If you've been treated for depression for years — tried multiple antidepressants, maybe felt like they helped for a while and then didn't — it might be time to revisit the diagnosis. Bipolar II disorder in particular is misdiagnosed as depression all the time, because the depressive episodes are severe and the hypomanic highs can look like you're just having a good week. Here in Meriden, plenty of people are living with an unrecognized bipolar diagnosis and wondering why nothing's really worked. Sindhia Shyras, APRN is a board-certified Psychiatric Nurse Practitioner who takes a close look at the full history before landing on a diagnosis — and that thoroughness matters more than you might think.
The tricky thing about bipolar disorder is that people usually come in during the depressive phase. When you're low, you're not thinking about that stretch three months ago when you barely slept but felt incredible and got so much done. You're thinking about how bad things are right now. So the provider sees depression and treats it accordingly. But antidepressants alone, without a mood stabilizer, can actually worsen bipolar — triggering faster cycling between moods or pushing someone into a manic episode. Getting the right diagnosis isn't about labels — it's about making sure the treatment actually works. And that starts with asking better questions upfront.
Sindhia starts with a thorough psychiatric evaluation — your history, your mood patterns over time, what you've tried before and how it went. From there, if bipolar disorder is in the picture, mood stabilizers are usually the foundation. Lithium, Depakote, Lamictal — each works differently, and the right fit depends on your specific pattern of episodes. Atypical antipsychotics like Seroquel, Abilify, or Latuda are also options, sometimes used alone and sometimes alongside a mood stabilizer. The goal is stability — real, sustainable stability, not just white-knuckling through the month. People with bipolar disorder can absolutely live full, productive lives. They just need the right treatment, not the wrong one.
You've got two ways to work with Sindhia. If you'd rather not drive, she offers secure telehealth visits to anyone in Connecticut — a phone or laptop is all you need. Your prescription, if needed, goes straight to your pharmacy electronically. If you prefer to come in, our New Britain office at 1 Liberty Sq, Ste 301 is about 15 minutes from Meriden on I-91. Either way, the care is the same — and follow-up appointments are built in from the start, so someone's actually paying attention to how you're responding to treatment over time.
Serving Meriden, CT and all of Connecticut via telehealth.
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