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When are people generally diagnosed with bipolar disorder?

We tend to see symptom onset most often in younger adults, as is consistent with most other major mental health diagnoses. In part, this is due to so many life changes and transitions happening at younger ages. 

This is important when you remember that the brain continues to develop through age 25 or so. Coupled with risk factors, the onset of many life changes—and a still-developing brain—can lead to the development of a mental health condition.

Bipolar disorder is caused by a combination of biological and environmental factors. Risk factors include:

• Genetics
• Diet
• Stress
• Trauma
• Intense emotional conflicts within families

If you would like to discuss your mental health concerns with a licensed mental health professional, Brightside Health can help. Start with a free assessment.

Does bipolar disorder get worse with age?

Similar to other medical conditions that can worsen if left untreated, bipolar disorder can worsen with age if not treated. Mental health practitioners can help you manage symptoms of bipolar disorder so that you can live a more meaningful and fulfilling life.

It is worth noting that there seems to be a prevalence of comorbid medical conditions in older adults with bipolar disorder. According to multiple studies, “older adults with BD experience higher rates of chronic medical diseases,” including:

• Cardiovascular disease
• Diabetes
• Chronic pulmonary disease

Additionally, older adults with bipolar disorder tend to have “higher levels of obesity, endocrine/metabolic, and respiratory disease compared with older adults with major depressive disorder” according to the same report published by the International Journal of Geriatric Psychiatry.

The authors of the report found that:

Some comorbid medical disorders may be viewed as a consequence of mood disorder, while others may contribute to the pathogenesis [how the disease progresses from initial symptoms to worsening presentation] (Leboyer et al., 2012). Furthermore, treatments for medical disorders may contribute to mood disorder symptoms, and some mood disorder treatments, such as antipsychotic medications, may contribute to or exacerbate medical conditions.

The implication seems to be that the “worsening” of bipolar in the aging process seems to be tied up in the overall health of the individual, and can have much to do with other medications and conditions. It’s important to know that the mind and body work together and can influence each other. Taking care of yourself with the right treatment for bipolar disorder can help set you up for success in other areas of your life, including your physical health. 

Does bipolar II get worse with age?

As we’ve discussed in our blog, there’s a diagnostic differentiation in bipolar disorder.  These are often characterized as bipolar I and bipolar II.

People with bipolar I have experienced at least one manic episode and one major depressive episode. The National Institute of Mental Health explains that bipolar I is characterized by “manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks.”

Bipolar II features the same major depressive episodes as bipolar I, but without manic episodes. Instead, those with bipolar II will experience hypomanic episodes, which are shorter and less disruptive than the manic episodes described above.

While both major types of bipolar disorder can get worse over time, especially if not successfully treated, there seems to be a decrease in manic episodes as individuals age. In fact, as Dr. Eric Youngstrom explains to the American Psychological Association:

The biggest way that the illness seems to change with age is that older individuals are more likely to experience depression and less likely to have mania, whereas in childhood it is more mania or a mixture of high energy with negative mood. Researchers and clinicians have described that pattern for more than a century.

The key takeaway from this is that bipolar disorder is a lifelong mental health condition that can change over time.

Signs that bipolar is getting worse

One of the first things to watch out for as you age with bipolar disorder is a change in episodes. Whether they are manic or depressive episodes, you should contact your mental healthcare provider if you are experiencing them more frequently or notice a difference in intensity. It’s also a good idea to let people close to you know, such as your closest support network, so they can watch for any changes too.  

As we said above, older individuals with bipolar disorder are more prone to experience depressive symptoms than manic symptoms, so be on the lookout for the symptoms of bipolar depressive episodes. These may include:

• Difficulty concentrating 
• Changes in appetite
• Fatigue
• Changes to your sleep patterns
• Feeling hopeless, worthless, or helpless
• Little interest in activities you usually enjoy
• Restlessness 
• Suicidal thoughts or ideas of self-harm

If you start to experience these symptoms more frequently than you did in the past, it may be a sign that your bipolar disorder is getting worse. In every case, it’s worth a discussion with your mental health provider. 

Outlook

Even as there seems to be evidence that bipolar can get worse with age, there’s plenty of reason for hope. With proper treatment, support, coping skills, and a watchful eye on your symptoms, you can manage bipolar disorder throughout life.

One of the best approaches to thinking about long-term management of bipolar and related disorders is to take it day to day. Evaluate your symptoms, and stick to your treatment plan. 

