Skip to content

Conditions we see

Bipolar disorder, with a psychiatrist and your GP.

If you or your GP think bipolar disorder might be part of the picture, or you already have a diagnosis and need a treating psychiatrist, we can assess you, write a plan and share your care with your GP over the long term.

In plain words

What bipolar disorder is

Bipolar disorder is a long-term mood condition. People with it have periods of very low mood (depression) and periods of unusually high or irritable mood, called mania or, in a milder form, hypomania, and these changes can disrupt work, relationships and everyday life.

It is diagnosed by a doctor after ruling out physical causes and looking carefully at the pattern of mood over time. Treatment usually combines medication, psychological therapy and steady day-to-day routines, with regular review.

This is general information, not a diagnosis. Source: Healthdirect: Bipolar disorder.

A woman standing at a bright window holding a mug, looking out

When to ask

When it's worth seeing a psychiatrist

Many people with mood symptoms are looked after well by their GP and a psychologist. It is usually worth asking your GP about a psychiatrist when one of these sounds familiar.

  • You or your GP think there may have been a period of high mood as well as low mood, and the diagnosis has not been confirmed.
  • You have been treated for depression and your GP wonders whether the pattern points to something else.
  • You have a bipolar diagnosis and your treatment needs a specialist review.
  • Your GP is prescribing for you and would like you to have a current treating psychiatrist.
  • You are 17 or over and moving across from youth or paediatric services and need someone to pick up your care.

What we add

Building a picture of your mood over the years

Bipolar disorder is recognised from the pattern of mood over years rather than how you feel on one day, so much of the psychiatrist’s work goes into piecing that history together and keeping it current with your GP.

  • A careful longitudinal history of your mood episodes: when each one started, how long it lasted, what seemed to set it off and how it settled.
  • A look back at everything that has been tried so far, what helped, what caused problems and what you would rather not repeat.
  • Room for someone who knows you well to add what they have noticed, because the people close to you sometimes see a change in mood before you do.
  • An early warning plan that you, your GP and our mental health nurses can all work from if your mood starts to shift.
  • Reviews every 3–6 months, by telehealth once we know you, with your GP continuing to prescribe once things are stable.

Your first appointment

What to bring to your first appointment

The most useful thing you can bring is a rough timeline of your mood. Note the periods when you were very low, and any times you needed much less sleep than usual, felt unusually driven or took risks you would not normally take. Approximate dates are fine, and a few words for each period is plenty.

It also helps to bring a list of every medicine you have taken for your mood, with doses if you have them, and any letters from past hospital stays or earlier specialists. You are welcome to bring a partner or family member, who may remember some episodes differently from you and can fill in gaps.

Referral and scope

Getting referred

If your GP already prescribes for you, ask them to include your current medicines and any earlier psychiatrist letters with the referral, so the psychiatrist starts with the full history.

If you become acutely unwell with mania or severe depression, your GP, a public mental health service or an emergency department is the right place for that care, and we can help with planning and review once things settle. Everything we see and don't see is listed on our page for referrers.

Outcome Health Psychiatry & Mental Health Services is a private service and is not a crisis service. If you need help now, call 000 or Lifeline on 13 11 14.

Fees

What it's likely to cost

Most people with bipolar disorder start with an initial consultation for ongoing care and then have regular follow-up reviews, with nurse practitioner appointments in between if they are part of your plan.

Item Service Duration Fee Out of pocket
A2
Initial psychiatrist consultation, ongoing care
More than 45 min
$800
~$530
A3
Psychiatry follow-up
Less than 30 min
$390
~$300
A4
Longer psychiatry follow-up
Between 30 and 45 min
$500
~$366
A6
Mental Health Nurse Practitioner appointment
40–60+ mins
$250
~$122–$133

Medicare rebates are estimates only and depend on referral type, eligibility, consultation duration, the item actually billed and the psychiatrist’s clinical judgement. The Medicare Safety Net, DVA arrangements, third-party funding, payment processing fees and cancellation fees are not included in the gap estimates.

Payment is required in advance for all appointments. The full schedule, including every item, is on our fees and FAQ page.

Questions

Common questions about bipolar disorder

Can my GP keep prescribing after I see the psychiatrist?

Usually, yes. That is how we work. The psychiatrist starts or adjusts treatment and, once you are stable, your GP continues prescribing with a letter from us after every visit. We keep reviewing with you every 3–6 months.

What if I'm not sure it's bipolar disorder?

That is a good reason to come. The assessment looks at your mood over months and years, and you and your GP receive a written outcome, whether that is a diagnosis or an explanation of what else might be going on.

Do you see people who are very unwell right now?

We are not set up for acute illness or crisis care. If you are very unwell right now or thinking about harming yourself, call 000, contact Lifeline on 13 11 14 or go to your nearest emergency department, and let your GP know.

How much do reviews cost?

Care starts with an initial consultation for ongoing care (item A2), which is $800, with an estimated out-of-pocket cost of about $530 after the Medicare rebate. Most reviews after that are short follow-ups (A3) at $390, or longer ones (A4) at $500 when there is more to cover. The rebate figures are estimates, and each appointment is paid for beforehand.

Call (03) 8822 8444 Information for GPs