Conditions We Treat
Bipolar Disorder
Shifts in mood, energy, and activity that range from lows to elevated highs.
Bipolar disorder involves significant shifts in mood, energy, and activity levels — periods of depression alternating with elevated or irritable 'high' periods. These changes can affect judgment, sleep, and day-to-day functioning.
Accurate diagnosis is essential, and Momentum's unhurried, physician-led approach allows for the careful evaluation these conditions require. Treatment focuses on stability and continuity, with ongoing medication management tailored to you.
The short answer
Momentum Modern Psychiatry provides careful diagnosis and ongoing medication management for adults with bipolar disorder. Dr. Egenburg begins with a 60-minute comprehensive evaluation and focuses treatment on long-term stability and continuity, in person in Marlboro, NJ, or by telehealth in New Jersey and New York when clinically appropriate.
Common signs of bipolar disorder in adults
Bipolar disorder involves episodes of depression and episodes of elevated or irritable mood (mania or hypomania). Because people often seek help during depressive periods, bipolar disorder can be mistaken for depression alone — which is why careful evaluation matters.
Signs of an elevated episode may include:
- Needing much less sleep without feeling tired
- Unusually high energy, confidence, or activity
- Racing thoughts or talking faster than usual
- Taking on many projects at once or feeling unusually driven
- Impulsive or risky decisions, such as spending, driving, or relationships
- Irritability or agitation that's out of character
- Depressive periods with low mood, fatigue, and loss of interest
How Dr. Egenburg evaluates bipolar disorder
The 60-minute comprehensive evaluation takes a detailed look at your mood history over time — not just how you feel today. Dr. Egenburg asks about past episodes, sleep patterns, family history, prior treatments and how you responded, and medical factors that may affect mood.
An accurate diagnosis is essential, because treatment for bipolar disorder differs from treatment for depression alone. Sometimes additional history from someone who knows you well can help, with your permission.
Treatment options for bipolar disorder
Treatment focuses on stability. Medication management typically centers on mood stabilizers and, in some cases, certain antipsychotic medications that are also used for mood stabilization. Some of these medications need periodic lab monitoring, which Dr. Egenburg will explain.
Beyond medication, consistent sleep, routines, recognizing early warning signs, and therapy can all support stability. Dr. Egenburg can coordinate with your therapist and other clinicians.
Continuity is especially valuable with bipolar disorder. Seeing the same psychiatrist over time means patterns are recognized early and your plan can be adjusted before small changes become larger ones.
When to see a psychiatrist for bipolar disorder
Consider a psychiatric evaluation if you've had periods of unusually high energy or little need for sleep alongside periods of depression, if antidepressants have made you feel agitated or "wired," or if bipolar disorder runs in your family and you're experiencing mood changes.
If you or someone close to you is in crisis — including thoughts of self-harm or behavior that feels unsafe — call or text 988, call 911, or go to the nearest emergency room. Outpatient care isn't a substitute for emergency help.
In-person and telehealth care
Dr. Egenburg sees patients in person at the Marlboro, NJ office and by secure telehealth for adults located in New Jersey or New York, when clinically appropriate. Your first comprehensive evaluation is preferably done in person, so there's time to understand the full picture; many follow-up visits can then happen by video.
Frequently asked questions
Can bipolar disorder be misdiagnosed as depression?
Yes. Because people often seek help during depressive episodes, bipolar disorder can be missed. A thorough history of mood, energy, and sleep over time helps distinguish the two.
Can bipolar disorder be treated by telehealth in New Jersey or New York?
Ongoing care can often happen by telehealth for adults in New Jersey or New York when clinically appropriate. The first evaluation is preferably in person, and some medications require lab monitoring.
Will I need blood work?
Some medications used for bipolar disorder require periodic lab monitoring. Dr. Egenburg will explain what's needed for your specific treatment.
How often are follow-up visits?
Most patients are seen monthly, with a minimum of one visit every three months depending on stability and treatment needs.
Start with a free consultation
A no-cost, no-obligation conversation to talk through bipolar disorder and whether Momentum is the right fit. In person in Marlboro, NJ, or by telehealth in New Jersey and New York.
From Momentum Modern Psychiatry, the practice of Deanna Egenburg, MD. Updated September 2026. For general information only — not medical advice.
This page is for informational purposes only and does not constitute medical advice or a diagnosis.