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Balancing Substance Abuse and Bipolar Disorder in New Jersey

Treatment for Substance Abuse and Bipolar Disorder in New Jersey

Euphoric highs can spark all-night parties, and deep, crushing lows lead to intense isolation. New Jersey residents who live with Bipolar disorder feel this way, and they may end up using alcohol or stimulants to extend that mania or numb that depression. The problem is that it only serves to grow a new, second problem: addiction.

Addressing the challenges that come with substance abuse and bipolar disorder as wholly separate conditions only treats half the problem at once. This leaves mood swings unbalanced and cravings roiling and intense. Choosing integrated care helps stabilize chemistry, while adopting new behaviors and coping skills builds routines strong enough to hold onto both sobriety and emotional control.

Mood Extremes and Misuse

Bipolar disorder involves periods of mania and depression. During manic episodes or periods of hypomania, energy levels feel almost limitless, and judgment can stretch incredibly thin.[1] Risky choices like heavy drinking and using cocaine can seem exciting in the moment, but they rarely end well. Substance use can fuel spending sprees and sleepless nights, while restless energy and limited critical thinking may lead to impulsive driving.

The very same person, crashing into depressive episodes, may end up self-medicating with opioids or alcohol just to numb the despair and push insomnia aside.[2]

This ongoing push and pull action, along with lighting up the reward pathways with dopamine every time a substance is used, tricks the brain into accepting the substance misuse as a fast fix. As a result, substance abuse and bipolar disorder are forged into a self-reinforcing loop where drugs amplify the highs and the lows with the same intensity, and complicate prescription medication adherence.

Without effective dual-diagnosis treatment that addresses addiction hand in hand with bipolar disorder, the client’s quality of life simply won’t be as good as it could be.

While it may be challenging to spot potential mental health issues in someone else, family members are the most likely to see subtle changes in the mental health condition or general wellness of someone they see in daily life. The earlier the recovery journey starts, the better the chances of an ideal outcome and long-term well-being. Some symptoms to watch out for include:[3]

Drinking or drug binges that spike during manic highs or deepen depressive lows

Low sleep, yet boundless energy, which may be fueled by stimulants or hard liquor

Maxed‑out credit cards, legal trouble, or dangerous driving while intoxicated, and “invincible”

Skipping prescribed mood stabilizers, then self‑dosing with opioids, weed, or benzos

Wild mood swings, slurred speech, or week‑long crashes in bed

Evidence‑Based Treatment Options in New Jersey

Integrated treatment plans will always start with a comprehensive biopsychosocial assessment. This will help screen for mental illness while also getting crucial information about the client’s physical health and addiction profile. Once the intake assessment is completed, if needed, the client will be transferred to a bed in a short-term detox treatment center.

Medication Management & Evidence-Based Therapies

Stabilizing substance abuse and bipolar disorder in New Jersey means balancing lithium, valproate, or atypical antipsychotics while managing cravings. Cravings may be eased through the use of naltrexone, acamprosate, or buprenorphine. Medication touchpoints, conducted once or twice a month, ensure that medication remains effective and doesn’t become a mere routine.

Cognitive behavioral therapy, or CBT, is used to help clients spot maladaptive thoughts, like “I don’t need sleep” or depressive distortions like “I’ll always be lonely.” Dialectical behavioral therapy layers in emotional regulation and stress-handling skills that can help limit impulsive spending or substance use.

We offer a wide range of individualized care options for your recovery:

Executive Program
Vivitrol Treatment
Aftercare
Trauma-Informed Care
Dual Diagnosis
Recovery Capital
Alumni Services
Sober Living

Levels of Care For Substance Abuse And Bipolar In New Jersey

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Will mood stabilizers clash with anti‑craving medications?

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Sources

[1] Hypomania. (2025, July 14). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/21774-hypomania

[2][3] Bipolar disorder – Symptoms and causes. (n.d.). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955

[4]Grunze, H., Schaefer, M., Scherk, H., Born, C., & Preuss, U. W. (2021, March 23). Comorbid bipolar and alcohol use disorder-A therapeutic challenge. Frontiers in psychiatry. https://pmc.ncbi.nlm.nih.gov/articles/PMC8021702/