If you are concerned about bipolar disorder, or about any mental health symptoms you may be experiencing, contact Brightside Health today. 

Take our free assessment

Resources: 

If you are in emotional distress or thinking about hurting yourself in any way please make use of these resources:

• Visit: If you are having a medical or mental health emergency, call 911 or go to your local emergency department
• Text: The Crisis Text Line provides 24-hour free and confidential help. Text ‘HOME’ to 741-741 to connect with a counselor immediately
• Call: You can call the 988 Suicide & Crisis Lifeline simply by dialing 988 to talk with a live counselor 24 hours per day

The post Does bipolar get worse with age? appeared first on Brightside.

Bipolar disorder is a complex mental health condition, and there are significant differences in the onset and symptoms of bipolar disorder in females versus males. While we recognize and honor the challenges of a gender binary definition of “male” and “female,” many of the nuances in bipolar disorder symptoms in females relate to reproductive hormones operating since birth.

There are a number of unique features of bipolar disorder in females. A recent study published in the Indian Journal of Psychiatry summarized these distinctions as:

• A later age of onset of bipolar disorder in females
• Seasonality of symptoms
• Atypical presentation
• A higher degree of mixed episodes

Let’s review some of the symptoms of bipolar disorder, and then look more closely at where biological differences occur.

If you are experiencing the signs and symptoms of bipolar disorder, or have other mental health concerns, you can talk to a mental health professional at Brightside Health. Start with a free assessment.

Symptoms of bipolar disorder

As we have discussed before in our blog, bipolar disorder is a mental health condition associated with extreme mood swings. Those with bipolar disorder experience episodes of mania (elevated moods and emotional highs), and depressive episodes (emotional lows and depressed moods). These episodes, whether manic or depressive, will govern the symptoms that an individual may experience. 

Manic symptoms can include:

1. Irritability
2. Feeling jumpy or wired
3. Decreased need for sleep
4. Feeling unusually important or powerful
5. Feeling like you can do multiple things you wouldn’t typically do all at once
6. Loss of appetite
7. Poor judgment or engaging in risky behavior
8. Racing thoughts
9. Rapid speech about many different topics

Symptoms of bipolar depressive episodes can include:

1. Fatigue
2. Feeling bad about yourself 
3. Difficulty concentrating 
4. Eating more than usual
5. Feeling hopeless, worthless, or helpless
6. Little interest in activities you usually enjoy
7. Restlessness 
8. Sleeping too much or too little
9. Suicidal thoughts or ideas of self-harm

Generally, bipolar disorder is categorized into one of several major types.

Bipolar I is defined by the National Institute of Mental Health as “manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depressive symptoms and manic symptoms at the same time) are also possible.”

Bipolar II is similar, except that it does not feature manic episodes. Instead, bipolar disorder II symptoms in females and males tend to include “hypomanic” episodes which are shorter and less severe. 

Those who experience symptoms of bipolar disorder who do not quite meet the criteria for a diagnosis of bipolar I or II may be diagnosed with cyclothymic disorder or other unspecified bipolar disorder. Cyclothymic disorder is often seen as a less severe version of bipolar disorder, but the symptoms persist across years and can still be highly disruptive to one’s life. 

Bipolar disorder symptoms in females

Historically, bipolar disorder symptoms in females were dismissed and disregarded by physicians. Medical providers may improperly treat females with regard to bipolar II due to inaccurate and stereotypical portrayals of women that portray them as regularly experiencing fluctuating moods. It’s very important for mental health professionals to be aware of any potential biases in this regard.

The US Department of Health’s Office on Women’s Health explains that females with bipolar disorder are “more likely than men with bipolar disorder to have other physical and mental health conditions, including problems with alcohol use, depression caused by bipolar disorder, thyroid disease, obesity caused by medicines that treat bipolar disorder, and migraine headaches.”

Because it’s also vital that individuals and family members recognize the signs of bipolar, here are some nuances in its presentation in females to watch for. 

Often depression first

According to a study in the Indian Journal of Psychiatry, “Many female bipolar patients initially present with depressive symptoms, that is why many times they are misdiagnosed.” It is not uncommon for females to be treated for other depressive disorders instead of bipolar disorder. This also results in females being more likely to be diagnosed with bipolar II. 

