SCIENCE-DRIVEN PSYCHIATRY · FORT LEE, NJ

ADHD and Bipolar Treatment in Fort Lee, NJ

Personalized, science-driven care for co-occurring ADHD and bipolar disorder, mood instability, and complex attention challenges, for patients across New Jersey and New York.


Self-pay practice · Superbill provided for out-of-network reimbursement

psychiatrist new jersey

Michael Feldman, PA-C · Founder

Precision Care for Co-Occurring ADHD and Bipolar Disorder

When ADHD and bipolar disorder occur together, the two conditions can amplify each other, and treatment that helps one can destabilize the other if the order is wrong. This overlap, often called comorbid ADHD and bipolar, calls for careful diagnosis and a plan built around your specific pattern of symptoms, mood episodes, and daily stressors rather than a generic protocol.

ACCURATE DIAGNOSIS FIRST

Impulsivity, emotional outbursts, and dysregulation can look like ADHD, like a manic episode, or like both. To tell them apart, I use structured diagnostic criteria, clinical interviews, and tools from the DSM-5, alongside a review of age of onset, family history, and the pattern of mood episodes over time. I also screen for anxiety, personality, and substance use disorders so the diagnosis is complete before any medication decision.


MOOD STABILIZERS

When ADHD and bipolar disorder occur together, mood stabilizers such as lithium, valproate, or lamotrigine are generally established first. Stabilizing mood reduces the frequency and intensity of manic and depressive episodes and lowers the risk that a stimulant introduced later will trigger a manic or mixed state. In some cases an antipsychotic medication may be added to address more severe symptoms, always with careful monitoring.


ADHD MEDICATIONS, SEQUENCED WITH CAUTION

Stimulant and non-stimulant ADHD medications can improve focus and impulse control, but in bipolar disorder they carry a real risk of worsening mood if used too early. Once mood is stable, I introduce ADHD medication gradually and monitor closely, adjusting dosing based on your response. The goal is better attention without destabilizing mood, which is why sequencing and follow-up matter as much as the medication itself.


THERAPY AND LONG-TERM SUPPORT

Medication is one part of care. Cognitive behavioral therapy, psychoeducation, and practical skill-building support emotional regulation and help you manage the executive function challenges common to both conditions. I also watch for mixed episodes, sleep disruption, and substance use, all of which can interfere with recovery. Consistent routines and regular check-ins keep the plan working over time rather than only during a crisis.


COORDINATED, PERSONALIZED PLANNING

No two people experience ADHD and bipolar disorder the same way, so each plan accounts for symptom severity, lifestyle, and co-occurring conditions. I coordinate medication and therapy on an ongoing basis, reference longitudinal research and data from the National Institute of Mental Health, and adjust as symptoms change. The aim is a treatment plan that is both effective and sustainable for the long term.

⚠ This content is for informational purposes only. No medication should be started, stopped, or changed without guidance from a qualified psychiatric provider. All treatment decisions at Gimel Health are made following a comprehensive in-person or telehealth evaluation with Michael Feldman, PA-C.

SERVICES

Other Conditions I Treat

Six focus areas. Click any to see the full approach.

Mood Disorders

Treatment for depression, bipolar, PMDD, and
complex mood patterns.

Anxiety & OCD

Specialized care for chronic worry, panic, PTSD,
and obsessive thoughts.

ADHD

Treatment for depression, bipolar, PMDD, and
complex mood patterns.

Eating Disorders

Medical and medication support for anorexia,
bulimia, and binge eating.

Sleep & Anger

Treatment for insomnia, rage, and impulse
control challenges.

Complex Cases

Treatment-resistant cases, psychosis,
schizoaffective, autism spectrum.

HOW ANGER MEDICATION SESSIONS WORK

Your Path to Better Mental Health

Three steps. No surprises.

15-min Discovery Call

Tell me what's going on. I'll tell you if I'm
the right fit — or refer you to someone
who is.

60-min Initial Evaluation

Full clinical assessment.
I review full medical & psychiatric history, prior treatments, symptoms and goals together.

Treatment & Follow-up

Medication plan, dosage refinement, and
regular check-ins.

ABOUT

Meet Michael Feldman, PA-C

Founder · Physician Assistant–Certified

Why molecular biology matters to your treatment

Most psychiatric prescribing is trial-and-error. My background in
molecular biology — MSc from Hebrew University of Jerusalem, with
research at the Weizmann Institute and Mt Sinai — lets me think about
your case at the level of biological pathways, not just symptom
checklists. That means fewer wasted medication trials and a clearer
rationale for every decision.

Who I treat

Adults, adolescents, and children with anxiety, depression, ADHD,
bipolar disorder, OCD, eating disorders, and complex or treatment-
resistant cases. I work especially well with patients who've been let
down by rushed 15-minute medication checks elsewhere.

