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Bipolar disorder · Salem, Oregon
Bipolar care that starts with a careful evaluation
We treat patients with bipolar disorder, and we're honest about which treatments fit. For most, counseling is the core of care. Ketamine or TMS is considered only when it's a safe match.
- 5.0 from 48 Google reviews
- No referral needed
Understanding bipolar disorder
Managing the highs and the lows
Bipolar disorder causes shifts in mood, energy and activity, from depressive lows to elevated or irritable highs. These episodes can disrupt sleep, work and relationships, and they look different for everyone.
Because ketamine and TMS can affect mood in both directions, people with bipolar disorder are not always good candidates for them. We review your history, your current medications and how stable your mood has been before recommending anything.
Common signs
- Periods of very high energy or little need for sleep
- Racing thoughts or rapid speech
- Long stretches of sadness or hopelessness
- Impulsive decisions you later regret
- Changes in sleep that come with mood shifts
Treatment
How we can help
Counseling is a good fit for most patients with bipolar disorder. Other treatments are considered case by case.
Counseling
The core of care for most bipolar patients. One-on-one therapy in our Salem office or by secure video.
$125 per session · UnitedHealthcare/Optum or Thrizer Fast-actingKetamine therapy
Not always a good fit for bipolar disorder. Considered only after a careful evaluation shows it's safe for you.
Oral $200–$250 · IV $450 per infusion Drug-freeExomind TMS
Not always a good fit for bipolar disorder. Considered case by case, after a careful evaluation.
$350 per sessionImportant: ketamine and TMS are not always a good fit for people with bipolar disorder, because they can trigger mood changes in some patients. We'll tell you honestly what we recommend after your evaluation, and we can offer counseling to most bipolar patients.
Getting started
What to expect
Book a consultation
Schedule online or call us. Consultations are $75 and may be covered by insurance.
Careful evaluation
Your provider reviews your symptoms, history and medications.
Your plan
We recommend the treatment that fits you, and explain costs and financing up front.
Ongoing support
We track your progress and adjust your plan as you improve.
Patient stories
Care that patients trust
"He listened to my experiences, explained everything well, answered my questions, and let me know how treatment would go and what to expect. Very comfortable, safe space."
Alicia P.Google review
"Dr. Fillmore spent the time to talk with us about the procedure, what it would be like and continued throughout the meeting to ask if we had further questions."
Kathleen W.Google review
"This therapy has been life changing in itself, and made all the more meaningful by the professionalism, kindness and down to earth manner of Dr. Fillmore."
Laurie P.Google review
Questions
Bipolar disorder FAQs
Do you treat patients with bipolar disorder?
Yes. Every plan starts with a careful evaluation, and counseling is a good fit for most patients with bipolar disorder.
Can I get ketamine or TMS if I have bipolar disorder?
Sometimes, but not always. People with bipolar disorder are not always good candidates for ketamine or TMS, because these treatments can trigger mood changes in some patients. Your provider will give you an honest recommendation after your evaluation.
What does the evaluation cover?
We review your mood history, past episodes, current medications and who else is involved in your care, then recommend the safest plan.
Will you work with my psychiatrist?
Yes. With your permission, we're happy to coordinate with your current prescriber or therapist.
How much does counseling cost?
Counseling is $125 per session. We accept UnitedHealthcare/Optum, you can use other insurance through Thrizer, and sessions are available in person or by telehealth.
Find stability with support
Book a $75 consultation at our Salem clinic. No referral needed.