Bipolar disorder is very common among people who express manic episodes and depression. This is a chronic psychiatric condition which deals with cognitive and behavior challenges with intervening of a mood stabilizer (2015) bipolar patients have difficulty in handling everyday life events or challenges to simple tasks. Bipolar disorder is the fourth leading disorder in the world. Studies say that areas of the brain that suffer are abnormalities in the intra cellular processes of the brain function and cell receptors and neurotransmitter effects (2015). Other studies will state that neural degeneration is a way that the disorder came about. In this paper a closer look at Bipolar non other specified, or Bipolar NOS will be looked at. Bipolar NOS is a clear diagnoses of bipolar but not enough of one area to be stated in any subtype diagnostic (2015). Many believe that this is a bigger challenge because all areas in bipolar can affect one individual. The therapeutic, non-therapeutic and more interventions of one young child who was diagnosed at eight years old with Bipolar NOS and the effects of his treatment plan (Harvard Review, 2015). A child who was seven, was finally taken to the emergency room because the mother had become afraid for months of an irate child. One could not imagine that the child was so angry since birth but now was fearing self and others some serious harm. After three days waiting in the emergency room at a local hospital, the young boy was placed inpatient at a nearby hospital. Therapeutic interventions that we will take about is this paper will be cognitive in nature, pharmacological in nature, and an alternative therapeutic treatment. Any person with a mental disorder is usually seen by professionals along with psychiatric medicine (Harvard Review, 2015). One method is outpatient. Outpatient therapy is where a person is seen by a specialist in Psychiatrist and psychologist for mental evaluations to determine the nature of the behaviors that one is presenting. Inpatient and outpatient services are proven to be more cost effective then using medicine alone. Bipolar diagnoses typically will have treatment along with medicine to help a person become and remain stable throughout one’s life (2015). Inpatient stay a period of time where a person who is unstable will enter a facility to be evaluated and watched and add, decrease or change meds. All inpatient stays will have counsel with a psychiatrist. Weekly meetings take place with family, doctors, nurse staff, and social workers. These meetings occur to see where the patient is as far as stabilization, and medicine and progress during the time in the facility. Most inpatient stays are three to seven days in length leading up to residential long term treatment (RTC) which could be a four to six month program. Some patients do have extended stays in RTC which leave them in treatment for over the suggested period for unforeseen circumstances. Typically inpatient stays will result in a few directions. The patient will be released to family, group home (2015). Providing the patient return to family or a group home, they will then continue with outpatient services. Outpatient therapy is where a person is seen by a specialist, and typically will join a group or individual counseling sessions, or both. The psychiatrist, and psychologist will resume care for the patient’s services for continued monitoring and for mental evaluations (2015). This will help follow a patient’s growth, improvements and see if the medicine is working, or needs adjusting. For the patient this allows the medical professionals to determine the nature of the behaviors that one is presenting, and see if changes need to be made to help a person become more stable. Outpatient services are designed to transition a person from a hospital setting, to a less restrictive setting. This is also a place where people are monitored from bi-weekly, weekly, monthly to every couple months (Harvard Review, 2015). Outpatient services are to help assist in dual diagnoses coping helping a person function in work, school and at home. Outpatient services includes crisis teams which allow two or more people to intervene while a patient resides at home in off hours for the office. This team will do an assessment and diffuse an escalated situation and determine if the patient is safe to stay home or needs further help. Typically this is followed up with a psychiatrist appointment within 72 hours. Many times a patient will use what they have learned in treatment such as coping skills, stress management and have a plan of action if a crisis could occur again and methods to prevent anything further from happening in an unsafe manner. This treatment on an outpatient basis is considered cognitive behavior therapy (2015). Pharmacological uses in bipolar treatment is the science of drug action on biological systems. “In its entirety, it embraces knowledge of the sources, chemic