Breaking Through the Stigma: Living with Psychosis

When weekly therapy sessions feel insufficient but full-time hospitalization seems excessive, you're facing a common challenge in mental health care. Many individuals find themselves in this middle ground, needing more intensive support than traditional outpatient therapy provides, yet maintaining the ability to sleep at home and continue essential daily responsibilities. 

Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP) bridge this critical gap, offering structured, comprehensive treatment while preserving your connection to home and community. Understanding the difference between PHP and IOP can help you make an informed decision about which level of care best matches your current needs and circumstances.

What is an Intensive Outpatient Program (IOP)?

An Intensive Outpatient Program represents a structured approach to mental health treatment. It allows you to maintain your daily life while receiving comprehensive therapeutic support. IOP typically involves attending therapy sessions three to five times per week, each lasting two to four hours, providing significantly more contact than weekly therapy while allowing you to return home each evening. Research on intensive outpatient formats shows that structured short-term IOPs can lead to measurable clinical improvement. For example, a three-week intensive outpatient program demonstrated significant symptom reduction that remained stable three months later.

The therapeutic approaches in IOP often include Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), group therapy sessions, individual counseling, and sometimes family therapy sessions. These evidence-based treatments address various mental health conditions while building essential coping skills and emotional regulation techniques.

IOP works best for individuals who have:

• A stable and supportive community
• Moderate mental health symptoms that don't require 24-hour supervision
• The ability to function independently between sessions
• Motivation to actively participate in treatment
• Some level of emotional stability and safety awareness
• Previous treatment experience or step-down from higher levels of care

At facilities like Amae Health, IOPs are designed to provide flexibility while maintaining therapeutic intensity. It allows patients to continue working, attending school, or managing family responsibilities during treatment.

Requirements for Intensive Outpatient Program

Before enrolling in an IOP, specific criteria must typically be met to ensure this level of care matches your needs:

• A formal mental health diagnosis requiring intensive treatment
• Demonstrated ability to live safely without 24-hour supervision
• Commitment to attend all scheduled therapy sessions consistently
• Motivation and readiness to actively participate in group and individual therapy
• Access to at least some external support system (family, friends, or community)
• Stable housing situation and basic ability to care for daily needs
• No immediate risk of harm to self or others that would require inpatient care

These requirements ensure that participants can benefit fully from the program's structure while maintaining their safety and progress in treatment.

What is a Partial Hospitalization Program (PHP)?

A Partial Hospitalization Program provides a more intensive level of care than IOP while remaining less restrictive than inpatient hospitalization. PHPs and IOPs serve different populations based on symptom severity and stability needs. PHP typically involves daily sessions lasting four to five hours, Monday through Friday, with comprehensive clinical oversight throughout the treatment day.

PHP programs offer robust clinical support, including regular psychiatrist visits, medication management, and multiple daily therapy sessions. Evidence shows that intensive day-treatment settings can produce measurable clinical improvement in a short time frame. For example, a 2022 study of a family-based PHP reported significant positive change within the first five weeks of treatment, including faster symptom stabilization (Van Huysse et al., 2022).

This level of care is designed for individuals who require significant stabilization and support but can safely return home each evening with the appropriate support systems in place.

PHP is most appropriate for people who need:

• Daily clinical monitoring and psychiatric oversight
• Intensive symptom stabilization while maintaining some independence
• Step-down care from inpatient psychiatric hospitalization
• More structure than traditional outpatient or IOP can provide
• Comprehensive medication management and adjustment
• Crisis intervention skills and intensive coping strategy development
• Preparation for successful transition to lower levels of care

The comprehensive nature of PHP makes it an excellent bridge between inpatient hospitalization and less intensive outpatient services.

Requirements for Partial Hospitalization Program

PHP admission typically requires meeting specific clinical criteria that indicate this intensive level of care is appropriate:

• Diagnosis of moderate to severe mental health symptoms requiring daily intervention
• Need for frequent clinical oversight and psychiatric monitoring
• Ability to return safely to the home environment each evening
• Readiness to engage in intensive, full-day therapeutic programming
• Stable enough to participate in group settings without disrupting treatment
• Access to support for daily attendance
• Not requiring 24-hour medical or psychiatric supervision
• Commitment to participating in comprehensive treatment planning

These criteria help ensure that PHP participants receive the appropriate level of care while maintaining the benefits of returning home each night.

