Over the last three decades, there have been numerous studies showing that that anxiety disorder comorbidity is not only highly prevalent in bipolar disorder (BD), but it also can negatively impact the course, outcome, and treatment of Bipolar Disorder1. The results have shown that at least half of the individuals with Bipolar Disorder are likely to develop an anxiety disorder in their lifetimes and a third of them will manifest an anxiety disorder at any point of time.2
Patients with BPAD encounter difficulties in work, school, marriages, interpersonal and psychosocial relationships, disability, multiple suicidal attempts, higher rates of completed suicide and complicated medication side effects. Additionally patients with BPAD have high rates of physical and psychiatric comorbidity3 While these mental health conditions may be co-occurring, it is possible to live a full life and to manage the symptoms with effective mental health treatment. AMFM Mental Health has over a decade of experience providing treatment plans to individuals struggling with bipolar depression, depressive disorder, mood disorders, anxiety disorders, and other related disorders. Call today to learn how we can help you manage your mental health symptoms.
Bipolar I Disorder is considered the most severe form of Bipolar Disorder, and is diagnosed when an individual enters a manic state, characterized by an intense mood swing “up”, consisting of high-energy, uncomfortable irritability, racing thoughts and impulsivity. While Bipolar II Disorder is also characterized by manic episodes, they may be shorter or less severe, referred to as hypomania. A person struggling with Bipolar II will experience mood swings between depressive episodes and manic or hypomanic episodes, while an individual struggling with Bipolar I may or may not experience depression.
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In order to be diagnosed with Bipolar I Disorder, according to the diagnostic and statistical manual of mental disorders (DSM-5) an individual must experience at least one manic episode. Episodes of mania are generally characterized by mood changes, increased energy levels, rapid talking, increased grandiosity, (an overinflated sense of self), distractibility (which may be misattributed or related to attention deficit hyperactivity disorder), engaging in impulsive or risky behavior, occasionally psychosis, and more.
Hypomania refers to a shorter duration of manic symptoms, with generally milder symptoms. In order to be diagnosed with Bipolar II, an individual must experience at least one episode of hypomania, in addition to an episode of depression.
In order to be diagnosed with Bipolar II, an individual must experience both a hypomanic and a depressive episode. Manic depression is characterized by low moods, low energy, suicidal thoughts, or other common symptoms of depression like loss of interest, risk of suicide, low self-esteem, fatigue, or changes in appetite.
Anxiety can manifest in many physical ways throughout the body, depending upon the person and the situation. Because anxiety activates the fight-or-flight response in the nervous systems, the physical symptoms of anxiety may feel life-threatening in the moment. However, if you have experienced anxiety attacks, panic attacks or anxiety symptoms in the past, you may be able to recognize them in advance:
If you’re experiencing common and frequent anxiety symptoms, both medical care as well as mental health treatment may be helpful to provide you with a proper treatment plan.
If you are familiar with the physical symptoms of anxiety and are looking to manage your anxiety as it arises, there are some techniques and strategies you can use to reduce anxiety. Deep breathing and breathing exercises can help to bring the body out of fight-or-flight, and to calm the nervous system. Other wellness activities and relaxation techniques like journaling and ensuring you’re getting enough sleep can help reduce anxiety preventatively, by emphasizing the mind-body connection.
A Mission For Michael (AMFM) provides treatment for adults experiencing various conditions. Anxiety support is a phone call away – call 866-478-4383 to learn about our current treatment options.
Our AMFM treatment center in Southern California can provide individualized care for mood dysregulation concerns in adulthood. With individualized care, you can receive the support you need for lasting mental health wellness.
Our residential mental health treatment facilities in Virginia can provide you with individualized and comprehensive care for all your mental health needs. Our treatment programs blend the use of traditional and holistic therapies to provide you with whole-person care.
