My brother changed overnight

My younger brother was doing great for months, then suddenly he stopped sleeping, spent a crazy amount of money, and acted like nothing could go wrong. A few weeks later he could barely get out of bed. Can you recommend a treatment for bipolar depression vs mania? I want to understand what options doctors usually consider.

Honestly, that sounds like the kind of swing that needs a real eval, not guesswork. My cousin had the same “on top of the world, then crash hard” cycle, and the doctor explained why mania and bipolar depression are handled differently. This breakdown helped me understand the usual options: treatment for bipolar disorder medication and therapy options . The meds and plan depend a lot on which phase he’s in, so a psychiatrist is the right next step.