counselors, psychologists, professional counselors, marriage and family therapists, and psychoanalysts. Working with a therapist generally involves regular talk therapy sessions where you discuss your feelings, problem-solving strategies, and coping mechanisms to help with your condition.

Who can prescribe medication?

All our psychiatrists (and all psychiatrists in general) are medical doctors with additional training in mental health. They can prescribe any medication they think can help their patients. In order to find out which medications might be appropriate, they need to conduct a full evaluation. At Talkiatry, first visits are generally scheduled for 60 minutes or more to give your psychiatrist time to learn about you, work on a treatment plan, and discuss any medications that might be included.

Brenda Camacho, MD

Dr. Brenda Y. Camacho holds the position of Staff Psychiatrist at Talkiatry. She is board-certified in Adult Psychiatry. She has been practicing for over 25 years.

While having treated a wide range of adult patients, Dr. Camacho’s primary focus is treating adult outpatients with mood or psychotic disorders. Her practice focuses on medication management. Typically, she offers this in conjunction with supportive or insight-oriented therapy in 30-minute follow-up visits. On occasion, Dr. Camacho will believe additional therapy is also needed and asks that you bring a therapist into your care team to provide the best outcome.

Dr. Camacho completed her undergraduate studies at Tufts University. She received her medical degree from Temple University School of Medicine in Philadelphia, PA and then continued with Temple for her residency in adult psychiatry. After completing training, Dr. Camacho worked at Cooper Hospital in Camden NJ as Associate Director of Consultation/Liaison Service and Psychiatry Residency Training and Co-Director of the Neuropsychiatry Clinic. She then began working exclusively in outpatient settings, joined NewPoint Behavioral Health Care, and served as Medical Director before and after their merge with Acenda Integrated Health.

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