Bipolar disorder is a mental health condition that can feel overwhelming and unpredictable for individuals who face it. Bipolar can also make individuals feel isolated as they may feel like no one understands them or the disorder. At Wholesome psychology we strive to create a caring and compassionate space where anyone and everyone feels safe and supported. Our therapists are dedicated and use evidence based approaches to help with bipolar disorder. With offices in Edmonton and St. Albert, Wholesome provides flexible appointment times during the week and on weekends as well as in person and secure virtual sessions.

Understanding Bipolar Disorder

Bipolar disorder includes depressive and manic episodes. People with bipolar may also go through states where they feel normal and are functioning well. Bipolar disorder can greatly impact an individual's day to day functioning and may also impact their relationships at work, home and school. Mood shifts caused by Bipolar disorder are more intense than emotional fluctuations that most people experince. There are two main types of bipolar:

• Bipolar I: Includes manic episodes that last at least seven days or require hospitalization. These manic highs are often followed by depressive low states.
• Bipolar II: Includes at least one depressive episode and at least one hypomanic episode, without experiencing full mania.

Some individuals may also experience states that cycle or feeling as if they are in a mixed state. Being diagnosed with Bipolar disorder may feel confusing or even worrisome. Receiving a diagnosis so you can access proper treatment can be very impactful for your well-being. Counselling can help you manage your symptoms and improve your understanding of what impacts you the most.

Recognizing Symptoms

Symptoms of a Manic or Hypomanic Episode:

• Increased irritability
• Increased energy
• Sleeping less
• Racing thoughts
• Impulsive or high risk behaviors such as substance use or shopping sprees
• Restlessness
• Feeling euphoric, overly confident, or invincible
• Being more talkative or talking quickly

Symptoms of a Depressive Episode:

• Persistent or prolonged sadness
• Feelings of emptiness, or hopelessness
• Low energy
• Fatigue
• Changes in appetite
• Changes in sleep patterns
• Difficulty concentrating
• Thoughts of death, suicide, or self-harm

Symptoms vary from person to person. Some individuals may have weeks or months between episodes where others may experience these episodes more often. At Wholesome Psychology, our therapists offer a safe space where you can express yourself without judgement and receive tailored support that best suits your needs.

How Counseling Supports Bipolar Disorder

Bipolar disorder counseling helps individuals understand their condition. It will also help you to learn how to manage your symptoms and the emotional cycles you experience. Counselling can help individuals improve their day to day function and overall well-being. Our Edmonton and St. Albert therapists work collaboratively with you to create a treatment plan that best suits your goals and strengths. Some counselling approaches used for bipolar disorder include:

• Cognitive Behavioral Therapy (CBT): CBT helps identify and challenge unhelpful thought patterns and build healthier coping skills. Learn more about CBT therapy.
• Psychoeducation: Understanding bipolar disorder allows you to identify the triggers and warning signs that impact you. It also can help relieve any shame or guilt felt.
• Emotion Regulation Strategies: Develop skills and tools to help you stay grounded during episodes or large emotional shifts
• Routine and Lifestyle Planning: Building healthy routines (sleep, nutrition, exercise) will allow for improvement of mental and physical state
• Relational Support: Counseling can help you repair or strengthen relationships impacted by the effects of bipolar disorder.

Wholesome is also able to work in coordination with your physician or psychiatrist if needed. We believe in integrated care that best supports our clients through their journey to improved well-being.

What to Expect in Your First Session

Your first session with the therapist will be an intake session. You will discuss your struggles and work with the psychologist to create a treatment plan that is tailored to your strengths and goals. The therapist will ask you questions to better understand your circumstances and to figure out what approaches may be best for you. Sessions are also self paced so you can share as much as you are comfortable with. There is no pressure to share more than you’re ready to.

We often begin by helping clients understand the nature of bipolar disorder. We help them to develop tools and skills for daily structure, mood changes and tracking as well as tools to support emotional regulation. Over time, the sessions can also start to focus on relationship repair and preparing for the future. Visit our FAQ page for answers to common questions about therapy, fees, and how to prepare.

Is Bipolar Disorder Counseling Right for You?

You do not need to be formally diagnosed with bipolar disorder to start counselling. Many people seek help when they notice mood swings, patterns of burnout, or periods of emotional highs and lows. Counselling may be helpful for you if:

• You’ve received a bipolar diagnosis and want support managing it
• You feel overwhelmed by emotional changes and extremes
• You are struggling with impulsive behaviours and emotions
• You are struggling with depressive episodes or struggle with sleeping
• You have noticed your mood changes are impacted your function and relationships
• You’re a parent or partner of someone with bipolar disorder and want tools to support them

Begin Your Journey with Wholesome Psychology

At Wholesome, we know everyone deserves a safe and comfortable space to share their thoughts and experiences. We strive to create a safe space where individuals who are wanting to improve or manage their mental health can learn and grow. If you are interested in booking your first session or have any questions for us, please Contact us today. Our skilled therapists are available to provide guidance and support no matter the struggles you face. Together you will be able to create a path that feels manageable to improve your mental health and overall well-being.

References: Bipolar disorder. CAMH. (n.d.). https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/bipolar-disorder
U.S. Department of Health and Human Services. (n.d.). Bipolar disorder. National Institute of Mental Health. https://www.nimh.nih.gov/health/publications/bipolar-disorder