Rapid cycles

As we mentioned above, bipolar II is characterized by rapid cycling between depressive lows and hypomanic highs. There seems to be a strong correlation between these mood cycles and a female’s hormonal cycles. The US Department of Health’s Office on Women’s Health says, “Changing hormones during the menstrual cycle, pregnancy, and menopause can affect how severe a woman’s bipolar disorder is.”

Later onset

Females tend to see a later onset of bipolar disorder symptoms than males do, with most diagnoses happening in their late twenties. While studies are uncertain why this is the case, it may have a good deal to do with the stereotyped notion that bipolar disorder symptoms in teenage females are frequently seen as “normal” behavior. This may be particularly the case with symptoms of bipolar II.

Treatment for bipolar disorder

Treatment is often very successful in helping manage bipolar disorder symptoms in females. Treatment generally involves a combination of therapy and medication. Medication for bipolar disorders might include mood stabilizers and second-generation antipsychotic medication. 

The importance of a support network

In addition to professional treatment, social support is an important element for managing bipolar disorder symptoms in teenage and adult women. This is especially true when it comes to having a consistent source of support who can be there at both high and low points. Having people there to watch out for us, and help us to identify the signs and symptoms of bipolar disorder when they appear, can be a vital asset.

If you think you might be experiencing the symptoms of bipolar disorder, it’s important to see a mental health provider right away. At Brightside Health, we can help treat bipolar II disorder and bipolar I disorder without acute mania.

Start with a free assessment

Resources: 

If you are in emotional distress or thinking about hurting yourself in any way please make use of these resources:

• Visit: If you are having a medical or mental health emergency, call 911 or go to your local emergency department
• Text: The Crisis Text Line provides 24-hour free and confidential help. Text ‘HOME’ to 741-741 to connect with a counselor immediately

Call: You can call the 988 Suicide & Crisis Lifeline simply by dialing 988 to talk with a live counselor 24 hours per day

The post Bipolar disorder symptoms in females: 18 signs appeared first on Brightside.

This Mental Health Awareness Month, we’ve been thinking a lot about mental health in youth. In the United States, the state of mental health in children and young adults has reached a level that some researchers believe to be a crisis. 

Harvard’s Claire McCarthy, MD writes:

In the fall of 2021, the American Academy of Pediatrics, along with the American Academy of Child and Adolescent Psychiatry and the Children’s Hospital Association, declared a national emergency in child and adolescent mental health. 

They called for increased funding for mental health resources, as well as other actions, including more integration of mental health care into schools and primary care, more community-based systems to connect people to mental health programs, strategies to increase the number of mental health providers, and ensuring that there is insurance coverage of mental health care.

Because mental health among youth is such an urgent topic, we would like to look at why mental health awareness is so important for young people. 

What does mental health awareness mean?

Before we go too much further, let’s define “mental health awareness.” To us, mental health awareness involves fostering an understanding of:

• What it means to have good mental health
• The stigmas that exist about mental illness
• How many people experience mental health challenges
• The potential dangers of not treating mental health conditions
• The barriers to treatment that many individuals face

Every May, we join other mental healthcare organizations and providers to renew our commitment to promote awareness. And, as we have explained in our blog, to advocate for those who need us and to provide support to all who live with mental health conditions.

Why is mental health awareness in youth so important? 

Simply put, there is not enough attention being paid to mental health in children and adolescents. According to the National Alliance on Mental Illness in 2020:

• Statistically, only “50.6% of U.S. youth aged 6-17 with a mental health disorder received treatment.”
• Among adolescents (12–17 years), “1 in 6 experienced a major depressive episode (MDE).”
• “3 million had serious thoughts of suicide.”

Statistically speaking, as a society, we are not talking enough about mental health in youth; we are not listening enough when there’s a problem, and we are not helping enough youth get the treatment they need. 

One of the best ways that we can begin to address these deficiencies is to promote awareness. Here are a few ways you can do this today.

Talk to youth about mental illness

If you were ever a child, you may recall that often the most frightening thing was the unknown. It can be terrifying when you feel bad but don’t understand why. Mental illness, and mental health in general, needs to be discussed in order to make it less scary for those who experience it.

The National Institute of Mental Health says that “An estimated 31.9% of adolescents had an anxiety disorder.” That’s roughly a third of the population. If these children simply understood that others experience anxiety as well, they may understand that they are not the only ones experiencing anxiety. If the other two-thirds of children also knew that their friends sometimes experience anxiety, then they are better suited to offer help.

