Bipolar Treatment

Bipolar disorder can bring notable shifts in energy, motivation, sleep, and decision-making. At The Ranch Tennessee, clients receive structured support to stabilize mood patterns and understand the behaviors and thoughts that accompany them. The Ranch’s slow, predictable environment helps clients settle into routines that encourage steadiness and clarity.

Types of bipolar disorder

People arrive with different forms of bipolar disorder, including:

Simple outline of the number one

Bipolar I

involving manic episodes that may last days or weeks
Stylized number two in gray

Bipolar II

involving hypomanic episodes and depression
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Cyclothymic disorder

involving frequent but less intense mood fluctuations

Recognizing the type helps guide medication and therapeutic planning.

Mood changes and everyday life

Clients may experience:

  • Rapid shifts from high energy to exhaustion
  • Difficulty sleeping during elevated moods
  • Increased impulsivity
  • Disconnection or withdrawal during depressive phases
  • Trouble maintaining routines

These experiences can make it challenging to stay consistent at home, work, or school.

Why structured psychiatric care matters

Medication management is often a part of bipolar care. Stable routines around dosing, sleep, meals, and activity help medication work effectively. At The Ranch, psychiatric providers collaborate with therapists to create a comprehensive plan that supports both mood and daily functioning.

Examples of support include:

  • Evaluating medication effectiveness
  • Monitoring symptoms during transitions
  • Adjusting dosages when necessary
  • Teaching clients how to recognize early signs of mood changes

Bipolar disorder services at The Ranch

Clients take part in therapeutic work that may include:

  • Individual counseling
  • CBT to identify patterns during mood shifts
  • DBT for emotional steadiness
  • Trauma-informed approaches
  • Equine therapy
  • Adventure therapy
  • Group sessions for connection and accountability

Consistent routines on the ranch help clients practice the skills they learn in therapy.

Co-occurring substance use

It’s common for people with bipolar disorder to use substances during elevated or depressed states. The Ranch provides dual diagnosis services that address both concerns simultaneously.

Begin bipolar disorder care

If you’re exploring bipolar disorder treatment in Tennessee, call 888.483.7718. Our team can help you understand options for stabilization and ongoing wellness.

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The Ranch Tennessee

Take your next step and join us at The Ranch.

If you’re ready to talk, we’re here. The Ranch offers a place to settle, breathe, and begin again. Reach out today and start your recovery in a setting built for healing.

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© 2026

Brian Fuller, MD

Medical Director

Dr. Fuller is board certified by the American Board of Psychiatry and Neurology. He completed medical school at the University of Tennessee Health Science Center and residency at Vanderbilt University. Additionally, he has completed the Nashville Advance Psychodynamic Psychotherapy Program, a two-year intensive program to better integrate traditional psychotherapy into his psychiatric practice. Dr. Fuller began his post-residency career in psychiatry running a psychotherapy-oriented private practice. Looking to help more people than he could working alone yet still provide treatment that emphasizes the importance and value of talk therapy, he joined The Ranch in 2017.

Dr. Fuller is passionate about helping people who have survived trauma and/or are struggling with addiction and strongly believes that the life we all deserve is within reach, no matter the adversity that one must overcome. He views medications as tools rather than solutions and his prescribing philosophy is to use the lowest dose necessary of non-addictive medications to help aid the process of recovery.