Dr Vohra's · Updated
Signs to look for
- Periods of unusually high energy, little need for sleep, racing thoughts, grand plans or reckless spending
- Periods of depression
- Irritability and rapid speech during highs
- Episodes lasting days to weeks, with normal periods between
At Dr Vohra's
Who to see first: a psychiatrist.
Clinicians: Dr. Sandeep Vohra
Treatments: Psychiatric consultation, Medication management, Psychotherapy and counselling
ICD-11: 6A60, 6A61
Bipolar I and bipolar II
Bipolar I (ICD-11 6A60) includes at least one manic episode, which may need hospital care. Bipolar II (6A61) involves hypomania, a milder high, together with depressive episodes, and is often misdiagnosed as depression for years because people rarely complain about feeling good. A careful history of past highs, and a family history, is how the psychiatrist tells them apart.
How is bipolar disorder treated at Dr Vohra's?
Acute episodes are treated first: mania with an antipsychotic or mood stabiliser, bipolar depression with specific options (quetiapine, lurasidone, lamotrigine or lithium) rather than an antidepressant alone, which can trigger a switch into mania.
Then maintenance: a mood stabiliser continued long term, with blood tests (lithium levels, thyroid and kidney function, or liver function and blood counts for valproate) at scheduled intervals. Follow-ups are monthly at first, then every two to three months. Psychoeducation for the patient and family covers early warning signs, sleep protection and a written plan for what to do when signs appear. Therapy (CBT or interpersonal and social rhythm therapy) reduces relapse.
Living with bipolar disorder
With consistent treatment, most people with bipolar disorder work, study and raise families; the goal of treatment is long stable periods and short, early-caught episodes.
- Keep sleep regular; sleep loss is the most common trigger of mania
- Avoid alcohol and stimulants
- Take medication every day, including when well
- Keep a mood diary and share it at follow-ups
- Agree with family what they should watch for
Frequently asked questions
- Is bipolar disorder lifelong?
- Yes, but it is manageable. Long-term treatment prevents most episodes, and episodes that do occur are shorter when caught early.
- Can bipolar disorder be managed online?
- Follow-ups, psychoeducation and therapy can be online once a diagnosis is established and treatment is stable. Blood tests are done locally and shared with the psychiatrist.
- How do I book an appointment at Dr Vohra's?
- Call or WhatsApp +91 99992 49223, email help@drvohras.com, or use the contact form. Appointments are in person at 29/24, East Patel Nagar, New Delhi 110008, or online by secure video or voice call across India, in English and Hindi.
- What if I am in crisis right now?
- Call Tele-MANAS 14416 or KIRAN 1800-599-0019, both 24x7 and free anywhere in India, or 112 for emergency services. Dr Vohra's is an outpatient clinic, not an emergency service.