PHP vs IOP: What Are the Main Differences?

Understanding the difference between PHP and IOP requires examining several key factors that influence treatment effectiveness and appropriateness:

Which Program is Right for You?

Choosing between PHPs and IOPs depends on several personal and clinical factors that should be carefully evaluated with a mental health professional. Consider your current symptom severity and how it impacts your daily functioning. If you're experiencing significant mood instability, frequent crisis episodes, or need medication adjustments, PHP might provide the necessary intensive support.

Evaluate your home environment and support system. A stable, supportive home environment is crucial for both programs; however, PHP requires more significant support, as you'll be in treatment for most of each day. Consider your ability to consistently manage daily tasks, such as transportation, meals, and basic self-care.

Your current level of functioning at work, school, or in family responsibilities also influences this decision. IOP offers more flexibility for maintaining these commitments, while PHP requires a temporary reduction in outside responsibilities to focus intensively on treatment.

Amae Health's clinical team can help assess these factors through a comprehensive evaluation, ensuring you receive the most appropriate level of care for your current needs and circumstances.

Questions to Ask Before Choosing PHP or IOP

Before making your decision, consider asking these essential questions to ensure you understand what each program offers:

• "How often will I meet with a psychiatrist for medication management and monitoring?"
• "What specific types of therapy are included, and how do group and individual sessions balance?"
• "Does my insurance plan cover both PHP and IOP options, and what are my out-of-pocket costs?"
• "How flexible is the scheduling if I have work, school, or family commitments that cannot be changed?"
• "What happens if my symptoms worsen or improve significantly during treatment?"
• "How does the program handle crises, and what after-hours support is available?"

These questions help clarify practical considerations while ensuring the program aligns with your treatment goals and life circumstances.

Integrated Care at Amae Health

At Amae Health, we offer both PHP and IOP services across multiple locations, including Los Angeles, New York City, and Raleigh, providing accessible care when and where you need it. Our integrated approach combines evidence-based therapy, comprehensive medication management, and family support services to address all aspects of mental health recovery.

Our multidisciplinary teams understand that the difference between PHP and IOP isn't just about intensity — it's about matching the right level of care to your unique situation and recovery goals. Whether you need the daily structure of PHP or the flexibility of IOP, our clinicians work collaboratively to ensure seamless transitions between levels of care as your needs change.

We accept most major insurance plans and provide thorough insurance verification to help you understand your coverage options for both PHP vs IOP programs. Our commitment extends beyond symptom management to helping you develop long-term wellness strategies and resilience skills.

Ready to explore which program might be right for you? Visit our program pages to learn more about our PHP and IOP offerings, or contact Amae Health today to schedule a comprehensive assessment and take the first step toward effective, personalized mental health care.

Living with mood changes can be challenging. If you experience frequent shifts in how you feel or struggle with persistent depression or anxiety, you might have heard about mood stabilizers. These medications help many people find balance in their emotional lives.

Imagine Lola, who for years has struggled with overwhelming anxiety that comes in waves. Some days, she feels so tense she can barely leave her apartment. On other days, her anxiety gives way to deep sadness and fatigue. Traditional anxiety medications helped somewhat, but the cycling between anxiety and depression continued. When her doctor suggested trying mood stabilizers for anxiety, Lola was hesitant but desperate for relief. 

Within weeks of starting treatment, she noticed the intense emotional waves beginning to calm. For the first time in years, Lola experienced more stable days where she could focus on work and relationships instead of being controlled by her symptoms.

Stories like Lola's are common among people who are discovering how mood stabilizers might help with complex emotional struggles. Let's explore how these medications might help you or someone you care about.

What Are Mood Stabilizers?

Mood stabilizers are medications that help control emotional ups and downs. While they were first developed to treat bipolar disorder, doctors now sometimes prescribe them for other conditions, including certain types of depression and anxiety.

These medications work by calming the brain circuits that regulate our emotions. By bringing more balance to these systems, mood stabilizers for anxiety can help reduce overwhelming feelings and create more emotional stability in daily life.

How Do Mood Stabilizers Work for Depression and Anxiety?

