Bipolar disorder is a biological condition — and with careful, consistent care, real stability is absolutely achievable. We help you find steady ground.
Bipolar disorder involves significant shifts in mood, energy, and activity — from emotional highs (mania or hypomania) to deep lows. These shifts are biological, and they’re far more than ordinary mood changes.
With careful, consistent psychiatric care, stability is absolutely achievable. The right plan can smooth the extremes and help you build a steady, fulfilling life through medication management and ongoing psychotherapy support.
Bipolar disorder brings shifts between highs and lows. If these patterns disrupt your life, an accurate diagnosis is the first step to stability.
Periods of elevated mood, euphoria, or intense irritability.
Fast thoughts and rapid, pressured speech during highs.
Feeling rested after little sleep during elevated periods.
Risky decisions with money, relationships, or activities.
Episodes of depression, emptiness, or hopelessness.
Exhaustion and low energy during low periods.
Noticeable shifts in mood, energy, and activity levels.
Difficulty keeping up with work, school, or relationships.
In crisis or thinking about self-harm? You deserve immediate support. Call or text 988 (the Suicide & Crisis Lifeline) any time, day or night. If you are in danger, call 911.
Founder & Psychiatric Nurse Practitioner · APRN-CNP, PMHNP-BC
Roxanne DoBrava is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and the founder of Tranquil Minds Mental Health. As a trusted psychiatrist in Monticello, MN alternative, she provides careful, consistent care for bipolar disorder — combining expert medication management with therapy.
“Stability isn’t a matter of luck — it’s the result of thoughtful, consistent care. My goal is to help you find steady ground and build the life you want on top of it.”
From dramatic swings to subtler patterns, we provide careful, individualized care across the spectrum.
Full manic episodes, often with depressive episodes as well.
Hypomania (milder highs) with recurrent depression.
Chronic, less severe mood ups and downs over time.
Four or more distinct mood episodes within a year.
Symptoms of both highs and lows at the same time.
When mood instability overlaps with anxiety, we treat both.
Stability comes from consistent, expert care — built carefully around you.
A non-invasive, drug-free therapy that uses gentle magnetic pulses to reactivate the brain circuits involved in mood. FDA-cleared and highly effective.
Learn morePrecise, closely monitored prescribing tailored to your biology, history, and goals — thoughtful care, never guesswork.
Learn moreCompassionate, evidence-based talk therapy in a safe, judgment-free space that helps you heal the whole person.
Learn moreCreyos lets us objectively track cognition across mood states — supporting an accurate diagnosis and steady, informed care.
Creyos (formerly Cambridge Brain Sciences) is a scientifically validated platform built on 30+ years of neuroscience — giving us real data, not guesswork, to guide your care.
From your very first call, you're met with warmth, expertise, and a plan made just for you.
A free, no-pressure consultation to hear your story and answer your questions.
A thorough assessment of your symptoms, history, and goals — the foundation of great care.
Together we choose the right combination of therapies for your unique needs.
We track your progress and adjust as you heal — you're never in this alone.
Yes. With consistent psychiatric care — especially the right medication and support — most people achieve real, lasting stability and live full, productive lives.
Bipolar disorder is typically a long-term condition, and ongoing medication is usually key to staying stable. We’ll find the right regimen and monitor it carefully with you.
Bipolar depression is often mistaken for regular depression. An accurate diagnosis matters, because the treatment differs — which is why a thorough evaluation is so important.
Through consistent monitoring and open communication. We watch for early shifts and adjust your plan proactively, so small changes don’t become big episodes.
We accept most major insurance plans. During your consultation, we’ll help you verify your specific benefits.
Start with a free, confidential 15-minute consultation — let's find the path that works for you.
Schedule your free 15-minute consultation to learn more about your treatment options. During this no-obligation consultation, we'll: