Conditions we treat
Bipolar disorder treatment
Evaluation and medication management for bipolar I, bipolar II, or cyclothymia. Care starts with understanding your mood patterns over time before deciding what treatment, if any, makes sense. Continuity matters when managing a condition that often unfolds over months or years.
First visit: 60 minutes, $400. Telehealth from anywhere in Oregon. No referral needed.
Book a first visitMeredith personally reviews every appointment request and confirms within one business day.
If this sounds familiar
Periods of depression alongside times of unusually high energy, less need for sleep, faster thoughts, or changes in behavior may be affecting school, work, relationships, routines, or daily life. Maybe bipolar disorder has already been diagnosed, maybe the mood patterns are still being understood, or maybe things have been stable for a while and the goal is consistent follow-up.
Meredith starts with a careful look at mood patterns over time, their history, and how they show up across daily life.
Common ways bipolar shows up
A few of the patterns we see most, not a complete list and not a checklist you need to match.
Bipolar I
Defined by a history of at least one manic episode. Depressive episodes may also occur.
Bipolar II
Defined by a history of hypomanic episodes and major depressive episodes, without a history of a full manic episode.
Cyclothymia
A persistent pattern of hypomanic and depressive symptoms that do not meet full episode criteria.
Bipolar with co-occurring conditions
Bipolar disorder can occur alongside many other mental health concerns, medical conditions, or substance use. Sometimes those concerns affect mood stability, and sometimes they exist alongside bipolar disorder.
How we approach bipolar treatment
Your first visit is 60 minutes. Meredith will ask about the full history: previous diagnoses, medications you've tried, how each one worked, family history, current patterns, sleep, stress, and what's going on in your life right now. For bipolar disorder, understanding how moods have changed over time is often just as important as understanding any single episode.
When medication is appropriate, Meredith explains why a particular medication is being recommended, what to expect, what to watch for, and how any recommended monitoring or laboratory testing will be handled.
Follow-up visits are 30 minutes, typically every 4 to 6 weeks during stabilization, then longer intervals once things are steady. You see the same provider at every visit, giving Meredith the opportunity to understand your baseline and how your mood patterns change over time.
Pricing and logistics
First visit: 60 minutes, $400
Follow-up: 30 minutes, $250
Extended follow-up: 60 minutes, $375 (when you want more time)
Insurance: We are out-of-network with all insurance plans. Superbills are provided (upon request) for possible out-of-network reimbursement on commercial plans. We are not able to see Medicare or Medicaid (Oregon Health Plan, or OHP) members, and we screen for this at intake so eligibility is clear before care begins.
Format: Visits are by video, from anywhere in Oregon. In certain circumstances a face-to-face visit may be necessary.
No referral needed. Book directly.
Questions about bipolar treatment
Do you manage medications that require lab monitoring?
How are labs handled with telehealth?
Can you evaluate whether my symptoms may fit bipolar II?
Can I transfer care if I'm stable on my current medication?
What if I'm in crisis between appointments?
Your provider
Meredith Galvin is a board-certified psychiatric nurse practitioner (PMHNP-BC). She came to prescribing after thirteen years in social work and ten years in psychiatric nursing, including work as a charge nurse, conducting emergency psychiatric assessments at Duke Regional Hospital, and providing home health care. That background is why she looks beyond the symptoms themselves and considers the stress, life circumstances, relationships, and other factors that may be affecting mood and day-to-day stability.
Continuity matters.
Whether you're looking for an evaluation or ongoing treatment for bipolar disorder, we'd be glad to help.
Meredith personally reviews every appointment request and confirms within one business day.