When you experience anxiety or depression, certain chemical messengers in your brain may become unbalanced. Mood stabilizers help restore this balance by affecting these brain chemicals and their travel pathways.

For those with anxiety, persistent worry can feel like being stuck in "high alert" mode. Mood stabilizer anxiety treatment works by calming the overactive brain circuits, helping to reduce the intensity of anxious feelings.

For depression, these medications help prevent deep emotional lows and reduce the irritability or agitation that often accompany depressive episodes. However, without ongoing support and therapeutic engagement, meaningful progress can be limited. That’s why Amae Health exists - to provide comprehensive care that supports both emotional stabilization and long-term healing. This combination of mood stabilizers and external support is especially effective for individuals whose depression includes both low mood and episodes of anxiety or agitation.

Types of Mood Stabilizers

Several types of mood stabilizers are commonly prescribed. Your doctor will recommend one based on your specific symptoms and medical history. Each type works slightly differently in the brain, which explains why some people respond better to one medication than another. 

Finding the right mood stabilizer often involves trying different options. But remember, it's essential to do this under careful medical supervision. Understanding the key differences between these medications will help you have more informed conversations with your doctor about treatment options.

Lithium

Lithium is one of the oldest and most studied mood stabilizers. It works by affecting how certain minerals and chemicals move through brain cells. Lithium is particularly effective for preventing severe mood episodes and reducing suicidal thoughts.

Side Effects of Lithium

Common side effects include:

• Increased thirst and urination
• Mild hand tremors
• Nausea, especially when first starting
• Weight gain

Lithium requires regular blood tests to ensure your body's level stays within a safe range. Too much lithium can be harmful, so following your doctor's instructions about testing is essential.

Anticonvulsants

Originally developed to treat seizures, certain anticonvulsant medications have proven effective as mood stabilizers for anxiety and mood disorders.

• Valproic acid (Depakote) helps by increasing levels of a calming brain chemical called GABA. It can be beneficial for people who experience rapid mood changes or agitation with their depression or anxiety.
• Lamotrigine (Lamictal) works differently from other mood stabilizers, making it especially useful for preventing depressive episodes. It's often prescribed for people who primarily struggle with the "low" side of mood disorders.
• Carbamazepine (Tegretol) affects sodium channels in the brain, which helps stabilize the electrical activity of brain cells. This stabilization helps reduce mood swings and can improve symptoms of mood stabilizer anxiety conditions.

Side Effects of Anticonvulsants

These medications may cause:

• Dizziness or drowsiness
• Headaches
• Nausea or stomach upset
• Vision changes

Lamotrigine requires special attention when starting, as it can cause a serious rash in some people. Your doctor will typically start with a very low dose and increase it slowly to reduce this risk.

Antipsychotics

Newer antipsychotic medications are sometimes used as mood stabilizers. These medications affect dopamine and serotonin, two necessary brain chemicals influencing mood and thinking.

• Quetiapine (Seroquel) can be helpful for both anxiety and depression. Its calming effects make it useful for treating mood stabilizers and anxiety symptoms, especially when sleep is affected.
• Aripiprazole (Abilify) works differently from other antipsychotics and may help improve depression symptoms when added to antidepressant treatment.
• Olanzapine (Zyprexa) is sometimes combined with the antidepressant fluoxetine (creating a medication called Symbyax) to treat bipolar depression and treatment-resistant depression.

Side Effects of Antipsychotics

These medications may cause:

• Weight gain
• Drowsiness
• Dry mouth
• Dizziness
• Restlessness

Some antipsychotics require monitoring for metabolic changes, including effects on blood sugar and cholesterol levels.

Mood Stabilizers vs. Antidepressants

Many people wonder about the difference between mood stabilizers and antidepressants. While there's some overlap in their use, they work in different ways.

Antidepressants primarily target depression by increasing certain brain chemicals like serotonin or norepinephrine. They're designed to lift mood from below-normal to normal levels.

Mood stabilizers, in contrast, help prevent both the highs and lows of mood disorders. They can be particularly useful when depression is part of a condition that also includes periods of elevated mood, irritability, or agitation.