Help them identify the signs of a problem

Talking more about mental health will also teach children, teens, and young adults the warning signs that often occur when someone may be on the verge of experiencing a crisis. Learning about these warning signs gives youth the chance to recognize these signs and take action if a friend exhibits them or if they themselves start to display them.

Of course, reviewing warning signs and symptoms will also help parents, teachers, and others. 

There is ample evidence that suicide prevention often starts with someone paying attention.  Claire McCarthy, MD says, “So pay attention, and take what you see seriously. If your child is showing signs of anxiety or depression, call your doctor. Don’t put it off.”

Help young people understand and overcome stigmas about mental health

It is common for youth (and adults) to be embarrassed by mental health challenges. Much of this embarrassment is caused by the stigma that mental health is somehow less important than physical health. Findings published in the academic journal BMC Psychiatry show that:

• “Young people, including adolescents and young adults aged 10–24 years, are at a critical period in the prevention and treatment of mental health disorders.”
• “Public stigma universally prevents people who experience mental health problems (i.e. symptoms that are not sufficient to warrant a diagnosis of a mental disorder) and those with mental disorders from seeking counseling and treatment.”
• “Educational interventions to reduce the stigma associated with mental health may improve help-seeking behaviors by avoiding the use of psychiatric labels that are not commonly understood…”

In other words, reducing stigma and normalizing mental health challenges increases the willingness to seek treatment in the future.

Help young people get the treatment they need

Perhaps the best way to promote youth mental health awareness is to help kids in need access mental health services. Children’s mental health, according to Youth.Gov, can change over time.

With the developmental changes and challenges that youth face normally, especially in adolescence, many experience transitional phases of mood and behavioral changes. Youth and their families can successfully navigate the challenges that come from experiencing a mental health disorder. Those with more persistent mental health challenges usually do very well with treatment, peer and professional support and services, and a family and social support network.

You can help Brightside Health promote awareness of youth mental health this month and every month. If you are experiencing mental health concerns, we want to help. Brightside Health treats people ages 18 and over and you get started with a free assessment. You can also:

• Text HOME to 741-741 to connect with a Crisis Text Line counselor.
• Call The 988 Suicide & Crisis Lifeline at 1.800.273.8255.
• Visit the National Alliance on Mental Illness website for additional resources. 

You can use the lifeline services mentioned above for yourself, or talk to someone for advice if you are concerned for a loved one. You are not alone.

The post Why is mental health awareness in youth so important? appeared first on Brightside.

When we built Brightside’s therapy program, we didn’t simply replicate traditional therapy in a virtual environment. We improved upon the member-provider encounters and treatment delivery to help people get more effective, higher quality care from compassionate licensed therapists. We took a similar approach when building our psychiatry plan. As a result, Brightside members can access medication or therapy; when engaged in both, individuals can experience up to 60% higher recovery rates than through one treatment alone.

Brightside therapy consists of four main elements: strong adherence to evidence-based approaches; measured, goal-oriented treatment plans; care that is both structured and personalized; and a supportive, sustainable environment for both therapists and members.  

Evidence-adherent

“Effective therapy/treatment your way is the best way! 10/10 would recommend Brightside.” – Joe D., Brightside member

Open-ended talk therapy can be ineffective, tiring, and expensive. To help people feel better faster, and stay that way longer, we knew Brightside therapy needed to adhere to evidence-based approaches, while remaining engaging and cost-effective.

To achieve that, we designed a therapy program based on the Unified Protocol (UP), a modern enhancement of Cognitive Behavioral Therapy (CBT), and trained our thoroughly vetted, licensed therapists on its delivery to ensure high-quality care.

Created by Dr. David Barlow and a team of researchers at Boston University, the UP combines elements of mindfulness, cognitive therapy, and behavioral therapy to achieve superior results: people are more likely to complete treatment with the UP. While CBT often focuses on replacing negative thoughts with positive ones, our therapy program follows a realistic, time-bound approach centered around having emotional awareness, practicing flexibility, preventing avoidance, and taking action. Ongoing sessions are personalized to members’ needs and accompanied by a 10 lesson program that teaches key skills—all supported by caring licensed therapists with a master’s level degree or higher.

