Condition

Bipolar disorder — assessment & treatment in Sydney.

Bipolar disorder is a complex mood condition involving emotional highs (mania or hypomania) and lows (depression). Dr Sangeetha Makielan offers compassionate, evidence-based, neurobiologically informed care for adolescents and adults.

What it is

What is bipolar disorder?

Bipolar disorder affects mood, energy, sleep and the ability to function. It typically involves distinct periods of:

Mania or hypomania

Elevated or irritable mood, increased activity and energy, racing thoughts, reduced need for sleep, impulsive decision-making.
Depression

Low mood, loss of interest, fatigue, difficulty concentrating, feelings of hopelessness or worthlessness.

There are different types of bipolar disorder — including Bipolar I, Bipolar II and Cyclothymic Disorder — each requiring a tailored treatment approach. Bipolar disorder is one of the conditions I manage within my adult psychiatry practice, with an integrated treatment plan.

Common signs

Symptoms worth taking seriously.

Experiences vary, but common signs include:

Drastic changes in mood and energy levels
Risky or impulsive behaviour during elevated phases
Sleep disturbances — including reduced need for sleep during highs
Difficulty maintaining relationships or employment
Periods of depression with low motivation, sadness or hopelessness
Family history of bipolar disorder or mood instability

Early diagnosis and management are essential to reduce the impact on daily life and to protect long-term functioning.

Treatment

A holistic treatment plan, tailored to you.

Dr Makielan takes a neurobiologically informed, patient-centred approach. Treatment plans are individualised and may include:

Comprehensive psychiatric assessment

Diagnostic clarification, mood history, family history, and screening for co-occurring conditions.
Medication management

Mood stabilisers, antipsychotics or antidepressants where indicated — with side effects and trade-offs explained clearly.
Psychotherapy

Support for emotional regulation, relapse prevention, and the impact bipolar has on identity, relationships and work.
Collaborative care planning

Work alongside families, GPs and allied health to share understanding and align supports.
Ongoing monitoring

Regular review of mood, medication response, function and life-stage factors to promote long-term stability.

Why choose Dr Makielan

What you can expect.

Specialist psychiatric training, including in mood disorders across the lifespan
Integrated, holistic care model tailored to the individual
Respectful, inclusive, neurodiversity-informed approach
Sydney CBD and Hills District locations, plus telehealth follow-up where appropriate
Experience treating adolescents and adults, across private practice and tertiary public settings

Where to find me