Dr. Dubrovsky

Dr. Dubrovsky

Treatments

Bipolar Disorder

Bipolar Disorder is a complex neurobiological condition, not merely a fluctuation in mood. We provide expert diagnostic clarity and precision medication management to stabilize cycles, prevent manic and depressive episodes, and protect long-term brain health.

Treatments

Bipolar Disorder

Bipolar Disorder is a complex neurobiological condition, not merely a fluctuation in mood. We provide expert diagnostic clarity and precision medication management to stabilize cycles, prevent manic and depressive episodes, and protect long-term brain health.

Treatments

Bipolar Disorder

Bipolar Disorder is a complex neurobiological condition, not merely a fluctuation in mood. We provide expert diagnostic clarity and precision medication management to stabilize cycles, prevent manic and depressive episodes, and protect long-term brain health.

Beyond Mood Swings

Everyone experiences ups and downs in life. However, Bipolar Disorder is characterized by distinct, often disruptive cycles of neurochemical volatility that are far beyond typical mood shifts. These cycles range from manic or hypomanic highs—marked by intense energy, sleeplessness, impulsivity, or irritability—to crushing lows of depressive episodes.

This is not a personality flaw or a lack of emotional regulation skills; it is a biological condition rooted in how the brain regulates energy and mood. Without proper medical treatment, these cycles can become progressively more severe and damaging to one's career, relationships, and physical health.

The Critical Importance of Accurate Diagnosis

Bipolar Disorder is frequently misdiagnosed as unipolar depression, especially since patients often only seek help during their depressive lows. This distinction is medically critical.

Treating a bipolar brain with standard antidepressants alone can be dangerous, potentially triggering manic episodes, increasing agitation, or causing rapid cycling between states. My approach begins with a thorough psychiatric evaluation to identify the subtle signs of hypomania or past manic episodes, ensuring we are treating the correct condition from day one.

Precision Mood Stabilization

For Bipolar Disorder, medication is rarely optional—it is the cornerstone of stability. The goal of treatment is not to numb your emotions or change your personality. The goal is to lower the ceiling on manic highs and raise the floor on depressive lows, allowing you to live within a functional emotional range.

I utilize a precision medicine approach, moving beyond basic SSRIs to utilize mood stabilizers and other targeted agents tailored to your specific symptom profile and tolerance. We work collaboratively to find the regimen that provides maximum stability with minimal cognitive or physical side effects.

Circadian Rhythms as Medicine

The bipolar brain is incredibly sensitive to disruptions in routine, particularly sleep. A single night of lost sleep can sometimes be enough to trigger a manic episode.

Effective management goes beyond the prescription pad. We will develop a rigid biological framework for your life, focusing intently on sleep hygiene, regular movement, and nutritional stability to support your medication and maintain a calm nervous system.

Let’s get in touch

Let's take the next step in your mental health journey together. Fill out the form below and I'll be in touch soon to answer any questions and schedule your online therapy session with me.

Let’s get in touch

Let's take the next step in your mental health journey together. Fill out the form below and I'll be in touch soon to answer any questions and schedule your online therapy session with me.

Let’s get in touch

Let's take the next step in your mental health journey together. Fill out the form below and I'll be in touch soon to answer any questions and schedule your online therapy session with me.