As Dr. Steven Lucero, associate director of therapy at Brightside, explains, “The Unified Protocol breaks down how we’re practicing evidence-based services and therapy into manageable, engaging steps for members. First, we start with goal setting, then we learn about emotions and thoughts and all the different pieces of the lens through which we can view the member’s concerns.”

This helps members understand how their thoughts and emotions are impacting them. Then, therapists support members in making small, effective changes. Dr. Lucero says:

We can learn to take small achievable steps to pick up some wins along the way. Initially, a concern like depression can feel so big and overwhelming, clouding everything. Over time, we can learn to take some reasonable actions. For example, you could exercise with a friend or take your dog for a walk at a nearby park. Instead of feeling like you’re not making any progress with this depression, this anxiety, or whatever the concern is, you can see that you’re making manageable progress on this much larger goal of getting a handle on it. 

Besides being effective and engaging, multiple studies suggest the UP also has more clinical,  practical, and cost-effective advantages. The UP is transdiagnostic, meaning it works across various conditions, making it an ideal fit for many people who experience co-occurring mental health conditions. The skills they learn apply across anxiety, depression, and a myriad of related disorders. At Brightside, we took this a step further by standardizing the key skills in videos: this reduces cost, ensures everyone is receiving comprehensive education and allows members to go back and review their lessons. 

Goal-oriented

“I love how attentive my therapist and provider are to my needs for medication changes and also for my feelings. When I fill out my assessments they are both always there to check in on me, whether I’m feeling better or worse with my mental health. I will definitely be continuing using them and will also recommend them to anyone needing someone to talk to or help with their mental health.” – Jay J., Brightside member

Therapy at Brightside isn’t forever. To help ensure timely progression, we’re committed to measurement-based care. This enables therapists to track member progress and outcomes, and it allows for prompt intervention—when used with technology like automated provider alerts, it ensures people are getting the care they need faster. Measuring also improves efficiency and reduces cost over time: a member can be directed to higher clinical care like psychiatry if the need arises or, as symptom levels decrease, therapists and members can discuss a plan for applying their new skills even after treatment ends. 

When a member starts therapy, our licensed therapists work with them to understand their unique needs and set realistic aims. Throughout the program, members track their progress with check-ins and receive guidance as they practice skills to reduce their symptoms and achieve their goals. Sometimes, members aren’t sure what their goals for therapy are, and that’s okay. Our therapists help by asking questions to understand their challenges and how they are impacting relationships, work, and well-being. By learning what is important to the member, they can work together to define their values and objectives. Dr. Lucero explains the next steps:

Now, we can understand your values are here, but your life is currently right here. There may be a discrepancy. Our goal as therapists is to try to alleviate that discrepancy so that you can feel that you are living a more value-driven life, that those values are at the forefront of your decisions. 

I can then bring my expertise in evidence-based practice like the Unified Protocol to bear in terms of alleviating that discrepancy. So, we can get closer and closer to aligning how you’re currently living your life and your personal values. 

Throughout treatment, Brightside uses online check-ins which consist of two clinical assessments, the PHQ-9 and GAD-7, to measure present depression and anxiety levels. The results are surfaced to the member and provider so they both can stay informed and track treatment progress, with the objective of achieving remission—scores lower than 10 on both scales. 

Our data shows that within 12 weeks, 86% of Brightside members experience clinically significant improvement (a score decrease of 5 or more on PHQ-9, 4 or more on GAD-7) and 71% achieve remission of symptoms altogether. We continuously monitor these outcomes to ensure high-quality mental health care for every member. 

Structured and personalized

“Brightside has been an incredible experience. My psychiatrist is attentive and aims to pinpoint the best treatment for my circumstances, and my therapist is a genuine, non-judgmental sounding board. Her insights are invaluable. I’m so glad I chose to do this.” – Hannah C., Brightside member

Brightside therapy is both structured and personalized. We train our licensed therapists on our unique program and have each member follow standardized video lessons that impart key skills, with opportunities to practice and apply those techniques in their daily life. 

An important part of any therapeutic relationship is the connection between provider and member. Our national network of licensed therapists is carefully selected to provide empathetic care and treat every individual as a person, not a patient. Dr. Lucero explains why it’s important to take into account the whole person:

Most people’s lived experiences aren’t clear-cut—just experiencing depression and nothing else. They’re co-occurring. We personalize therapy by trying to better understand the person within the context of their environment. Each of us brings a whole host of intersectional identities. All of us are these very complicated people that bring 10 or 20, and probably unlimited identities, to bear in our work in therapy. 

