Bipolar disorder is a complex mental health condition characterized by significant shifts in mood, energy, activity levels, and concentration. These dramatic “mood swings” go far beyond typical emotional ups and downs, ranging from periods of intense elation or irritability (mania/hypomania) to profound sadness and hopelessness (depression). For individuals and families in Chattanooga, Tennessee, navigating the unpredictable nature of bipolar disorder can be incredibly challenging, impacting every aspect of life.
At Harmony Oaks Recovery Center, located in Chattanooga, we understand the profound impact bipolar disorder can have. We are dedicated to providing compassionate, evidence-based, and trauma-informed treatment that helps individuals achieve lasting mood stability, develop effective coping strategies, and reclaim a life of balance and well-being. Our mission is to offer a supportive environment where healing and sustained recovery are not just possible, but a reality.
Understanding Bipolar Disorder
Bipolar disorder is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out daily tasks. These mood episodes can last for days or weeks and are distinct from an individual’s usual mood and behavior.
There are several types of bipolar disorder:
What Is Bipolar Disorder?
- Bipolar I Disorder: Defined by one or more manic episodes. Manic episodes are periods of abnormally elevated, expansive, or irritable mood and abnormally increased activity or energy, lasting at least one week and present most of the day, nearly every day. Depressive episodes, lasting at least two weeks, are also common.
- Bipolar II Disorder: Characterized by at least one hypomanic episode (a less severe form of mania that lasts at least four consecutive days) and at least one major depressive episode. Individuals with Bipolar II never experience a full manic episode.
- Cyclothymic Disorder (Cyclothymia): A milder form of bipolar disorder involving numerous periods of hypomanic symptoms and numerous periods of depressive symptoms lasting for at least two years (one year in children and adolescents). The symptoms are less severe than those of full-blown manic or major depressive episodes.

It’s crucial to emphasize that bipolar disorder involves significant mood instability, not just typical “ups and downs.” These are extreme shifts that can severely disrupt an individual’s life, relationships, and ability to function.
Local Mental Health Impact
Tennessee faces significant mental health challenges, with nearly 937,000 adults in the state experiencing a mental health condition. Of these, an estimated 252,000 adults suffer from serious mental illnesses, such as severe bipolar disorder or schizophrenia. This means that approximately 25% of those with a mental health condition in Tennessee are dealing with severe disorders.
Access to specialized psychiatric providers can be a challenge in many areas, including some counties around Chattanooga. This highlights a critical need for comprehensive treatment centers like Harmony Oaks Recovery Center that can provide the expert care required for complex conditions like bipolar disorder, especially given the state’s high proportion of citizens living in areas with shortages of mental health professionals.
Signs and Symptoms of Bipolar Disorder
Recognizing the signs and symptoms of bipolar disorder is essential for accurate diagnosis and effective treatment. The condition manifests through distinct mood episodes, each with its own set of characteristics.
Manic Episodes
Manic episodes are periods of abnormally elevated, expansive, or irritable mood, along with abnormally increased activity or energy. During these periods, individuals may experience:
- Elevated Mood: Feeling overly joyful, high, or euphoric, often disproportionate to circumstances.
- Impulsivity: Engaging in risky behaviors without considering consequences, such as reckless spending, promiscuity, or substance misuse.
- Rapid Speech: Talking excessively, quickly, and often jumping from one idea to another (pressured speech).
- Decreased Need for Sleep: Feeling rested after only a few hours of sleep, or not sleeping at all for days.
- Increased Activity and Energy: Having an abundance of energy, often engaging in multiple projects simultaneously.
- Racing Thoughts: Thoughts moving quickly from one idea to another, making it hard to focus.
- Grandiosity: An inflated sense of self-esteem or importance.
Depressive Episodes
Depressive episodes in bipolar disorder are characterized by a pervasive low mood and a loss of interest or pleasure in activities. Symptoms often include:
- Profound Sadness and Hopelessness: Persistent feelings of despair, emptiness, or worthlessness.
- Fatigue and Low Energy: Feeling drained and lacking the motivation to engage in daily tasks.
- Isolation and Withdrawal: Pulling away from friends, family, and social activities.
- Changes in Appetite or Sleep: Significant increase or decrease in eating or sleeping patterns.
- Difficulty Concentrating: Problems with memory, decision-making, and focus.
Suicidal Thoughts: Recurrent thoughts of death or suicide, which require immediate professional attention.
Misdiagnosis and Co-occurrence
Bipolar disorder is often misdiagnosed, frequently mistaken for unipolar depression, anxiety disorders, or even substance use disorders. This can delay appropriate treatment and worsen outcomes. A thorough psychiatric evaluation is crucial for accurate diagnosis.