For some people with anxiety, traditional antidepressants work well. But for others, especially those with more complex symptoms or those who haven't responded well to antidepressants alone, mood stabilizers anxiety treatment might be more effective.

Should You Take Mood Stabilizers or Antidepressants?

This critical question requires careful consideration with your healthcare provider. The right choice depends on your specific symptoms, medical history, and how you've responded to previous treatments. Mood stabilizers might be more appropriate if:

• Your depression includes significant irritability or agitation
• You experience rapid mood changes throughout the day
• Antidepressants have caused worsening symptoms or increased anxiety in the past
• Your anxiety includes racing thoughts or difficulty sleeping

At Amae Health, our specialists take time to understand your unique experience before recommending any medication. We believe in personalized treatment that addresses your needs, not one-size-fits-all approaches.

Alternatives to Mood Stabilizers

While medication is often essential to treatment, some people also benefit from approaches. These should be discussed with your healthcare provider, as they can interact with medications and aren't right for everyone.

St. John's Wort

This herbal supplement may help with mild depression. However, it can interact with many medications and isn't recommended for severe depression or bipolar disorder. It should never be combined with prescription antidepressants.

Rhodiola Rosea

This adaptogenic herb may help the body respond better to stress. Some research suggests it might help with mild to moderate depression and anxiety symptoms.

Omega-3 Fatty Acids

Found in fish oil and some plant sources, omega-3 fatty acids support brain health. Some studies suggest they may help improve mood and reduce anxiety when used alongside conventional treatments.

5-HTP (5-Hydroxytryptophan)

This compound is involved in serotonin production in the brain. While some find it helpful for mood, it should not be combined with antidepressants as this combination can cause dangerous side effects.

When Should You Consider Mood Stabilizers?

Consider talking to your healthcare provider about mood stabilizers if:

• Your depression includes significant irritability or agitation
• You experience rapid shifts in your mood or energy levels
• Traditional antidepressants haven't worked well or have worsened your symptoms
• Your anxiety feels like it's connected to racing thoughts or feeling "wired"
• You have a family history of bipolar disorder

At Amae Health, we understand that seeking help for mood or anxiety concerns takes courage. Our team creates a supportive environment where you can discuss all your treatment options without judgment.

Frequently Asked Questions (FAQ)

Can Mood Stabilizers Treat Anxiety?

Yes, mood stabilizer anxiety treatment can be effective, especially for people who experience anxiety along with mood swings or who haven't responded well to traditional anxiety treatments. These medications help calm the brain's overactive circuits that contribute to anxious feelings.

Specific mood stabilizers that may help with anxiety include:

• Valproate (Depakote): Treats panic attacks and other anxiety symptoms.
• Gabapentin (Neurontin): Effective for social anxiety and generalized anxiety disorder (GAD).
• Pregabalin (Lyrica): Useful for treating GAD and social anxiety.
• Lamotrigine (Lamictal): May help with anxiety symptoms, mainly when they occur alongside mood disorders.
• Quetiapine (Seroquel): Often helpful for anxiety, particularly when it affects sleep.

Are antidepressants considered mood stabilizers?

No, they're different medication classes. While antidepressants lift depression, they don't typically prevent mood swings. Some people need both types of medication for optimal symptom management.

How long should you take mood stabilizers?

Treatment duration varies based on your specific condition and response to medication. Many people with recurring mood or anxiety disorders benefit from longer-term treatment, while others may need them for shorter periods. Your Amae Health provider will work with you to determine the proper treatment timeline for your unique situation.

What happens if you stop mood stabilizers suddenly?

Abruptly stopping mood stabilizers can lead to withdrawal symptoms and a return of mood symptoms, sometimes more severely than before. Always work with your healthcare provider to gradually reduce your medication if you decide to discontinue it.

Can mood stabilizers affect your personality?

When working correctly, mood stabilizers should not change your core personality. Instead, they help reduce the extreme emotions that might make it difficult for your true self to shine through. Many people feel "more like themselves" once their symptoms are well-managed.

Can you mix alcohol with mood stabilizers?

Alcohol is generally not recommended while taking mood stabilizers. Alcohol can increase side effects like drowsiness and dizziness, reduce the effectiveness of your medication, and sometimes create dangerous interactions. Your Amae Health provider can discuss this in more detail based on your medication.

