Bipolar Disorder Treatment in Littleton, Colorado

Bipolar disorder is one of Dr. Wagner’s core specialties, and for most people, an accurate diagnosis is the turning point. If you’ve spent years being treated for “just depression” while something never quite fit, this page is for you.

Your Options at a Glance

Littleton, CO 80128 · Telehealth across Colorado
You May Be Here Because
Cycles of high energy and crushing lows, or years of depression treatment that never quite fit
Treatment Options
Collaborative mood stabilizer management focused on rhythm, sleep, and early-warning planning, with therapy referrals as needed
Our Approach
Diagnosis first: bipolar depression is frequently misdiagnosed as unipolar depression, and antidepressants alone can make things worse for some people
Insurance
Most major plans cover bipolar evaluation and treatment. We verify your benefits for you.
Format
In-person care at our Littleton clinic; evaluations and follow-ups also by secure telehealth

Something Never Quite Fit

The whiplash of energy and crash

Weeks where you barely need sleep, ideas arrive faster than you can write them down, and everything feels possible — followed by a crash so complete that getting out of bed becomes the day’s entire project. Loved ones learn to brace for both versions of you. And you learn to fear both: the lows for their weight, the highs for what they cost you afterward.

Many people with bipolar disorder first seek help during a depressive episode, which can resemble unipolar depression. Antidepressant monotherapy can destabilize mood in some people with bipolar disorder, so an accurate diagnosis matters before selecting treatment. Bipolar disorder is one of Dr. Wagner’s core specialties, and treatment focuses on reducing mood episodes while supporting day-to-day function.

It may be time for a careful evaluation if…

  • You’ve had episodes of unusually elevated energy, mood, or irritability
  • There have been stretches of decreased need for sleep, without feeling tired
  • Racing thoughts or pressured speech show up during the highs
  • Impulsive decisions (spending, commitments, risks) that you later regret
  • Crushing depressive episodes that arrive with or without a reason
  • Mood episodes that strain work and relationships, again and again
Calming patient lounge at Fortifying Wellness in Littleton with living green wall and water feature

A note from Dr. Wagner

“Accurate diagnosis is critical in bipolar disorder. It is one of specific significance, because it can mean finally getting the right treatment that allows you to feel back in control and in the flow of day-to-day life.”

Your Options

Care built for stability, and for your whole life

Effective bipolar treatment protects you from both poles while respecting who you are between them.

Medication Management

Mood stabilizers chosen collaboratively, with careful monitoring and honest conversations about benefits and side effects. The plan is built with you, and revisited as your life changes.

How we prescribe

Therapy, Coordinated

Therapy focused on the things that keep episodes at bay: daily rhythm, protected sleep, early-warning-sign planning, and psychoeducation. We refer you to trusted therapists and coordinate care with them.

Advanced Options for Bipolar Depression

Treatment decisions for bipolar depression are nuanced. TMS and ketamine-based care are not FDA-approved or cleared specifically for bipolar depression; any use in that context is off-label and, for TMS, depends on the device and protocol. Dr. Wagner reviews the limited evidence, the risk of mood switching or mania, and whether either option is appropriate for your situation.

About TMS

Not sure where to start?

Start with the diagnosis. Whether your history points to bipolar disorder, treatment-resistant depression, ADHD, or some combination, a comprehensive evaluation with Dr. Wagner sorts it out carefully, because the right treatment depends entirely on getting that first answer right.

What to Expect

From first call to steady ground

  1. 1

    Free consultation

    A low-pressure conversation about your history and what hasn’t fit so far. We check your insurance benefits before you commit to anything.

  2. 2

    Comprehensive evaluation

    A 90-minute appointment with Dr. Wagner tracing your full mood history, the highs as carefully as the lows, along with sleep, family history, and past medication responses.

  3. 3

    Treatment, measured honestly

    Mood, sleep, and energy are tracked visit to visit so both of us can see whether the plan is truly working, and adjust it together when it isn’t.

  4. 4

    Staying well

    Stability is a long game. We build an early-warning plan, protect the routines that protect you, and coordinate with your therapist or family so small shifts get caught early.

Common Questions

Bipolar disorder treatment FAQs

How is bipolar disorder different from ordinary mood swings?

Everyone’s mood shifts with circumstances, often within a day. Bipolar disorder involves distinct episodes (days or weeks of elevated energy, reduced need for sleep, and racing thoughts, or of deep depression) that represent a clear change from your usual self and interfere with work, relationships, or judgment. A careful diagnostic evaluation can tell the difference.

Do I have to take medication forever?

Long-term treatment plans are collaborative and revisited regularly; nothing is decided once and locked away. For many people, staying on a mood stabilizer is what protects the life they’ve rebuilt, and for others the plan evolves over time. Dr. Wagner will always be honest with you about the evidence, the risks of stopping, and your options, and the decision stays a conversation.

Can you tell if my depression is actually bipolar?

Often, yes, with a careful history. Bipolar depression is frequently misdiagnosed as unipolar depression because people seek help during the lows, not the highs. We take time to look for past hypomanic periods, patterns in sleep and energy, family history, and how you’ve responded to antidepressants; sometimes, with your permission, input from someone who knows you well adds important perspective.

Will treatment take away my productive highs?

It is reasonable to discuss how treatment might affect energy, creativity, and identity. The goal is to reduce harmful mood episodes while preserving day-to-day function and quality of life. Dr. Wagner reviews these trade-offs and builds the plan collaboratively.

Is telehealth available?

Yes. Evaluations and medication follow-ups can be done by secure video anywhere in Colorado, and many patients alternate telehealth with in-person visits at our Littleton clinic. Some situations, like starting certain medications or getting through a difficult episode, may call for in-person care, and we’ll be clear with you when that’s the case.

Related reading

Medically reviewed by Eric Wagner, MD, Psychiatrist & Medical Director · Last reviewed August 2026

Stability Is Possible

Get the diagnosis that finally makes your history make sense

A free consultation with our Littleton team: your full story heard, your questions answered, your benefits verified.

7345 S. Pierce St, Suite 205, Littleton, CO 80128 · Serving Littleton, Ken Caryl, Columbine, Highlands Ranch, Centennial, Lone Tree, Englewood, Lakewood & the south Denver metro