Bipolar disorder involves distinct episodes of unusually high or irritable mood (mania or hypomania) and episodes of depression, each lasting days to weeks and clearly different from your usual self. Ordinary mood swings change within hours and follow events. Bipolar disorder needs a proper assessment and usually medical care from a psychiatrist, with therapy alongside.
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Much less need for sleep without feeling tired, unusually high energy, an elevated or very irritable mood, racing thoughts, talking fast, big plans, inflated confidence, impulsive spending or risky behaviour, and being easily distracted. Mania can be severe and may need urgent medical care.
Low mood, loss of interest, tiredness, sleeping too much or too little, guilt, poor concentration and hopelessness. See our page on depression symptoms.
Everyone has moods that change. In bipolar disorder the changes last days or weeks, come with changes in sleep, energy and behaviour, and are noticed by others. Frequent rapid mood changes with relationship difficulties can also be related to other issues, which an assessment can clarify. See mood swings treatment.
Bipolar disorder is usually treated with medication prescribed by a psychiatrist, combined with therapy that helps you understand your pattern, keep regular routines and sleep, spot early warning signs and manage stress. We are psychologists and do not prescribe medication. If a medical opinion would help, we will say so and work alongside your doctor or psychiatrist. Read more on our bipolar disorder page.
The Meeting Matters is a psychology practice in Islamabad, working since 2010. Sessions are by secure video from anywhere in Pakistan, or in person at our F-11/1 clinic in Islamabad, in Urdu, Punjabi or English, with evening and weekend slots. Message us on WhatsApp with what you are dealing with and a time that suits you. We usually reply within about 30 minutes and will suggest a suitable therapist. We are not an emergency service. If you or someone else is in immediate danger, contact your local emergency number or go to the nearest hospital.

Founder & Lead Psychologist β Couples, Marriage & Relationship Counselling

Clinical Psychologist, CBT, DBT & NLP Therapist

Clinical Psychologist β Relationship, Couples & Marriage Counselor
βI had a really great experience at Meeting Matters Clinic in F-11. The therapists here are highly professional aur unka ravaiya bohat supportive hai. Itβs not easy to find a safe space for mental health, but yahan ka mahol bohat pur-sakoon aur welcoming hai. They genuinely listen to your problems without any judgment. Highly recommended for anyone looking for good counseling in Islamabad.β
Subhan A. Β· Google Review
βI am truly grateful to Ms. Tasmiya Asghar and the team at Meeting Matters. I reached out during one of the most difficult periods of my life while dealing with grief and trying to be the best parent I could be for my children. Ms. Tasmiya's kindness, empathy, and guidance helped me navigate emotions that often felt overwhelming. She helped me understand my feelings, regain perspective, and think through practical ways of supporting my children and myself. I always felt respected, heard, and comfortable during our sessions. I would wholeheartedly recommend Ms. Tasmiya Asghar and Meeting Matters to anyone going through a challenging time and looking for professional support in a compassionate environment.β
Hashir K. Β· Google Review
βHave noticed alot of changes within myself because of the sessions I've had. My therapist is extremely kind and helpful. I've never once felt uncomfortable feeling like I'm talking to a stranger. My Dr has made me feel as if she's my own and has helped me a lot.β
Shagufta K. Β· Google Review
The Meeting Matters has been providing professional counseling, therapy and training since 2010 β over fifteen years of clinical experience supporting individuals, couples and families across Pakistan and around the world. Our psychologists are trained in evidence-based approaches including CBT, DBT, EMDR and psychodynamic therapy, delivered through confidential online counseling and online therapy as well as in-person sessions at our Islamabad clinic.
Alongside specialist support for this concern, you have access to our full range of services β the same experienced team, available online or in person:
One-to-one online counseling and therapy for anxiety, depression, stress and personal growth.
Online relationship counseling for communication, conflict and rebuilding trust.
Online marriage counseling for couples working through distress or disconnection.
Guided conversations before marriage, available online.
Family counseling for communication, parenting and conflict resolution.
Child and adolescent therapy with parent guidance.
Secure online therapy sessions from anywhere.
Workplace wellbeing programs for organisations.
Support for career transitions and workplace stress.
Take the first step toward better mental health. Our compassionate team is here to support you.