Furthermore, substance misuse is common in individuals with untreated bipolar disorder. Many may turn to drugs or alcohol to self-medicate the extreme mood swings, attempting to dampen manic highs or alleviate depressive lows. This often leads to a co-occurring disorder, where both conditions need to be addressed simultaneously for effective recovery.
What Causes Bipolar Disorder?
The exact cause of bipolar disorder is not fully understood, but research indicates a complex interplay of genetic, biological, and environmental factors.
Genetic and Biological Factors
There is a strong familial link to bipolar disorder, meaning it often runs in families. This is especially true for Bipolar I disorder, suggesting a significant genetic predisposition. Research points to imbalances in certain brain chemicals (neurotransmitters) like dopamine, serotonin, and norepinephrine, which play crucial roles in mood regulation, energy, and behavior. Differences in brain structure and function, particularly in areas related to emotional processing and impulse control, are also observed in individuals with bipolar disorder.
Environmental and Trauma Triggers
While genetics provides a predisposition, environmental factors can often trigger or exacerbate bipolar symptoms. Early trauma, neglect, or abuse, particularly during childhood, can significantly impact brain development and emotional regulation, potentially activating or worsening symptoms of bipolar disorder. This highlights the critical need for trauma-informed care in treatment.
Other environmental stressors can act as mood destabilizers, including:
- Sleep Disruption: Irregular sleep patterns, chronic insomnia, or shift work can trigger mood episodes.
- Chronic Stress: Ongoing high-stress situations can destabilize mood.
- Substance Use: As mentioned, drug and alcohol use can trigger or worsen mood episodes and complicate the course of the disorder.
Understanding these contributing factors allows for a more comprehensive and personalized treatment approach.
Trauma-Informed Bipolar Disorder Treatment at Harmony Oaks
At Harmony Oaks Recovery Center in Chattanooga, we are committed to providing comprehensive, trauma-informed treatment for bipolar disorder. Our approach recognizes the complex interplay between mood instability, co-occurring conditions, and past experiences.
Dual Diagnosis Expertise
A cornerstone of our treatment philosophy is our dual diagnosis expertise. We understand that bipolar disorder frequently co-occurs with substance use disorders, and treating both simultaneously is critical for lasting recovery. Our integrated approach ensures:
- Address Both Simultaneously: We provide concurrent treatment for both the bipolar disorder and any co-occurring substance use, rather than treating them as separate issues.
- Psychiatric Oversight: Our medical team, led by Dr. Jill Thompson, provides expert psychiatric evaluation and ongoing medication stabilization, crucial for managing the mood swings associated with bipolar disorder.
- Integrated Therapies: Therapies are designed to address both the mental health condition and addiction, helping clients understand the connections between their mood, behaviors, and substance use.
Therapeutic Modalities
Our programs utilize a diverse array of clinically proven, evidence-based therapies tailored to individual needs:
- Cognitive Behavioral Therapy (CBT): Helps clients identify and challenge negative thought patterns and behaviors, improving mood awareness and developing healthier coping strategies for mood regulation.
- Dialectical Behavior Therapy (DBT): Teaches skills in mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. DBT is particularly helpful for individuals with intense emotional dysregulation, which is common in bipolar disorder.
- EMDR or Trauma Therapy: For individuals with a history of trauma, we offer specialized trauma recovery therapies, including EMDR (Eye Movement Desensitization and Reprocessing), led by experienced therapists like Paula Taylor and Collier Brown. This is crucial for processing and healing from past traumatic experiences that may overlap with bipolar symptoms.
- Individual Therapy: Confidential one-on-one sessions provide personalized support and goal setting with a skilled therapist.
- Group Therapy: Offers a supportive environment for sharing experiences, learning from peers, and fostering community, and reducing isolation.
Continuum of Care
Harmony Oaks Recovery offers progressive levels of care to meet clients at each phase of recovery, promoting a seamless transition from intensive treatment to everyday life:
Supportive Sober Housing Options: We offer comfortable, partnered supportive housing accommodations nearby, providing a safe, substance-free living environment while attending outpatient treatment programs.
Partial Hospitalization Program (PHP): An intensive outpatient program offering comprehensive and holistic care for individuals needing continuous support.
Intensive Outpatient Program (IOP): A step-down level of care from PHP or residential programs, providing a balance of personal responsibility and structured support for integration back into daily life.
Day and Evening Programs: Flexible program options to accommodate individual schedules once a degree of independence is gained in recovery.
Why Choose Harmony Oaks in Chattanooga?
Choosing the right treatment center for bipolar disorder is a critical decision. Harmony Oaks Recovery Center stands out as a premier choice in Chattanooga, TN, due to several key factors:
- Accreditation and Licensing: We are Joint Commission-accredited, ensuring adherence to high standards of care and patient safety. We are also fully licensed by the Tennessee Department of Mental Health and Substance Abuse Services, authorized to provide substance abuse and mental health services in Tennessee.
