Bipolar Disorder is characterized by having episodes of depression or low mood as well as manic episodes that involve an improvement in mood and/or irritability. Manic episodes are also characterized by an increase in energy, self-esteem, racing thoughts, a decrease in sleep, and impulsive behaviors. In addition, during mania, individuals may experience dramatically improved mood or elation which can be pleasant and contribute to productivity. The short-term positive outcomes (i.e. being more productive, feeling more creative, being more social, etc.) of a manic episode as well as frequent lack of insight into what is happening contribute to problems with medication compliance. In therapy, individuals with bipolar disorder will focus on increasing motivation to achieve mood stability, understanding and managing behavioral triggers to changes in mood, and improving medication compliance. https://pvdpsych.com/mood-disorders/