Increased experience with individuals with bipolar and related mood problems enhances our clinical ability to work effectively in this area.

        Approximately one-half of our patients have recurrent

        mood problems. This concentration helps us learn more and learn

        faster about this area than occurs in more general psychiatric practices.

We appreciate the value of both biological and psychological treatments.

        We do not subscribe to any single treatment orientation or

        philosophy. We try to think multi-dimensionally and approach

        problems from different points of view.

Psychotherapy often has a vital role in the care of those with mood disorders.

        Each of us have had extensive training in multiple forms of

        psychotherapy both during and following our residencies.

Ongoing learning and study in the field of mood-related research is a priority.

        We engage in extensive educational work at our practice. We

        systematically review the medical and psychological literature on

        particular aspects of mood disorders. This includes:

            • The pathophysiology of 2nd messenger systems in mood illnesses

            • The genetics of bipolar disorder

            • Neurocognitive dysfunction

            • Interpersonal social rhythm therapy

            • Psychoeducation

            • Family-Focused psychotherapies

            • Neuroimaging

            • Medication updates on duloxetine, pregabalin, valproate and others

            • The role of dynamic psychotherapy in the treatment of bipolar disorders

            • Chronotherapeutics, including sleep deprivation treatment,

               sleep phase advance, phototherapy, dawn simulation and melatonin

            • A complete review of all published studies from the STEP-BD project

            • Psychoanalytic theories on affect and affect regulation

In addition, we attend lectures and conferences, and give talks on manic-depressive illness to various hospitals and educational groups. Through our group structure, we are able to leverage our colleagues wisdom and experience when we confront clinical problems that benefit from peer supervision.