- Trauma-Informed and Evidence-Based: Our philosophy is rooted in an individualized recovery model that integrates holistic and evidence-based practices, with a strong emphasis on trauma-informed care. This means we understand and address the deep impact of past experiences on current mental health.
- Serving Underserved Regions: We serve East Tennessee, including rural areas where access to specialized psychiatric providers can be limited. Our comprehensive services help bridge this gap, ensuring that individuals in communities like Chattanooga and Newport can access high-quality care close to home.
- Person-Centered Approach: Our core philosophy is to provide a “safe haven of support and encouragement,” empowering clients to take on “recovery on your terms.” We prioritize individualized treatment plans based on a comprehensive health assessment, considering each client’s unique health issues, preferences, and personal factors.
- Expert Team: Our team comprises compassionate and highly skilled professionals, many with first-hand experience in recovery, including medical staff led by Dr. Jill Thompson and EMDR therapists like Paula Taylor and Collier Brown.
What to Expect in Our Bipolar Disorder Program
Starting treatment for bipolar disorder can feel like a significant step, but at Harmony Oaks Recovery Center, we strive to make the process clear, supportive, and tailored to your needs.
Intake and Evaluation
Your journey begins with a confidential and thorough intake process, including a comprehensive psychiatric assessment. This evaluation is crucial for:
- Determining Type and Severity: Accurately diagnosing the specific type of bipolar disorder (Bipolar I, Bipolar II, or Cyclothymia) and assessing the severity of your symptoms.
- Ruling Out Other Conditions: Ensuring that symptoms are not medication-induced mania or related to other primary medical or mental health conditions, leading to a precise diagnosis.
- Identifying Co-occurring Conditions: Thoroughly screening for any co-occurring substance use disorders, anxiety, depression, or trauma, which are common alongside bipolar disorder.
Treatment Plan
Based on your comprehensive evaluation, our multidisciplinary team will collaborate with you to develop a personalized treatment plan. This plan will typically involve:
- Medication Stabilization: Expert psychiatric oversight and medication management, often including mood stabilizers, antipsychotics, or antidepressants, to help stabilize mood swings and manage symptoms.
- Therapy Integration: A blend of individual and group therapies, including CBT and DBT, to help you develop coping skills, improve emotional regulation, and address underlying issues. For those with trauma, EMDR or trauma therapy will be integrated.
- Family Support: We offer family counseling/therapy to involve family members in the recovery process, improving communication, rebuilding trust, and educating them on how to best support your journey.
Relapse Prevention: Developing strategies to identify triggers, manage stress, and prevent future mood episodes or substance use.
How Harmony Oaks Recovery Can Help
If you or a loved one is struggling with bipolar disorder in Chattanooga, Tennessee, or the surrounding East Tennessee area, Harmony Oaks Recovery Center is here to provide the compassionate, evidence-based care you need to achieve lasting mood stability and reclaim your life. Our dedicated team is available 24/7 to answer your questions and guide you toward a healthier, happier future. We offer specialized bipolar disorder treatment, comprehensive dual diagnosis expertise, and a full continuum of care, including PHP and IOP programs, with supportive housing options. Our trauma-informed approach ensures holistic healing, addressing both mood instability and any co-occurring conditions.
Most Insurance Accepted
As a member of the Harmony Recovery Group family of treatment programs, we are able to work with many private insurance plans.
Common Questions About Bipolar Disorder Treatment
What medications are used for bipolar disorder?
Medications commonly used to treat bipolar disorder include mood stabilizers (like lithium and valproate), atypical antipsychotics, and sometimes antidepressants (often used cautiously and in combination with mood stabilizers to avoid triggering manic episodes). The specific medication regimen is highly individualized and determined by a psychiatrist based on the type of bipolar disorder, symptom presentation, and individual response.
Can I attend treatment if I’m not using substances?
Absolutely. Harmony Oaks Recovery Center provides comprehensive mental health services, including dedicated programs for primary mental health conditions like bipolar disorder, even if there is no co-occurring substance use disorder. Our focus is on providing integrated care for all mental health needs.
How long does bipolar stabilization take?
The time it takes to achieve mood stabilization in bipolar disorder varies significantly for each individual. It can involve an initial period of medication adjustment and intensive therapy, often several weeks or months, followed by ongoing maintenance treatment. Bipolar disorder is a lifelong condition that requires continuous management, but with consistent treatment, individuals can achieve long periods of stability and lead fulfilling lives.
Take the courageous first step toward lasting stability today. Call Harmony Oaks Recovery Center confidentially
Harmony Oaks Recovery Center
Find Wellness with our Expert Help
You deserve to become your best self. With decades of combined experience in mental health treatment, we are uniquely equipped to help you overcome a substance use disorder or manage any mental health condition.
We’re ready when you are. Take the first step to contact us below.