What should I expect when I visit the doctor for bipolar disorder?

If you are visiting your doctor for bipolar disorder, your first visit will most likely include compiling a thorough history of your mood symptoms and any other mental health issues through your answers to written or verbal questions exploring your past manic or depressive symptoms. The clinician will ask about your lifetime history with symptoms and whether you have any family history of mental illness symptoms. Bringing a loved one with you to the first session has significant advantages, such as providing support and serving as another source of diagnostic information for your practitioner.

Depending on your past and present experience of symptoms, you may receive a tentative diagnosis after your first session, or the clinician may need more information or have to consult with colleagues. You may have to wait until a second or even third visit before receiving your diagnosis. Because bipolar disorder can sometimes be difficult to accurately diagnose, expect to answer many questions and provide a lot of information.

It's not unusual to receive a diagnosis of some other illness before being diagnosed with bipolar disorder, which is why it's so important to have as much information as possible about your mental health history, present symptoms, medication and drug usage, and family history. You may leave your first visit with a prescription for medications, or you may have to wait for a conclusive diagnosis. Your prescription may be for more than one medication.

You may be referred to a psychoeducation or support group and psychotherapy. Studies of specific psychological treatments for bipolar disorder and psychoeducational groups have shown conclusively that such treatments (along with medications) are far superior to medication treatment alone. If you don't receive referrals for these major components of a comprehensive treatment plan, ask for them.

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