Photo of Marla Brucken, Psychiatric Nurse Practitioner in 98105, WA
Marla Brucken
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Verified Verified
Seattle, WA 98105
As a board certified Psychiatric Nurse Practitioner, I provide comprehensive psychiatric evaluations and medication management services to adults. My approach is to examine the biological, psychological, and social factors that may be contributing to your symptoms and work in partnership with you to suggest treatments or other interventions to address these factors. When medications are recommended, I prescribe conservatively and thoughtfully and use evidence- based guidelines to inform my practice. I understand that it can be difficult to reach out for help and I provide a nonjudgmental setting for you to share your challenges.
As a board certified Psychiatric Nurse Practitioner, I provide comprehensive psychiatric evaluations and medication management services to adults. My approach is to examine the biological, psychological, and social factors that may be contributing to your symptoms and work in partnership with you to suggest treatments or other interventions to address these factors. When medications are recommended, I prescribe conservatively and thoughtfully and use evidence- based guidelines to inform my practice. I understand that it can be difficult to reach out for help and I provide a nonjudgmental setting for you to share your challenges.
(425) 490-4383 View (425) 490-4383
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.