Continuity of care is an extremely important factor in the success of long-term management of bipolar disorder. If you shuffle from one doctor or therapist to the next and the changes result in medication and therapy adjustments, your moods are likely to fluctuate.
Unfortunately, changes in health insurance and other factors outside of your control often lead to changes in doctors and treatments. A therapist, caseworker, family member, or friend can often help you advocate for services and maintain an effective and consistent treatment plan.
If you have an insurance provider, call and ask whether it has case managers. Many insurance companies have case managers to help control costs, but these folks can also serve as treatment advocates if you're having trouble obtaining certain medications or getting in to see your doctor or therapist. After all, hospitalizations are expensive, and insurance companies have a strong financial incentive to keep you out of the hospital. They can also help you maintain the continuity of care you need to stay healthy.