Most of what people picture when they think of bipolar disorder is the highs — the mania, the big decisions, the sleepless nights. But if you're living with bipolar disorder, there's a good chance the lows are what you know most intimately. The depressive episodes in bipolar disorder are often longer than the elevated ones. They can last weeks, sometimes months. And they don't always look like sadness — sometimes they look like nothing. Flat. Empty. Disconnected. Hard to get out of bed, hard to care about the things you used to care about. If that's been your experience, you're not alone, and you don't have to keep white-knuckling through it. Sindhia Shyras, APRN has nine years of experience in psychiatric care and sees Danbury patients through telehealth across Connecticut. She also offers care in English, Malayalam, Tamil, and Telugu — because getting this kind of help shouldn't have a language barrier in the way.
In Bipolar II disorder particularly, depressive episodes dominate the picture. You might spend a few days or a week at a stretch feeling elevated, productive, not needing much sleep — and then the rest of the time in a depression that goes on and on. The ratio can be wildly uneven. Studies on people with Bipolar II find that they spend, on average, about three times as many weeks in depressive states as in hypomanic ones. That asymmetry matters for treatment. It's not enough to just address the highs. The depressive side of bipolar needs its own careful attention — and that's a different clinical approach than managing unipolar depression.
The depressive episode in bipolar disorder can look identical to a major depressive episode on the surface. The fatigue, the hopelessness, the loss of interest — all the same. But treating it the same way can backfire. Antidepressants used alone, without a mood stabilizer, can trigger a manic or hypomanic episode in some people with bipolar disorder. That's why getting the full diagnosis right — not just treating the depression that shows up at the appointment — changes everything about the treatment plan. Sindhia asks about the whole arc of your mood history, including periods that felt elevated or unusually energized, even if those didn't seem like problems at the time.
Danbury has one of the most diverse populations in Connecticut — and for families who speak Malayalam, Tamil, or Telugu at home, finding a psychiatrist who can communicate clearly across that barrier matters a great deal. Sindhia is fluent in English, Malayalam, Tamil, and Telugu, and she sees patients in all four languages. Cultural context matters in psychiatry — how symptoms are described, how mental health is understood within a family, what treatment looks like within a given framework. Sindhia brings that understanding into her practice. She accepts Aetna, Cigna, Husky Health, Medicaid, United Healthcare, Anthem, ConnectiCare, and self-pay.
Sindhia Shyras sees Danbury patients by telehealth in English, Malayalam, Tamil, and Telugu. Call 860-515-8689 or book an appointment online.
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