The therapist’s role is to try to understand what happens at the intersection of each one of these identities and how that influences our approach to treating depression or anxiety with evidence-based practice like the Unified Protocol: understanding how we can best help apply effective treatment to who you are and the history of how you’ve related to this depression, anxiety, or another concern previously.

Members meet with their therapist in 30-minute virtual sessions to discuss how they’re feeling, as well as any challenges they’re facing. As members advance and make progress, their therapist releases supplemental interactive video lessons that provide opportunities for practice and reflection. Between sessions, members refer back, complete practice activities, and message their therapist with any questions. The skills, responses, and check-in results are then discussed and reviewed by their therapist in subsequent sessions, creating an ongoing collaborative partnership between the therapist and member.  

The Brightside therapy program is generally designed to be completed in 12 to 16 weeks, though the timeline may change depending on the member’s personal progress and guidance of their therapist. Once complete, Brightside members apply their newly-honed skills to live independent, value-driven lives. 

Sustainable

“The combination of medication and therapy in a convenient online format is beneficial for my busy life. For the first time in years, I think everything will be alright.

 – Ilazabeth S., Brightside member

In order to improve access to high-quality therapy, our care must remain sustainable. We’ve developed a top-tier provider network by selecting expert therapists and ensuring they have the support, supervision, and tools they need to be successful. Our community empowers providers in a supportive environment with balanced caseloads, training, resources, and opportunities for case consultations and connections with peers. As Dr. Lucero puts it:

I think what makes Brightside such a great environment is the flexibility and independence that we have in approaching our schedules. The benefit is for both therapists and members alike—members are able to choose their therapist based on their availability, with the peace of mind of knowing that they’re going to be working with somebody whose schedule matches what they want from therapy. 

Additionally, some members started therapy with Brightside because they were unwilling to do therapy in person and felt like that was too much for them. This has been such a great transition for them to be able to explore therapy and access effective treatment from a place where they feel most comfortable.

Brightside members can access care from anywhere that works for them, and therapists can provide care from a confidential, private office. 

To make our care more sustainable for members, we’re also committed to partnering with health insurance plans to help lower individual costs. Currently, Cigna and Aetna health plans cover Brightside, and we’re in active discussions with other large national and state-level payers. Members can also always access our care directly.

If you would like to learn more about Brightside therapy, visit here for more information about our plan or here to meet some of our licensed therapists. Have a question? Reach out to support@brightside.com.

The post Therapy at Brightside Health: How empathetic therapists pair evidence and expertise to provide high-quality care appeared first on Brightside.

Taking the first steps towards getting treatment for your mental health is a brave, respectable, and important thing to do. With that said, having hesitations, anxiety, or stress about your first psychiatric appointment is completely normal.

Let’s walk through the process so you know exactly what to expect upon your first appointment.

Want to speak 1:1 with an expert about your anxiety & depression?

Start with a free assessment

Psychiatry vs. Therapy

While psychiatry and therapy often go hand in hand, they are different from one another. In a therapy session, you will discuss your concerns with a licensed mental health professional who can work to assist you with behavioral and cognitive changes to help you work through mental health conditions.

Psychiatric providers, on the other hand, have extensive medical training and will also prescribe and monitor medications to control your symptoms. Therapists can not prescribe you medication, but they can refer you to a psychiatric provider for evaluation if needed.

Therapy, in conjunction with medication, is the most effective way to treat mental disorders, so it is common to work with both a therapist, and a psychiatric provider.

Your Brightside care team includes both a psychiatric provider and therapist who stay by your side every step of the way, so you have access to help whenever you need it.

Before Your Appointment

Before you’re matched with a psychiatric provider, you’ll generally first need to answer a questionnaire about yourself to provide information your provider will need to thoroughly evaluate your situation. This will ask you what kinds of things you need help with, how often and severe your symptoms are, and some more general questions to expedite the process ahead of time.

You may also want to come prepared with a bit of background knowledge of your medical history, such as allergies to medications, lists of medications you’re currently taking or have taken in the past, family history of mental health and physical health issues, and other medical concerns. This will help your psychiatric provider give you more comprehensive care.

With Brightside, you will receive a personalized treatment plan with evidence-based therapy at hand, medication delivered to your door, and the support of expert psychiatric providers at every step. 

