Bipolar disorder is a chronic relapsing and remitting disorder. Poorly controlled bipolar disorder results in increased morbidity with a poorer quality or life. There is increased suicide risk. Long-term treatment and support are required to minimise the risk of recurrence and optimise quality of life, and social and personal functioning. The core features of bipolar disorder -- its recurrent and cyclic nature – can make it a challenging illness to manage. Whilst medications do play a large role in the management, pharmacologic treatment is further complicated by the risk of inducing opposite or polar changes in mood state. Psychosocial interventions should not be neglected.