Are mood stabilizers safe during pregnancy?

It is a complex question that requires individual consideration. Some mood stabilizers carry risks during pregnancy, while untreated mood disorders also pose risks to both mother and baby. If you're pregnant or planning to become pregnant, your healthcare provider can help you weigh the benefits and risks of treatment options.

Getting Professional Help from Amae Health

At Amae Health, we understand that living with depression or anxiety can be overwhelming. Our approach to care goes beyond simply prescribing medication. We believe in treating the whole person, not just the symptoms.

Our specialists take time to understand your unique experience. We consider your personal history, current life circumstances, and goals for treatment. This comprehensive approach helps us create a personalized care plan that may include the right medication, supportive therapy, and lifestyle changes.

If you're considering mood stabilizers or any other treatment for depression or anxiety, the team at Amae Health provides:

• Thorough evaluation to understand your specific symptoms
• Clear, jargon-free explanations of medication options
• Regular follow-up to monitor your progress and address any side effects
• Supportive therapy to develop coping skills alongside medication treatment
• A warm, non-judgmental environment where your concerns are heard

Remember, seeking help for mental health concerns is a sign of strength, not weakness. With the proper support and treatment, many people find significant relief from depression and anxiety symptoms.

Whether mood stabilizers are right for you or another approach is more suitable, taking that first step toward treatment is what matters most. Contact Amae Health today to begin your journey toward improved mental wellness and a more balanced emotional life.

Medical Disclaimer

This blog post is provided by Amae Health for educational and informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition, treatment options, or before making any changes to your medication regimen.

Reliance on any information provided in this article is solely at your own risk. If you believe you are experiencing a medical emergency, call 911 (or your local emergency services) immediately.

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Attention-seeking behavior are ways individuals express their need for connection, validation, or reassurance. Such behavior can manifest in different ways, from exaggerated emotionality and dramatization of events to provocative statements or unusual dress.

To a greater or lesser extent, attention-seeking behavior is inherent in all people. It is a natural part of human nature. We are all social beings; recognition and acceptance are basic psychological needs. However, the intensity of this need varies considerably depending on age and life circumstances.

In children, attention-seeking behavior is a normal stage of development. Babies may cry loudly, become cranky, or throw tantrums. This is their way of trying to get their parent's attention. As they grow older, most people learn to get the attention they need in socially acceptable ways. However, in times of stress or uncertainty, even adults may resort to more overt forms of attention-seeking.

During adolescence, attention-seeking often intensifies. This is due to identity formation and increased sensitivity to peer opinion. In adulthood, this behavior usually becomes more restrained. But, it can become more active during life crises or when social interaction is lacking.

Is Attention-Seeking Behavior a Sign of a Disorder?

It is essential to distinguish between normal attention-seeking behavior and pathological attention-seeking behavior. Typical behavior of this kind:

• Is situational and not persistent
• Does not significantly disrupt daily life and relationships
• The person is usually aware of their motives
• Does not cause significant distress to the person or others.

Pathological attention-seeking behavior, on the other hand, is characterized by:

• Persistent and compulsive
• Serious impairment of social and professional functioning
• Inability to control impulses
• Extreme distress at not receiving the desired attention
• Willingness to take extreme measures to get attention

Associated Mental Health Disorders

Excessive attention-seeking can be a symptom of a variety of mental disorders:

• Histrionic personality disorder. This problem is characterized by excessive emotionality, theatricality, and constant attention-seeking. People with this disorder often dramatize events. They may use provocative behavior and seek to be the center of attention.
• Borderline personality disorder. It can also manifest itself in intense attention-seeking behavior, often associated with fear of loneliness and abandonment.
• Narcissistic personality disorder. In this problem, attention-seeking is accompanied by a grandiose sense of self and a need for constant admiration.
• Anxiety disorders. These sometimes manifest themselves through attention-seeking behavior to gain validation and reassurance.
• Bipolar disorder. This problem during manic episodes may be accompanied by increased attention-seeking behavior.
• Oppositional-defiant disorder. In children and adolescents, oppositional defiant disorder often manifests itself through attention-seeking behavior, including deliberate rule-breaking.

What Drives People to Seek Attention?

