Bipolar depression is also known as bipolar disorder or manic depression. It is defined by abnormal and extreme mood disorders in a person. This can be severe, known as mania or milder, known as hypomania or a mix of both at the same time. These mood swings are separated by a normal phase followed by another episode which is then referred to as rapid cycling. In the most severe bipolar depression cases, the patient becomes delusional and suffers from hallucinations and suicidal thoughts.Bipolar depression is known to have an early onset – around early adulthood and then, continues through later years. Since it occurs in episodes, it can either go undiagnosed or get wrongly diagnosed. Either way, the patient can suffer significantly if not treated in time. The patient will deny having the disorder as they report a ‘good feeling’ during a manic episode although it may appear otherwise to those around him. This can also prolong management and treatment. Psychological treatment for bipolar depression is definitely available. The treatment for bipolar depression begins with acknowledging the root cause such as life adjustment issues. This helps the patient in recognizing the onset of the manic episodes and taking the right action. Any patient suffering from bipolar depression, regardless of what age they are at, requires a full-time psychiatric and psychological supervision. This is important to track the symptoms and occurrence of the manic episodes, find out if they are severe or mild, so that appropriate medication and counseling can be prescribed by medical professionals. There are many facilities available for these type of patients therefore, treatment at the patient’s home isn’t always advisable.  It is believed that anticonvulsants such as lithium are effective in controlling manic episodes including depression. Two other anticonvulsant components have proven to be effective in combination with lithium, carbamazepine and valproate. These FDA - approved medications are known to work well only under strict supervision and monitoring of manic episodes by a professional. For a patient with bipolar depression suffering from acute insomnia and consequent fatigue, benzodiazepines, clonazepam and lorazepam are prescribed to help them calm down and induce sleep. During an acute manic episode involving depression, anti-depressants such as a combination of lithium, carbamazepine and valproate is given to the patient. Alongside medication, each patient has a chart of the occurrence of manic episodes to help the doctors monitor their situation and plan the course of treatment. Since the episodes can recur without warning, regular and long-term treatment is required.  Along with medication, support systems including family and friends help accelerate the process. If not treated on time, bipolar depression can prove to be fatal. With the help of friends and family, the patient is motivated to adhere to the treatment and cooperate with both the medication as well as the medical professional. It helps if the family does its own research into the disorder as it helps to understand the condition of the patient a little better. It then gives the family some hope of coping with a treatable condition instead of shunning or ignoring it.