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More Psychiatrists Nearby

Photo of undefined - Apex Behavioral Health Services,PLLC, APRN, MSN, PMHNP , Psychiatric Nurse Practitioner
Apex Behavioral Health Services,PLLC
Psychiatric Nurse Practitioner, APRN, MSN, PMHNP
Verified Verified
Seattle, WA 98107  (Online Only)
Please click on the website link to request an appointment. My name is Paul Kariuki, MSN PMHNP-BC. I graduated from the University of Texas Arlington and I am a board certified Psychiatric Mental Health NP. I am delighted to serve patients from preteen to older adults. I am experienced in treating patients with ADHD, depression, anxiety disorders, bipolar disorder, eating disorders, insomnia, substance use disorders among other disorders. I work closely with my patients to finding the best evidence based medication and psychotherapy modalities.
Please click on the website link to request an appointment. My name is Paul Kariuki, MSN PMHNP-BC. I graduated from the University of Texas Arlington and I am a board certified Psychiatric Mental Health NP. I am delighted to serve patients from preteen to older adults. I am experienced in treating patients with ADHD, depression, anxiety disorders, bipolar disorder, eating disorders, insomnia, substance use disorders among other disorders. I work closely with my patients to finding the best evidence based medication and psychotherapy modalities.
(833) 575-1926 View (833) 575-1926

Online Psychiatrists

Photo of Luke Greene, ARNP, Psychiatric Nurse Practitioner
Luke Greene
Psychiatric Nurse Practitioner, ARNP
Verified Verified
Chehalis, WA 98532
As an authentic and personable care provider, Luke’s goal is to make personal local mental health care available for everyone. Luke earned his Master’s degree as a Psychiatric Mental Health Nurse Practitioner from Azusa Pacific University in California in 2012. During this time, he worked for a private mental health facility and for the local VA. Luke has more than ten years of experience providing mental health care in both outpatient and inpatient facilities. He was as an outpatient mental health care provider for the VA center in Bath, New York for over four years.
As an authentic and personable care provider, Luke’s goal is to make personal local mental health care available for everyone. Luke earned his Master’s degree as a Psychiatric Mental Health Nurse Practitioner from Azusa Pacific University in California in 2012. During this time, he worked for a private mental health facility and for the local VA. Luke has more than ten years of experience providing mental health care in both outpatient and inpatient facilities. He was as an outpatient mental health care provider for the VA center in Bath, New York for over four years.
(360) 938-4387 View (360) 938-4387

See more therapy options for Mountlake Terrace

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.