Bipolar I disorder is a complex mood condition marked by dramatic shifts in energy, behavior, and emotional state. These intense highs (mania) and lows (depression) can disrupt work, relationships, and daily routines.
At The Raleigh House, we provide compassionate, evidence-based bipolar I disorder treatment designed to restore balance and improve long-term mental health.
Our integrated approach combines psychotherapy, medication management, and holistic care to help clients regain stability and rediscover purpose.
To learn more about the causes, symptoms, and treatments for bipolar I disorder, continue reading or contact our team to discuss personalized treatment options.
What is bipolar I disorder?
Bipolar I disorder is a type of mood disorder defined by alternating episodes of mania and depression.
A manic episode can involve unusually elevated energy, rapid thoughts, impulsive decisions, and little need for sleep—sometimes severe enough to require hospitalization.
Depressive episodes, on the other hand, bring deep sadness, fatigue, and loss of interest in daily activities.
Understanding the key differences between bipolar I and bipolar II
While both conditions involve mood swings, bipolar I includes full manic episodes that are more intense and disruptive than the hypomanic episodes seen in bipolar II disorder.
Bipolar I may also include psychotic symptoms, such as hallucinations or delusional thinking, during severe episodes.
Recognizing the symptoms of bipolar I disorder
Bipolar I symptoms can vary between individuals, but episodes of mania and depression typically alternate over time.
Recognizing these signs early can lead to better outcomes and faster stabilization.
Manic episodes: warning signs and severity
During a manic episode, individuals with bipolar I may experience:
- Exaggerated confidence or grandiosity
- A decreased need for sleep
- Racing thoughts and rapid speech
- Impulsive or risky decisions
- Heightened irritability or euphoria
Mania can feel invigorating at first but often escalates into behaviors that cause harm or require medical intervention.
Depressive episodes: emotional and physical effects
Bipolar I depressive episodes can last for weeks or months and may include:
- Persistent sadness or emptiness
- Fatigue, loss of energy, or slowed movements
- Difficulty concentrating or making decisions
- Feelings of guilt or hopelessness
- Withdrawal from social activities and relationships
Depression in bipolar I can significantly impair functioning and increase the risk of suicidal thoughts if untreated.
Psychotic symptoms and their role in bipolar I disorder
Some individuals with bipolar I experience psychosis during manic or depressive episodes.
These symptoms, such as delusions or auditory hallucinations, can make it challenging to distinguish bipolar disorder from schizophrenia.
A professional evaluation ensures accurate diagnosis and appropriate care.
Understanding the causes and risk factors
The exact cause of bipolar I disorder remains unclear, but research suggests it involves a mix of genetic, biological, and environmental factors.
Having a family member with bipolar disorder or another mental health condition increases the risk.
Major stressors, trauma, and sleep disruptions can also trigger manic or depressive episodes.
Diagnosing bipolar I disorder
Diagnosing bipolar I disorder requires a comprehensive psychiatric evaluation and detailed symptom history.
Clinicians use structured interviews, behavioral observations, and psychological assessments to confirm the presence of manic and depressive episodes.
According to the National Institute of Mental Health (NIMH), bipolar disorder affects approximately 4.4% of U.S. adults at some point in their lives. Yet, it is frequently misdiagnosed as depression or anxiety, delaying proper treatment and care.
Early and accurate diagnosis is crucial for developing an effective treatment plan that stabilizes mood and prevents severe episodes.
Effective treatment options for bipolar I disorder
Bipolar treatment focuses on stabilizing mood, preventing relapse, and improving quality of life.
Our programs combine medication, therapy, and holistic wellness to support long-term recovery and overall well-being.
Medication management: mood stabilizers and antipsychotics
Mood stabilizers such as lithium, valproate, or lamotrigine are often prescribed to control manic or depressive episodes.
In some cases, antipsychotic medications help reduce agitation, psychosis, or severe mood swings.
Medication management at The Raleigh House involves regular monitoring, dosage adjustments, and close communication with each client.
Therapeutic approaches: CBT, DBT, and talk therapy
Psychotherapy helps clients understand thought patterns, manage stress, and build resilience.
We incorporate several proven modalities:
- Cognitive Behavioral Therapy (CBT) to reframe negative thinking and promote balance
- Dialectical Behavior Therapy (DBT) to build emotional regulation and distress tolerance
- Talk therapy and psychoeducation to strengthen insight and coping skills
These evidence-based methods form the foundation of effective bipolar disorder therapy.
Holistic strategies: nutrition, exercise, and stress reduction
At The Raleigh House, we take a whole-person approach to mental health.
Clients engage in nutrition planning, mindfulness practice, and physical activity to support brain and body wellness.