The origins of attention-seeking are diverse and may have several factors:

Psychological factors:

• Low self-esteem and the need for external validation of one's worth
• Feelings of insecurity and lack of recognition
• Unmet need for intimacy and acceptance

Social factors:

• Cultural norms that encourage individualism and social visibility
• A competitive environment where attention means success
• Modeling the behavior of significant others

Environmental factors:

• Childhood experiences, especially if parental attention was inconsistent or conditioned
• Traumatic experiences that create a need for validation and safety
• The influence of social media, where attention is measured by likes and followers

Neurobiological studies show that receiving social attention activates the reward system in the brain. This triggers the release of dopamine, a neurotransmitter associated with pleasure and habit formation. This explains why attention-seeking can become self-reinforcing.

With social media, seeking attention has become easier than ever, sometimes turning likes and shares into a measure of self-worth. At Amae Health, we understand that attention-seeking behaviors often stem from deeper emotional needs. Our approach focuses on helping individuals identify these underlying factors and develop healthier ways to seek connection.

Attention-Seeking vs. Histrionic Personality Disorder

Differentiating Between the Two

Although attention-seeking is a key component of histrionic personality disorder, these concepts are not identical.

Attention seeking can be:

• A temporary state in response to certain circumstances
• Part of a normal behavioral repertoire
• Moderate and not significantly problematic
• Recognized and controlled

Histrionic personality disorder is a persistent pattern of internal experience and behavior that:

• Is present continuously rather than situationally
• Appears in all areas of life
• Causes significant difficulties in social adjustment
• It is accompanied by symptoms other than attention seeking.

Diagnostic Criteria for HPD

According to the DSM-5, histrionic personality disorder is diagnosed when at least five of the following criteria are present:

• Discomfort in situations where the person is not the center of attention
• Interactions with others are often characterized by inappropriate, sexually seductive, or provocative behavior
• Rapidly changing and superficial expressions of emotion
• Constant use of appearance to attract attention
• Speech is overly impressionistic and lacking in detail
• Demonstrative, theatrical, and exaggerated expression of emotion
• Suggestibility, easily influenced by other people or circumstances
• Perceiving relationships as more intimate than they really are

Impacts of Attention-Seeking Behavior

Attention-seeking behavior can seriously affect personal relationships:

• Create emotional strain on partners and significant others
• Cause feelings of manipulation and exhaustion in others
• Lead to shallow and unstable relationships
• Create cycles of crisis and dramatic reconciliation.

With histrionic personality disorder, these problems are exacerbated, often leading to chronic difficulty in maintaining healthy relationships.

In work and academic environments, excessive attention-seeking can:

• Disrupt group dynamics and teamwork
• Create conflict and tension within the team
• Distract from tasks and reduce productivity
• Build a reputation as an unreliable or difficult employee

People with strong attention-seeking behaviors may have difficulty in environments that require restraint and focus on the outcome rather than the process.

Management and Treatment Approaches

Cognitive behavioral therapy (CBT) effectively works with attention-seeking behavior by helping to identify and change maladaptive thoughts and behavioral patterns.

Dialectical behavior therapy (DBT) is particularly useful for histrionic personality disorder, teaching skills in emotion regulation, interpersonal effectiveness, and distress tolerance.

Group therapy provides a safe environment in which to receive healthy feedback on the effects of attention-seeking behaviors on others.

For those seeking to manage their attention-seeking, helpful:

• Mindfulness techniques to help recognize impulses before they are realized
• Developing self-reflection skills to understand underlying needs
• Developing healthy ways of receiving affirmation and recognition
• Balancing the need for attention with respect for the boundaries of others

Amae Health offers comprehensive programs for working with attention-seeking behaviors, including individual and group therapy, as well as online self-help resources.

Final thoughts

Attention-seeking behavior is a multifaceted phenomenon that exists on a spectrum from normal to pathological. Understanding its causes and manifestations helps professionals and ordinary people balance healthy attention-seeking behavior and its destructive forms.

It is important to remember that excessive attention-seeking behavior often hides unmet emotional needs, and addressing these underlying issues is key to long-term change. Whether the problem is a temporary reaction to stress or a manifestation of histrionic personality disorder, modern approaches in psychology and psychotherapy offer effective strategies for help and support.

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