What your first visit looks like

A 60-minute initial evaluation — in person at my Fort Lee office or via
telehealth anywhere in NJ or NY. We'll go through your full history,
current symptoms, prior treatments, and biological context. You leave
with a clear diagnosis and a specific medication plan, not a maybe.

EDUCATION

MSc in Physician Assitant Studies

PACE University NYC

EDUCATION

MSc Nut

Hebrew University of Jerusalem

LANGUAGES

English
Russian
Hebrew

CARE

Children · Teens · Adults

Family-aware planning

FOUNDER VIDEO 

Watch: Why I founded Gimel Health

TESTIMONIALS

What Patients Say

Verified Google reviews

5.0 ★ · View all reviews on Google

FEES & INSURANCE

Accessible Psychiatric Care in Fort Lee

Gimel Health accepts most major insurance plans, including Aetna, Cigna, Blue Cross Blue Shield, United Health, and others commonly offered through New Jersey employers. Coverage for psychiatric medication management varies by plan, and our administrative team will verify your benefits before your first appointment so there are no surprises. For patients whose plans do not cover psychiatric services, competitive self-pay rates are available. We believe cost should not be a barrier to receiving an accurate psychiatric diagnosis and effective medication management.

Ask about fees and reimbursement →

FAQ

Frequently Asked Questions About
Anger Medication

Things patients usually want to know before reaching out.

What does a psychiatric provider help with for ADHD and bipolar?

A psychiatric provider evaluates and treats co-occurring attention and mood conditions using diagnostic interviews, medication management, and ongoing monitoring. For ADHD and bipolar disorder, that means confirming the diagnosis, sequencing treatment safely, and tracking response over time. The goal is improved stability, focus, and quality of life, with a plan tailored to your history rather than a one-size-fits-all approach.

Can someone have both ADHD and bipolar disorder?

Yes. The two conditions frequently co-occur, and the combination is often called comorbid ADHD and bipolar. Shared features like impulsivity and emotional dysregulation can make them hard to tell apart, which is why a careful evaluation matters. When both are present, treatment has to address mood and attention together, in the right order, to avoid worsening either one.

How do stimulants affect people with comorbid ADHD and bipolar disorder?

Stimulant medication can help focus and executive function, but it may trigger manic symptoms or worsen mood episodes if a mood stabilizer is not established first. For that reason I stabilize mood using medications such as lithium or valproate before considering a stimulant. Once mood is balanced, stimulant treatment can be introduced gradually and monitored closely to reduce the risk of mixed episodes.

What is the difference between ADHD and bipolar II?

ADHD is a neurodevelopmental condition with persistent symptoms that usually appear in childhood. Bipolar II is a mood disorder marked by episodic cycles of hypomania and depression. Both can involve impulsivity and emotional reactivity, but the timing and pattern differ. Distinguishing them relies on mood history, age of onset, and diagnostic criteria, which is why an accurate evaluation is essential before treatment.

Why do ADHD and bipolar patients struggle with emotional regulation?

Emotional dysregulation is common to both conditions because each affects executive function and impulse control. People often describe difficulty managing stress, mood, and frustration, sometimes without a clear trigger. Sleep loss tends to worsen both. Addressing these with therapy, medication, and consistent routines can produce meaningful, lasting improvement in how emotions are managed day to day.

How do lifestyle changes affect ADHD and bipolar treatment?

Managing sleep, reducing stress, and keeping a structured routine can lower the intensity of mood symptoms and support attention and focus. Healthy habits can also make medication more effective and reduce the need for frequent dose changes. Regular physical activity and better sleep hygiene are especially helpful, and they play a role in reducing the risk of substance use that is higher in dual-diagnosis patients.

Why is early diagnosis important?

Early, accurate diagnosis leads to better long-term outcomes. Signs like mood dysregulation, impulsivity, or sleep disruption are easy to misread, particularly in adolescents and young adults. When they are recognized and evaluated properly, treatment can begin before symptoms escalate. Delayed diagnosis is linked to more severe mood fluctuations and greater functional impairment over time.

Is treatment available by telehealth?

Yes. Evaluation and medication management for ADHD and bipolar disorder are available by secure telehealth across New Jersey and New York, alongside in-person visits at the Fort Lee office. Certain ADHD medications are controlled substances with specific prescribing rules, so telehealth care follows state and federal requirements. A full evaluation and ongoing monitoring remain part of responsible care whether visits are virtual or in person.

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CONTACT

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PHONE

(201) 815-4351

LOCATION

440 West Str, Ste 307 Fort Lee, Bergen County, NJ 07024

HOURS

Mon–Thu · 9am–7pm Fri · 9am–3pm