Balanced routines help manage sleep, reduce stress, and prevent relapse.
Bipolar I disorder and co-occurring conditions
It’s common for individuals with bipolar I disorder to also experience other mental health or substance use challenges.
These overlapping conditions, known as co-occurring disorders or dual diagnosis, can complicate diagnosis and recovery if not treated together.
At The Raleigh House, we take an integrated treatment approach that addresses both bipolar symptoms and any accompanying conditions at the same time.
People with co-occurring mental health and substance use disorders have better outcomes when both are treated concurrently, rather than in isolation. This approach promotes stability, reduces the risk of relapse, and strengthens long-term recovery.
The connection between bipolar I and anxiety disorders
Anxiety disorders are among the most frequent co-occurring conditions with bipolar I.
Studies estimate that over 50% of individuals with bipolar disorder also experience significant anxiety symptoms during their lifetime.
Anxiety can manifest as constant worry, restlessness, panic attacks, or physical tension—all of which can intensify manic and depressive episodes.
When anxiety is untreated, it may heighten irritability, disrupt sleep, and make mood regulation more difficult.
At The Raleigh House, our clinicians incorporate therapy modalities like CBT and DBT to help clients manage anxious thoughts and regulate their emotions.
Mindfulness-based interventions, such as guided meditation and breathing techniques, are also integrated into treatment.
These evidence-based practices help calm the mind, increase self-awareness, and reduce the frequency and severity of anxiety-driven mood swings.
Substance use and its influence on mood disorders
Substance use is another common co-occurring issue among those with bipolar I disorder.
Alcohol, stimulants, and other drugs may be used as a way to self-medicate manic energy, depressive lows, or racing thoughts, but over time, these substances only worsen mood instability.
Alcohol, for instance, can deepen depressive symptoms, while stimulants like cocaine or amphetamines may trigger or prolong manic episodes.
Substance use can also interfere with prescribed mood stabilizers or antipsychotic medications, making it harder to achieve consistent progress.
At The Raleigh House, our dual diagnosis programs help clients break this cycle by identifying the emotional and biological triggers that drive both substance use and mood fluctuations.
Clients learn healthy coping skills, engage in relapse prevention education, and receive nutritional and wellness support to strengthen the body’s ability to recover.
Steps for managing life with bipolar I disorder
Ongoing management includes consistent routines, self-awareness, and strong support systems.
We encourage clients to track their moods, stay active in therapy, and maintain social connections to promote long-term stability.
Family education and peer groups also play a crucial role in laying a foundation for ongoing wellness.
Personalized bipolar I disorder treatment in Colorado
At The Raleigh House, we understand that living with bipolar I disorder can feel unpredictable and overwhelming, but with the proper support, stability, and balance, it is possible.
Our programs are designed to meet clients wherever they are in their journey, offering compassionate, evidence-based care at two trusted Colorado locations:
- The Ranch at The Raleigh House: Located in Watkins, CO, this residential campus provides 24/7 clinical care in a peaceful, nature-inspired environment. Clients can step away from daily distractions, participate in therapeutic activities, and focus fully on recovery.
- The Center for Integrative Behavioral Health: Situated in the Denver Tech Center, this modern outpatient facility offers flexible treatment options for ongoing therapy, medication management, and relapse prevention. It’s ideal for those ready to transition from residential care or seeking structured support while maintaining work and family responsibilities.
Wherever you begin your recovery, our integrated team will guide you every step of the way, helping you build the tools and confidence needed to manage your mental health and thrive.
Learn more about our specialized services to find the right level of care for your needs, or contact us today to get started.
Frequently asked questions about bipolar I disorder
It’s normal to have questions about symptoms, diagnosis, and treatment options. Here are some of the most common ones we receive at The Raleigh House.
What causes bipolar I disorder?
Bipolar I disorder likely develops from a mix of genetic and environmental factors. Stress, trauma, and family history can increase vulnerability to mood instability.
How is bipolar I different from bipolar II disorder?
Bipolar I includes full manic episodes that can last a week or longer, often requiring hospitalization. Bipolar II features milder hypomania and longer periods of depression.
What are the early signs of bipolar I disorder?
Early indicators include extreme mood swings, impulsive behavior, reduced need for sleep, and racing thoughts. Identifying these symptoms early can lead to more effective management.
How can therapy help manage bipolar I disorder?
Therapy provides coping tools, enhances self-awareness, and teaches strategies for preventing relapse. Combined with medication and support, it’s key to maintaining long-term stability.
Can people with bipolar I disorder live stable, fulfilling lives?
Yes. With the right treatment and support network, individuals with bipolar I can achieve emotional balance, build meaningful relationships, and maintain rewarding careers.