Bipolar care

Bipolar Depression Treatment in South Dakota, North Dakota & Iowa

The depressive lows of bipolar disorder can be the hardest part to live with. Our psychiatric team provides careful, evidence-based bipolar care, in person at six clinics or by secure telehealth.

Board-certified psychiatric care Serving SD, ND & Iowa New patients welcome, no referral needed In-person & telehealth

Understanding bipolar depression

Steady support for the highs and the lows

Bipolar disorder involves mood episodes that swing between depressive lows and elevated or irritable highs. The depressive side, bipolar depression, is often what brings people in, and it needs a different approach than depression alone.

At MWI Health, care begins with a careful psychiatric evaluation to understand the full picture, then a plan that usually centers on medication management, with therapy and support alongside. Accurate diagnosis matters, because treating bipolar depression is not the same as treating unipolar depression.

Our providers serve South Dakota, North Dakota, and Iowa, so you can start close to home or by telehealth. No referral is required, and most people are seen without a long wait.

Signs & symptoms

What bipolar disorder can look like

Bipolar disorder shows up as episodes over time. If you notice cycles of low and elevated mood that disrupt your life, an evaluation can bring clarity.

Depressive episodes of low moodPeriods of elevated or irritable moodChanges in energy and activitySleep changesRacing thoughts during highsDifficulty concentratingImpulsive decisions during highsWithdrawal during lowsMood shifts that disrupt daily life

Our approach

How we treat bipolar depression at MWI Health

Psychiatry and therapy under one roof, coordinated by a team that communicates about your care.

1. Careful psychiatric evaluationWe take time to understand your mood history so we can reach an accurate diagnosis, which is essential for bipolar care.
2. Medication managementOur psychiatric providers manage medication carefully to stabilize mood and support the depressive phase, adjusting as you respond.
3. Therapy and supportTherapy helps with routines, early warning signs, and coping between episodes.
4. Coordinated, ongoing careYour providers stay in touch with each other, and with you, so your plan keeps pace with your life.

Where to find care

Bipolar treatment across our clinics

Care for bipolar disorder is available at all six MWI Health locations, plus secure telehealth for patients in South Dakota, North Dakota, and Iowa.

South Dakota

Sioux Falls

4308 S Arway Drive
Sioux Falls, SD 57106
Mon–Fri, 8:00am–5:00pm
South Dakota

Downtown Sioux Falls

317 North Main Avenue, Suite 100
Sioux Falls, SD 57104
Mon–Fri, 8:00am–5:00pm
South Dakota

Rapid City

2620 Jackson Blvd, Suite G
Rapid City, SD 57702
Mon–Fri, 8:00am–5:00pm
South Dakota

Yankton

311 Cedar St
Yankton, SD 57078
Mon–Fri, 8:00am–5:00pm
Iowa

West Des Moines

3737 Woodland Avenue, Suite 410
West Des Moines, IA 50266
Mon–Thu, 8:00am–7:00pm
Fri, 8:00am–5:00pm
North Dakota

Fargo

1120 28th Avenue N, Suite A
Fargo, ND 58102
Mon–Thu, 8:00am–6:00pm
Fri, 8:00am–12:00pm

Why MWI Health

A local team built around you

Board-certified psychiatry

Led by a board-certified psychiatrist and Chief Medical Officer, with an experienced provider team.

Prompt availability

New patients welcome with no referral needed, so you are not waiting months to be seen.

Care in one place

Therapy and psychiatric care coordinated by one team that talks to each other about your plan.

In-person or telehealth

See us at one of our clinics or from home by secure telehealth across SD, ND, and IA.

Coverage

Insurance accepted

We accept most major plans and verify your benefits before your first visit.

AetnaBlue Cross Blue ShieldCignaUnitedHealthcareHumanaMedicareand more, verified before your visit

Good to know

Bipolar questions, answered

No referral is needed. You can request an appointment directly and we will help you get scheduled, often without a long wait.

Bipolar depression is the depressive phase of bipolar disorder. It looks similar to major depression but is part of a condition that also includes elevated or manic episodes, which changes how it is treated.

Yes. Bipolar disorder is a lifelong but very manageable condition. With the right medication and support, many people stabilize their mood and live full lives.

Care usually centers on medication management to stabilize mood, with therapy and ongoing support, all guided by a careful evaluation.

Yes. We offer secure video visits for patients located in South Dakota, North Dakota, and Iowa.

Many new patients are seen without a long wait. Request an appointment and we will help you get scheduled at the location or telehealth option that works best for you.

We accept most major insurance plans and verify your benefits before your first visit.

Clay J. Pavlis, MD, Chief Medical Officer of MWI Health

Medically reviewed

Reviewed by Clay J. Pavlis, MD

Board-certified psychiatrist and Chief Medical Officer of MWI Health.

Meet Dr. Pavlis Last reviewed August 2026

If you need help now

Support is available right away

MWI Health provides scheduled outpatient care and is not an emergency service. If you or someone you love is in crisis, reach out to one of these free, confidential resources.

  • 988 Suicide & Crisis LifelineCall or text 988, any time, day or night.
  • Crisis Text LineText HOME to 741741.
  • EmergencyIf there is immediate danger, call 911.

Steady support for the highs and the lows

Our team is accepting new patients across South Dakota, North Dakota, and Iowa, in person and by telehealth. No referral needed.

Bipolar DepressionMWI Health
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