During the Appointment

Remember that psychiatric appointments are a bit different than therapy sessions. While therapy sessions are normally 30-45 minutes long, your conversation with a psychiatric provider may only be about 15! The goal during your psychiatric appointment is to check in and see how you’re feeling in relation to your medications. However, the first consultation may be longer and will be focused on your symptoms, diagnosis, and creating a treatment plan that’s right for you.

On your first consultation, a psychiatric provider will ask you about your symptoms and what you’re struggling with. This might include some general questions about your medical history and your past in general. If you’re ever uncomfortable answering a question, know that it is entirely okay to let your provider know that you’d rather not answer and would like to move on.

They may then choose to prescribe antidepressant medications to help ease the symptoms. They’ll give you the lowdown as far as what to expect when taking the medications, how to take them, potential side effects, and more.

After that, you’ll discuss your long-term care plans, including any recommended referrals for psychotherapy and any referrals for additional care.

Keep in mind that it is okay to feel emotional during your first visit. You can cry, feel scared, awkward, and nervous. Or, you may feel jubilant and excited to be taking such important steps. Regardless, your psychiatric provider is here to help you and will never be judgemental of your emotions.

After the Appointment

After your initial appointment, expect to feel some relief! You’ve taken the next step on your journey, so congratulate yourself for accomplishing something really amazing.

If your Brightside provider has chosen to prescribe you medication, it will be delivered to your door within approximately 5-7 business days, and you will receive refills monthly as long as you are engaged with the program.  

Make sure that you are taking the recommended dosage of your medication and check in with your provider as often as needed with unlimited messaging and video sessions. You’ll also have unlimited messaging and video visits as needed, so check in as often as you want to make sure everything is running smoothly. Your provider wants to hear from you.

If your psychiatric provider has recommended psychotherapy, you may tell your therapist about how the medications are making you feel as well. Both psychiatry and therapy go hand in hand, so never be afraid to talk about what you’re experiencing to either one.

Medication is Often Part of Treatment

Many people feel nervous and distrustful of taking medication that has the potential to alter your brain’s chemistry. These are very rational hesitations, but there is evidence that medication is a successful treatment for depression and anxiety. Remember that medication will not take away any of the good things about you.

Around 40-60% of individuals with depressive symptoms noticed improvement within six to eight weeks on medication alone, and at Brightside, 85% of members report feeling better within 12 weeks. Furthermore, combined treatment with psychotherapy appears to be a more effective treatment than just taking medication, so it is recommended that you utilize both simultaneously.

Everyone is different, so it might take some time to find a medication that works for you. This is why frequent discourse with your psychiatric provider is important, as they can modify your prescription and dosage accordingly based on how you feel while taking them. Also, medications don’t normally take effect immediately. It may take around four to six weeks for you to notice a difference while taking depression or anxiety medication.

In Summary

Going to your first psychiatric appointment can be nerve-wracking, but coming prepared can help alleviate some of those anxieties. Know that psychiatry is different from therapy, in that your psychiatric appointment is more geared towards prescribing and monitoring the use of medication, rather than building behavioral and cognitive skills towards coping.

During the session, just expect to answer a few questions and check in with your provider about how you’re feeling. They may prescribe you some medications, in which case they’ll go over directions and possible side effects.

Medications are a safe and effective way to treat mental illness. It is most effective when combined with psychotherapy, which your psychiatric provider may recommend. Remote therapy and psychiatry is great for individuals who deal with depression, anxiety, and other anxiety/ stress related disorders.

All in all, it’s normal to be nervous, but your psychiatric appointment will ultimately work for you, not against you! Click here to get started on the right path today.

Sources:

Psychiatrists and psychologists: what’s the difference? | The Royal Australian and New Zealand College of Psychiatrists

Depression: How effective are antidepressants? | InformedHealth.org 

Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta-analysis – NIH

Antidepressant medication | SANE Australia

The post What To Expect During Your First Psychiatry Appointment appeared first on Brightside.

So—let’s explore and find out how you could benefit from therapy. We’ll cover some things you should know about it before starting, signs you might benefit from therapy, and how it can help with anxiety and depression. Finally, we’ll give you some tips for getting started, what to expect, and how to make the most of it.

What therapy can do for you: The four things you should know

First—when considering therapy, there are a few things you should know before getting started. 

