Less sleep, more energy.
You sleep much less than usual but still feel energized, wired, or unusually active.
When changes in mood, sleep, and energy start affecting your life, it helps to have someone take the time to understand the whole picture.
Dr. Kayla provides psychiatric evaluations and bipolar medication management by telehealth across Colorado. Start with your questions, your history, and what you hope will feel more manageable.
Changes worth talking about
Bipolar symptoms involve episodes of changed mood, energy, and activity. What stands out may be how much you sleep, how quickly you act, or how difficult everyday tasks become.
You sleep much less than usual but still feel energized, wired, or unusually active.
Your thoughts race, you talk more quickly, or decisions about spending and other risks feel easier to make.
Low mood, exhaustion, or loss of interest makes work, school, relationships, and basic routines harder.
People close to you notice unusual confidence, irritability, withdrawal, or changes in what you do.
These experiences can have several explanations. A single symptom does not establish bipolar disorder; the timing, duration, and overall pattern matter.
Understanding the pattern
Bipolar I involves at least one manic episode. Mania can significantly affect judgment and functioning, and severe episodes may require hospital care. Depression can also occur.
Bipolar II involves hypomanic and major depressive episodes, without a history of mania. Hypomania is less severe than mania, but bipolar II depression can still be highly disruptive.
Your psychiatric evaluation
Your first appointment is a one-hour evaluation with Dr. Kayla. Bring the concerns that led you here, whether you have an existing diagnosis or are wondering what your symptoms mean.
It can help to bring previous treatment records, a medication list, or observations from someone you trust. You can also start with what you remember and work through the details together.
There is no single test for bipolar disorder. Sometimes records, medical testing, or more observation are needed before a diagnosis and treatment plan are clear.
Periods of depression, increased energy, unusual irritability, and changes from your typical self.
How sleep, activity, decisions, school, work, and relationships changed during those periods.
Medical and family history, substance use, medications, and other possible explanations for symptoms.
Past diagnoses, medication benefits or side effects, and what you want help managing now.
Bipolar medication management
Medication often has an important role in bipolar care. Options may include mood stabilizers or certain antipsychotic medications. The recommendation depends on your symptoms, health, previous treatment, and goals.
Discuss the purpose of a medication, potential benefits, side effects, and how it fits with your current treatment.
Follow-ups review mood, sleep, functioning, and tolerability. Some medications also require lab work or other health monitoring.
Ongoing treatment can help reduce future episodes. Discuss early warning signs and what to do if symptoms return.
Support can extend beyond medication. Therapy and consistent sleep routines can also help. Honeybee provides evaluation and medication management; Dr. Kayla can discuss therapy referrals and coordinate with your therapist with your permission.
A small practice. A personal connection.
Kayla Day Krug, DNP, PMHNP-BC
Dr. Kayla is a board-certified psychiatric mental health nurse practitioner and the founder of Honeybee Psychiatry, a woman-owned practice.
Her approach is direct and compassionate, with time to explain treatment decisions and hear your questions. She has a particular focus on women's mental health. For bipolar concerns, contact Honeybee to discuss whether your age, current symptoms, and care needs fit the practice.
Getting started
Share your concerns, current treatment, and insurance. Let us know if you are transferring care so we can discuss records and scheduling.
Meet with Dr. Kayla by telehealth to review your mood patterns, health history, and questions about diagnosis or treatment.
Discuss medication management, follow-up timing, therapy referrals, or other care that fits your needs. You will have time to ask questions about the recommendation.
Appointments & costs
Initial evaluations and most follow-up visits happen online. Join from a private, suitable space without making a regular trip to Denver.
You must be physically in Colorado during your appointment. Limited in-person visits are available at our Denver office by arrangement.
If in-person care is important to you, ask about scheduling before booking so we can discuss whether our availability will work for you.
We can help review your specific insurance coverage and estimated patient responsibility. Costs depend on your plan and benefits.
Insurance estimates are not a guarantee of your final cost. Self-pay is due at the time of service.
Questions about bipolar care
Some symptoms overlap. Dr. Kayla considers when symptoms began, whether they occur in distinct episodes, and changes in mood, sleep, energy, and functioning. You do not need to choose a diagnosis before scheduling.
Medication may be recommended when appropriate, but it is not automatic. Dr. Kayla reviews your history, current symptoms, previous treatment, and preferences. Sometimes more information or a different level of care is needed first.
Some medications require lab monitoring. Medical testing may also help evaluate other explanations for mood symptoms. Dr. Kayla will explain what is recommended and why, based on your evaluation and treatment plan.
Periods of feeling well can be part of bipolar disorder. Ongoing treatment may help prevent future episodes. Discuss any medication changes with your prescriber rather than stopping on your own.
Let us know your medications, current prescriber, and timing needs. Records may be requested before treatment decisions are made. Reach out before you run low; an appointment request does not guarantee a prescription or immediate transfer of care.
Honeybee focuses on psychiatric evaluation and medication management. Dr. Kayla can discuss therapy referrals and coordinate with your existing therapist with your permission.
Contact Honeybee with the patient's age, current concerns, and treatment history so we can discuss whether the practice is a suitable fit. For teens, caregiver observations and previous records can help inform the evaluation.
Severe mania, psychosis, or immediate safety concerns may require urgent assessment or hospital care. Honeybee's appointment and text request forms are not emergency services. For crisis support, call or text 988. In a life-threatening emergency, call 911.
If changes in mood, sleep, or energy have left you with questions, start with a conversation. Dr. Kayla can help you understand your options and whether Honeybee is a good fit for your care.