Photo of Marisa Bell, Psychiatric Nurse Practitioner in 98102, WA
Marisa Bell
Psychiatric Nurse Practitioner, ARNP, PMHNP
Verified Verified
3 Endorsed
Seattle, WA 98102  (Online Only)
I particularly enjoy helping people with bipolar, OCD, and PTSD who may be searching for equilibrium and answers to the big questions these new diagnoses have brought up.
I believe people in early adulthood deserve high-quality and compassionate care tailored for this challenging phase of every person’s life. Your twenties (and thirties) can be awesome. Let’s make it happen for you! I am straightforward in my approach, listen carefully and work at your pace. In treatment I attempt to balance my expertise– the science supporting medication decisions– with your own expertise– your body and mind. At the core, I work with people who are struggling and want to reclaim their lives. If you don’t know what’s going on or how to get better, I’m happy to guide you on your path to finding out.
I particularly enjoy helping people with bipolar, OCD, and PTSD who may be searching for equilibrium and answers to the big questions these new diagnoses have brought up.
I believe people in early adulthood deserve high-quality and compassionate care tailored for this challenging phase of every person’s life. Your twenties (and thirties) can be awesome. Let’s make it happen for you! I am straightforward in my approach, listen carefully and work at your pace. In treatment I attempt to balance my expertise– the science supporting medication decisions– with your own expertise– your body and mind. At the core, I work with people who are struggling and want to reclaim their lives. If you don’t know what’s going on or how to get better, I’m happy to guide you on your path to finding out.
(206) 639-2454 View (206) 639-2454
Photo of Joseph Ungvarsky, Psychiatric Nurse Practitioner in 98102, WA
Joseph Ungvarsky
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Seattle, WA 98102  (Online Only)
NO Medicaid or Medicare including Apple Health. Accepting new clients with Premera, Aetna, CIGNA, UHC/OPTUM. Text or Call to schedule. Offering individualized, person-centered approach to treatment. Combined medication management with individual psychotherapy for the best outcome and evidence for recovery based care. Have worked in all modalities and treatment settings within the mental health system. Experience is across the lifespan and with all different mental health concerns.
NO Medicaid or Medicare including Apple Health. Accepting new clients with Premera, Aetna, CIGNA, UHC/OPTUM. Text or Call to schedule. Offering individualized, person-centered approach to treatment. Combined medication management with individual psychotherapy for the best outcome and evidence for recovery based care. Have worked in all modalities and treatment settings within the mental health system. Experience is across the lifespan and with all different mental health concerns.
(425) 414-3927 View (425) 414-3927
Bipolar Disorder Psychiatrists

What is the most successful approach to treating bipolar disorder?

Living with bipolar disorder can be challenging, and a number of therapies have been found effective in providing support to patients as they gain the skills to understand and manage the disorder. Family-focused therapy is often helpful for children and teens (the majority of cases develop before age 19); it aims to minimize mood cycling by improving family communication and reducing conflict. It also helps young people navigate the developmental challenges the disorder can create. Cognitive and behavioral therapy (CBT) and variants such as Dialectical behavior therapy (DBT)help patients manage the thoughts and feelings that influence bipolar mood swings as well as develop specific behavioral strategies to counteract them.

What happens in therapy for bipolar disorder?

Because the patterns of mood switching and its triggers differ for each person and can change over time, mood tracking or monitoring becomes a basic way patients learn about the nature of their condition. One of the most common features of therapy is finding a workable method of mood monitoring, in which patients track their daily activities and rate their moods, then use the findings to adjust routines accordingly. Patients learn ways of handling the many stresses that arise in life so that they do not trigger mood swings.

What kinds of problems does therapy help with?

Like many other mental health disorders, BPD is heavily influenced by stress; therapy provides skills for coping with stressors of all kinds. Therapy is extremely important for helping individuals identify the situations that may trigger mood switching, so that mood swings can be prevented. Therapy may especially target recognition of the early stages of mood change so that they can be managed. In addition, therapy helps patients deal with the significant amount of turbulence the disorder can create in relationships and in work life.

What is the goal of therapy for bipolar disorder?

Therapy helps patients set up their lives to maintain stability so that their mood isn’t constantly threatened by daily events. Perhaps the first task of therapy is to educate people about the nature of the disorder. At the same time, a primary goal of therapy is to enhance adherence to drug treatment. Extended periods of mood stability can prompt patients to discontinue medication, triggering relapse, while the early phases of manic episodes can feel so energizing that patients stop medication, ushering in full-blown mania and the altered self-perception that can lead to destructive behaviors. Another major goal of therapy is to understand one’s mood patterns so as to minimize both the frequency and intensity of mood cycling.