1. There are different types of therapy.

When hearing “therapy,” many people envision traditional, open-ended conversations about their feelings. In reality, there are several different types, including evidence-based, skill-building approaches like CBT (Cognitive Behavioral Therapy), which most reliably help you feel and function better.

CBT is a short-term, structured, and goal-oriented form of therapy that utilizes a practical approach. The goal of CBT is to identify and change unhelpful ways of thinking and behaving. Therapy can include a mix of exercises that help you problem solve, recognize faulty thinking patterns, change unhelpful behaviors, and develop confidence in your ability to manage challenging situations. CBT has been demonstrated to effectively treat a wide range of concerns from sleeping challenges and relationship difficulties to substance use, anxiety, and depression.

2. Therapy doesn’t have to be a long-term commitment.

Approaches like CBT help you achieve goals and feel better in a set amount of time. Designed to be a 12-week program, CBT can help you better understand and address your challenges and get back to being you. Going to therapy does not have to be a lifelong commitment.

3. Staying open to the process is essential.

Therapy is a personal and vulnerable experience. You can take it at your own pace, but it will inevitably involve getting a little uncomfortable. Stay open to the process; don’t be afraid to ask questions, and give your therapist feedback.

4. Therapy is an investment in both the present and future.

The skills you learn and the support and insight you receive will not only help you with the situation you’re in but will become part of the “toolbox” on your lifelong journey.

Signs that you could benefit from therapy

Now that we’ve covered some things you should know before getting started, let’s explore some signs that you may benefit from therapy. It is a good idea to seek professional help if you’re experiencing any of the following:

• You’ve got a lot going on, and you’re feeling overwhelmed.
• You are trying your best to manage your stress or emotions but feel like your efforts are coming up short. 
• You’re having trouble talking to your friends and family about what is going on.
• You feel like you’ve run out of resources.
• Your loved ones are concerned about you.
• You’re having difficulty focusing/concentrating.
• You’re experiencing physical symptoms.
• You’re feeling isolated or alone.
• You’re ready for a change.

If anything on this list hits close to home, there is no shame in reaching out for support.

How therapy can help with anxiety and depression

Depression and anxiety can have a direct impact on how we think, feel, and behave. While your goal will be personal and tailored, therapy may help alleviate some of the symptoms of anxiety and depression by allowing you to:

• Understand how your thoughts and behaviors contribute to your symptoms and learn ways to change them.
• Identify and understand how past or current events may have led to the development of unhelpful patterns of thought or behavior that can be maintaining your distress. 
• Develop skills to manage intense emotions that may be interfering with your ability to live life the way you want.
• Set realistic goals for your future.
• Improve your relationship with others.
• Increase confidence in your ability to handle challenging situations. 

Therapy can help you break the negative cycle of anxiety and depression. It can also be a helpful tool if depression and anxiety are getting in the way of feeling your best and living the life you want.

Tips for getting started

Therapy can give you the structure and support to help you get through difficult issues, including space to reflect, process challenges, and build skills.

Here are some tips for getting started and how to prepare:

• Set your expectations. Know that your therapist will be getting to know you across various topics during the first few weeks. Don’t expect to be “cured” right away. 
• Identify your “why” ahead of time. Remind yourself of it when things get uncomfortable. Knowing why you are in therapy can act as a North Star when therapy gets difficult or challenging.
• Honesty is the best policy. What you share stays with your therapist and is entirely confidential, except in two instances: if you indicate you are considering or planning suicide or if you indicate you may hurt someone else.

What to expect & how to make the most of therapy

Therapy is a time-tested approach that’s more accessible than ever, so some form of therapy should be part of any anxiety and depression care plan. However, it can also be a very a personal and vulnerable experience. You can always set your own pace, but remember that it will inevitably involve getting a little out of your comfort zone. Remind yourself why you are there and know that sometimes the only way out is through.

Remember to stay open to the process, and don’t be afraid to ask your therapist questions and give feedback. There is more than one way to approach care, and if something isn’t working or doesn’t feel right, there may be an alternate approach that you may feel more comfortable with.

Takeaways

Now that you know the realities of therapy, you still may feel nervous about trying it yourself—and that’s okay. Therapy is challenging but incredibly rewarding, so why not give it a shot?

Here at Brightside, we use only evidence-based approaches to treat adults with anxiety and depression. 83% of Brightside members feel better in as little as 12 weeks. If you’re ready to take the plunge into therapy, click here to get connected with one of our providers today.

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