Mood stabilisers

 
 

What are Mood Stabilisers?

Mood stabilisers are medications used to manage and prevent extreme mood changes, particularly in conditions like bipolar disorder. They help reduce the intensity and frequency of mood episodes, supporting emotional balance over time.

 

Who are Mood Stabilisers for?

Mood stabilisers are primarily used for people with bipolar spectrum conditions, but they’re also helpful in managing other diagnoses where mood regulation is a challenge. They may be recommended for:

  • Bipolar I or II disorder

  • Cyclothymia or other mood instability

  • Treatment-resistant depression (in combination with antidepressants)

  • Borderline personality traits with severe emotional swings

  • Aggression or impulsivity linked to mood dysregulation

  • Recurrent manic or hypomanic episodes

  • Severe mood-related sleep disruption

Mood stabilisers are suitable for adults and, in some cases, young people with significant mood instability. They may also be used in individuals who experience rapid cycling, mixed episodes, or struggle with emotional regulation that hasn’t improved with therapy alone.

 

What do Mood Stabilisers involve?

  • Initial psychiatric assessment to confirm diagnosis and suitability

  • Common types include: lithium, valproate, lamotrigine, and carbamazepine

  • Blood tests before and during treatment (especially for lithium or valproate)

  • Regular monitoring of kidney, liver, and thyroid function

  • Careful dose titration to balance benefits and side effects

  • Reduction in risk of future manic, depressive, or mixed episodes

  • May be combined with antidepressants, antipsychotics, or therapy

  • Close monitoring for signs of toxicity (especially with lithium)

  • Regular reviews of side effects (e.g. weight, fatigue, skin changes)

  • Support with contraception and pregnancy planning (if relevant)

  • Tailored education on lifestyle, hydration, and drug interactions

  • Long-term use often recommended for stabilisation

  • Medication reviews every 3–6 months

  • Shared decision-making and consent at each stage

  • Offered via online or in-person consultations

Our approach
 

Our approach to Mood Stabilisers

At Bloomfield Health, we prescribe mood stabilisers with great care and clarity. Our psychiatrists provide thorough assessments and detailed guidance so you understand the purpose, effects, and monitoring needed. We believe in partnering with you to create a plan that supports not just symptom control, but your overall wellbeing and life goals. Our care is trauma-informed, gender- and neurodiversity-aware, and focused on stability, autonomy, and trust.

 

If you experience intense mood swings, manic or depressive episodes, or emotional instability, we’ll assess whether a mood stabiliser could help.

Yes — the most commonly used are lithium, valproate, lamotrigine, and carbamazepine. Each works differently and suits different needs.

Some do, especially when these are part of bipolar disorder. They’re often used alongside antidepressants or antipsychotics.

They vary — from nausea, tremor, and weight gain to skin rash or fatigue. We monitor closely and adjust treatment as needed.

For lithium: every 3 months once stable. For others: less frequent but still regular. We’ll explain the schedule clearly.

Some mood stabilisers carry risks during pregnancy. We’ll support you in planning ahead and choosing safe options.

No — mood stabilisers are not addictive, though stopping them suddenly can cause problems. We’ll help manage any changes carefully.

Book a consultation with one of our psychiatrists. We’ll explore your symptoms, history, and whether mood stabilisers are right for you.

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