Bipolarity manifests in a variety of presentations which are often mistaken for isolated symptoms. Health professionals frequently diagnose anxiety, obsessive-compulsive disorder, depression, even anorexia and bulimia as an isolated condition.

Dr. Gellman believes that an expanded view of bipolar spectrum disorders needs to be integrated in treatment in order for a more successful outcome to occur. One of the stumbling blocks of modern psychotherapy is split treatment. She works very closely with a psychiatrist to bridge that gap by communicating almost daily and in-depth about their patients and their progress.

Dr. Gellman feels this is a privileged setting in which they treat their patients who might otherwise require inpatient treatment. Dr. Gellman works to influence the multiple and conflicting contexts a patient is dealing with in order to help regulate the affective experience as well as helping them to gain a sense of competence and power within themselves as well as their relationships to others. They have a very specific view of bipolar structure and how it is manifested in eating disorders and have a successful model bridging the gap between psychopharmacology and psychotherapy.