For individuals experiencing a manic state or acute bipolar mania, immediate intervention is essential. Acute treatment may involve antipsychotic medications, hospitalization, or electroconvulsive therapy—especially in cases where standard treatment options prove ineffective. These approaches aim to stabilize mood and prevent harm, forming the first step in a comprehensive treatment plan. Following stabilization, maintenance treatment may include mood stabilizers, Cognitive Behavioral Therapy, or social rhythm therapy to manage mood episodes and reduce relapse risk. My goal extends beyond controlling manic symptoms; I work to support long-term emotional balance, prevent rapid cycling, and address co-occurring depressive episodes or psychotic features.
Effective treatment for mania also includes lifestyle planning and strong support networks. I collaborate with healthcare providers, support groups, and family members to build a holistic care strategy. This involves tracking energy levels, recognizing early signs of relapse, and improving daily life routines and decision-making. Family-focused therapy can strengthen communication and reduce stress at home, while targeted support also addresses comorbid medical conditions or substance use disorders that may complicate treatment. Together, we develop a personalized, evidence-based care model that promotes both short-term stability and long-term mental health recovery.
Mania is a state of abnormally elevated mood, energy, and activity levels that can severely impact judgment, decision-making, and daily life. It often occurs as part of bipolar disorder or other mood disorders, including schizoaffective disorder. Episodes of mania range from hypomanic episodes to acute mania or severe manic episodes and may include symptoms like rapid speech, impulsive behaviors, psychotic symptoms, or irritable mood. I evaluate symptoms of mania alongside depressive episodes and mood swings to ensure an accurate diagnosis.
Accurate diagnosis is the first step in treating mania effectively. Using the American Psychiatric Association’s diagnostic criteria and tools from the Statistical Manual of Mental Disorders, I assess symptoms of mania, psychotic features, cognitive impairment, and substance abuse history. I also review mood episodes, family history, and high-risk triggers like drug use, sleep issues, and major life changes. Whether it’s bipolar I disorder, bipolar II disorder, or mixed mania, a clear diagnosis guides your treatment plan.
Treatment is personalized based on severity, co-occurring medical conditions, and previous treatment response. First-line treatment often includes mood stabilizers like lithium carbonate, valproic acid, or divalproex sodium. Atypical and second-generation antipsychotics help manage psychotic symptoms during acute manic episodes. For patients with rapid cycling or treatment-resistant mania, combination therapy may be recommended. I rely on evidence from systematic reviews, ClinicalTrials data, and journals to ensure the approach is safe, current, and effective.
One of the most nicest, kindest and considerate doctors I met.
He went over with me thoroughly on the documents and was generous enough to explain me everything that I asked.
I think he is a real doctor of people and not just someone that’s write prescriptions.
I wanted to sincerely thank Dr Feldman for his help during my time in the U.S.
His support, especially when my country was under attack, flights were grounded and medication was hard to access, made a real difference.
He was very kind, professional, and helped me get exactly what I needed in the best and most thoughtful way.
Michael Feldman is an exceptional mental health provider who truly listens and takes time to understand patients’ concerns. He provides thoughtful guidance and support.
I met Michael Feldman after years of search and trial and error. If you look for a professional who is invested in his patient’s progress, research-oriented, with a deep understanding of the body-mind connection and a wholistic approach to treatment, look no further.
Dr Michael Feldman is an amazing doctor. He prescribed the proper medication in the right dosage for me. He did this because he listens and asks very good questions. I highly recommend him and his practice at Gimle Health.
Michael Feldman is a wonderful and caring P.A. He always gives 100%. He listens attentively and provides many insights I would never thought of by myself . I find having him in my corner invaluable and I could not recommend him more highly. He’s the best!
Michael is an amazing professional! He truly invests in his patients and provides care and feedback even during off hours. Although we have only been using his services for a short time, he already stands out as caring, knowledgeable, and confident in his approach. We plan to continue using his services and would absolutely recommend him to anyone!
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Early signs include high energy, reduced need for sleep, rapid speech, impulsive behaviors, and increased goal-directed activity. These symptoms often escalate quickly and may be misinterpreted as positive changes, making early intervention crucial. Recognizing these early signs can help prevent progression to acute mania or severe manic episodes.
Mood stabilizers like lithium carbonate and valproic acid are often first-line treatments. Atypical antipsychotics and second-generation antipsychotics can help manage psychotic features or severe mania. Electroconvulsive therapy is considered when medication fails. The most effective treatment plan is personalized based on the patient’s response, medical history, and overall mental health condition.
Yes. Recreational drugs and substance abuse can trigger or worsen manic symptoms. Stimulants and other substances can mimic the effects of mania or interfere with existing bipolar disorder treatment. During evaluation, I assess for drug abuse and consider substance use disorders in treatment planning.
Absolutely. Cognitive behavioral therapy and social rhythm therapy are both proven to support mood regulation and reduce relapse. Therapy helps manage decision-making, address co-occurring depressive symptoms, and improve medication adherence. It’s often a key part of maintenance treatment following stabilization.
Treatment duration depends on symptom severity and response to medication. Acute treatment may last several weeks, followed by maintenance therapy to prevent relapse. Some bipolar patients need long-term support, especially those with rapid cycling or multiple episodes of mania. Clinical practice emphasizes ongoing care to manage both manic and depressive episodes.
Like all medications, mood stabilizers and antipsychotic medications can cause adverse effects. These may include weight gain, sedation, or changes in energy levels. I monitor patients closely and may adjust the treatment plan or recommend different medications as needed to minimize side effects while maintaining effectiveness.
Yes. Involving family members through support groups or family-focused therapy can improve outcomes. Education on early signs, medication management, and lifestyle support enhances stability and reduces stress. Family involvement is particularly helpful for young or high-risk individuals with bipolar disorder or manic-depressive illness.
If you notice early signs such as mood swings, decreased need for sleep, or high-risk behavior, contact a mental health professional immediately. Timely medical advice can prevent escalation. Avoid recreational drugs, maintain sleep hygiene, and involve trusted family members or healthcare providers in your care plan.
If you or a loved one are experiencing manic symptoms, seeking prompt, personalized treatment can make a profound difference. I offer tailored, evidence-based care for bipolar disorder and other mood disorders—so you can take control of your mental health and find lasting balance.
Yes. During a manic episode, individuals often experience impaired decision-making, poor judgment, and cognitive impairment that can lead to high-risk behaviors. These changes may involve overspending, impulsive speech, or reckless activities. Cognitive challenges can persist even between episodes, especially in those with frequent mood swings or mixed mania. That’s why treatment plans include therapies to support cognitive function and reduce long-term effects on mental health and daily life.
Comprehensive services designed for each individual.
Treatment of Anxiety, Depression, ADHD, Eating Disorders,
Psychosis, Schizophrenia and other psychiatric conditions.
Comprehensive services are designed for each individual. Treatment of Anxiety, Depression, ADHD, Eating Disorders,
Psychosis, schizophrenia, and other psychiatric conditions.
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