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3375 Lake Ridge Dr, Dubuque, IA 52003

Front Desk Hours:


8:00 AM - 5:00 PM


8:00 AM - 12:00 PM



Monthly Newsletter

Integrative Health News

July 2019

Bipolar Disorder

Never know if your up or down?


You may be suffering from a mood disorder called Bipolar Disorder, or more commonly referred to as Bipolar Depression. In fact there are three commonly recognized manifestations of Bipolar disorder- bipolar I, bipolar II and cyclothymic disorder. Many experts believe there may a fourth, but more on that later. The Bipolar disorders are a type of mental illness that causes sudden and profound changes in a person’s mood, energy and ability to function. People suffering with Bipolar disorder will have periods of relatively normal mood, punctuated by periods of intense mania, hypomania, and major depression.


To better understand the differences in the three or four types of Bipolar. We need to understand what the different periods looks like.


When a person is in a period or Mania or having a a manic episode they may feel extremely excited, anxious, keyed up or even irritable. They often seem to have more energy than usual and experience at least three of the following: Highly exaggerated self-esteem or grandiosity, little need for sleep, excessive loud and rapid talking, distractibility, trying to accomplish more in a day than can realistically be done, risky behavior (e.g., sexual promiscuity, reckless driving, spending sprees), racing thoughts and rapidly changing ideas or topics of conversation. The symptoms are severe enough to cause dysfunction and problems with work, family or social activities and responsibilities, and may not be apparent to the person, but are easily recognizable by family and coworkers, and must last at least 7 days.


A hypomanic episode is similar to a manic episode, however the symptoms are less dramatic, may last only 4 days, and do not lead to the major problems and dysfunction.


The major depression in bipolar disorder is defined as a period of at least two weeks with at least five of the following (including one of the first two):


  • Intense sadness or despair

  • Loss of interest in activities once enjoyed

  • Feeling helpless, hopeless, guilt or worthless

  • Sleeping too little or too much

  • Feeling restless or agitation

  • Increase or decrease appetite

  • Loss of energy, fatigue

  • Difficulty concentrating

  • Frequent thoughts of death or suicide


In the mental illness commonly referred to as “Major Depression”, the symptoms are ofter less severe, come on slower and are much longer lasting,


People with Bipolar I must have a period of major depression and a period of obvious Mania, and often have other mental disorders such as attention deficit/hyperactivity disorder (ADHD), an anxiety disorder or substance use disorder.

Bipolar II disorder has at least one major depressive episode and at least one hypomanic episode, and patients often first seek treatment because of the severe depressive symptoms, that unlike Major Depression will last only a short time.


Cyclothymic disorder is best described as a milder form of bipolar II disorder, characterized by frequent but milder mood swings that “cycle” between major depression and hypomania, but periods do not last long enough and are not severe enough to qualify as true major depression, mania, or hypomania.


A fourth and as of yet unclassified Bipolar like illness, manifests as short but intense bouts of severe depression, lasting only a few days, and very little if any hypomania, with periods of near normalcy for weeks between episodes.


Environmental and lifestyle factors trigger or contribute to bipolar disorder, including extreme stress, drug and alcohol use, physical or mental abuse, and exhaustion. Bipolar disorder seems to run in families, with 85 percent of individuals with bipolar disorder having a relative with either depression or bipolar disorder.


Treatments for all three bipolar disorders include lifestyle and nutritional modification, stress reduction, meditation, medication and psychotherapy. The medications most commonly used are mood stabilizers and antidepressants, depending on the patient and severity of their symptoms. Each person is different and as such treatment needs to be individualized, and multiple options are often necessary for maximum benefit. Bipolar is ofter recurrent, and most experts recommend longterm ongoing treatment and therapy to decrease the severity of relapse, if and when they occur.


Bipolar disorders can devastate a person’s life and relationships, particularly with spouses and family members, creating an intensely stressful family situation. Family members may also benefit from mental health professionals and support groups. From these resources, families can learn strategies to help them cope, to gain support for themselves, and to be an active part of the treatment team.


~Dr. Lawrence Hutchison, MD

July Workshops


July 2~ Heal Your Mommy Tummy with Dr. Leslie Kremer; 6:30-8:30pm, Lower Level, $25


July 6~ Focus on Fitness with Bridget Leary; 10:00-11:00am, Lower Level, $16


July 8 ~ Milk Parties! with Becky Franzen and Dr. Leslie Kremer; 9:30-10:30am, Upper Level, FREE


July 9 ~ Prenatal Breastfeeding Class with Becky Franzen; 6:15-8:30pm, Upper Level, $25 (partner may attend for FREE)


July 13 ~ Let Go and Grow with Dr. Linda Peterson; 10:00-11:30am, Upper Level, $20


July 13 ~ Fitness for Dancers with Malia Ridgway, Meg Ridgway, Candace Pickett, and Lindsey Chapman; 10:30am-12:30pm, 12:30-2:30pm, 2:30-3:30pm, Lower Level, Visit our website for more information.


July 16 ~ Natural Mama Pregnancy Workshop with Dr. Leslie Kremer and Lacy Knipper; 6:30-8:30pm, Lower Level, $25 for individual -or- $40 for couple


July 18~ Community Acupuncture with Ashley Oberbroeckling; 5:30-8:00pm, Lower Level, $35


July 20~ Strength Training Basics with Candace Pickett; 9:00-9:50am, Lower Level, $10


July 22 ~ Milk Party! with Becky Franzen and Dr. Leslie Kremer; 9:30-10:30am, Upper Level, FREE


July 23 ~ Back to Work for New Moms with Becky Franzen; 6:30-7:30pm, Upper Level, $16 


July 23 ~ Couples Aroma Touch Hand Massage with Julie Haufe; 6:30-7:30pm, Upper Level, $5 single -or- $10 couple


July 25 ~ Safe and Strong Sun Salutations with Bridget Leary; 6:00-8:00pm, Lower Level, $35


July 25 ~ Special Cooking and Dining Evening with Dr. Lawrence Hutchison and Candice Chaloupka; 6:00-8:00pm, Upper Level, $40 per couple

Schedule an Appointment


To schedule appointments with our MD, Nurse Practitioner, Chiropractor, Physical Therapists, or Mental Health Counselors please call (563) 207-8932 Monday through Friday 8-5, Saturday 8-noon. For all other providers please call, visit our website or click below.

Yoga and Fitness Classes

We offer a variety of small group personal training classes Monday through Saturday. As fitness professionals, we focus on your goals and safety in class development. Call, visit our website, use the Mindbody app or click below to schedule.


  • Barre

  • Anti-Gravity

  • Cocooning

  • Mat Pilates

  • Oov

  • Equipment Based Pilates

  • TRX Suspension Training

  • Yoga

  • *New* Strength Training

Weekly Lunch & Learns

Our Lunch and Learn opportunities will be returning this fall. Thank you to all who have participated in our satisfaction survey regarding our Lunch and Learns! Here's a sneak peek at some of what's changing...Lunch and Learns are moving to Wednesdays, and we will have food available on site!

Featured Testimonial


"I am forever grateful for Dr. Randall and Leslie for their partnership and helping me find relief. Statera Integrated Health and Wellness made that happen. I couldn’t ask for better collaborative care all under one roof!"  



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