Therapy for Bipolar Depression is a key piece of effective treatment for a greater quality of life and emotional regulation with this lifelong condition. Seeking care from a mental health professional can help regulate extreme mood episodes for a long-term lifestyle change. AMFM Mental Health Treatment offers a combination of holistic mental health services and evidence-based therapies like the following:
Individual therapy takes place in a one on one setting with a licensed professional, usually consisting of a combination of dialectical and cognitive behavioral therapies, in which a person can talk through his or her individual struggles. Individual therapy and mental health care is one of the most crucial steps for those facing mental health challenges.
Group therapy sessions can be used to help provide structured times to help you understand that you are not alone in your struggles, that your peers are also walking through these challenges, while also providing guidance, suggestions and communications from psychologists with specialized backgrounds. These groups can span a variety of backgrounds, including but not limited to art therapy, somatic therapy, and narrative therapy.
Cognitive-Behavioral Therapy (CBT) is a form of therapy that’s focused on restructuring and reprogramming maladaptive and negative thought processes. Psychologists are trained to help you change your cognitive and emotional processes in order to outgrow coping mechanisms that may no longer be serving you.
Dialectical Behavior Therapy (DBT) is most commonly referred to as “talk therapy,” and is designed to help process emotions in cases of mental illness. Qualified professionals offer psychological therapy to move forward with healthy ways of engaging in interpersonal relationships and alleviating physical and emotional distress.
EMDR Therapy is a renowned method of reprocessing most often used in trauma therapy. By activating the prefrontal cortex through a series of bilateral stimulation, qualified professionals can lead you through traumatic experiences, helping you to alleviate the distress symptomized by trauma.
TMS Therapy is a type of therapy that uses magnetic pulses to treat depression by stimulating neurotransmitters in the brain. This is a noninvasive method of treatment that some mental health programs offer for treatment of depression, bipolar disorder, and post-traumatic stress disorder.
Family therapy may be used when a loved one’s mental health symptoms are affecting others. This can increase a family members’ understanding of anxiety and talk about how to support each other. Family-focused therapy sessions and support groups can improve communication patterns, focus on problem-solving, address unresolved conflicts, and increase the sense of understanding among one another.
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AMFM Mental Health Treatment provides comprehensive psychiatric care, along with traditional therapeutic modalities. Our on-staff clinicians are equipped to design personalized treatment plans for your continued success. In combination with psychotherapy, psychiatric care is handled safely, to help you or your loved one overcome mental health challenges.
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Spoorthy MS, Chakrabarti S, Grover S. Comorbidity of bipolar and anxiety disorders: An overview of trends in research. World J Psychiatry. 2019 Jan 4;9(1):7-29. doi: 10.5498/wjp.v9.i1.7. PMID: 30631749; PMCID: PMC6323556.
Shah N, Grover S, Rao GP. Clinical Practice Guidelines for Management of Bipolar Disorder. Indian J Psychiatry. 2017 Jan;59(Suppl 1):S51-S66. doi: 10.4103/0019-5545.196974. PMID: 28216785; PMCID: PMC5310104.
“Any Anxiety Disorder – National Institute of Mental Health (NIMH).” National Institute of Mental Health, https://www.nimh.nih.gov/health/statistics/any-anxiety-disorder. Accessed 8 April 2025.
MA, Carlberg K. “Crisis Intervention – StatPearls.” NCBI, 24 April 2023, https://www.ncbi.nlm.nih.gov/books/NBK559081/. Accessed 20 February 2025.
Burdick KE, Millett CE, Russo M, Et. al, The association between lithium use and neurocognitive performance in patients with bipolar disorder.
Neuropsychopharmacology. 2020 Sep;45(10):1743-1749. doi: 10.1038/s41386-020-0683-2. Epub 2020 Apr 29. PMID: 32349118; PMCID: PMC7419515.
Kusumakar V. Antidepressants and antipsychotics in the long-term treatment of bipolar disorder. J Clin Psychiatry. 2002;63 Suppl 10:23-8. PMID: 12392350.
Gyulai, L., Bowden, C., McElroy, S. et al. Maintenance Efficacy of Divalproex in the Prevention of Bipolar Depression. Neuropsychopharmacol 28, 1374–1382 (2003). https://doi.org/10.1038/sj.npp.1300190
