Examining the Effect of EEG-guided Theta Burst Stimulation in Bipolar Disorder

Inclusion criteria: * 18-35 years of age * Diagnosis of BD (DSM-5 criteria) in remission (euthymic for \>2 months) or in a manic/hypomanic episode \[manic/hypomanic or euthymic adults with BD (3-fifths manic/hypomanic); euthymic for \> 2 months from most recent BD episode OR current manic/hypomanic episode\] * Not psychotic * Score \<3 on delusions, hallucinations, unusual thought content, and conceptual disorganization items of the Positive and Negative Syndrome Scale (PANSS) * Unmedicated or on any combination of anxiolytics (benzodiazepines, buspirone, pregabalin, hydroxyzine) as needed, and/or atypical antipsychotics, and/or lithium, and/or other mood stabilizers, and/or non-SNRI antidepressants and/or non benzodiazepine hypnotics, as these are commonly-prescribed medications for BD * Provides the contact information of a medical provider (including but not limited to a PCP) that we may communicate with for any concerns of escalating symptoms of mania Exclusion criteria: * Not 18-35 years of age * Diagnosis of BD in a depressive episode or Diagnosis of BP in partial remission, euthymia that fails to meet full remission criterion of a period of at least 2 months in which there are no significant symptoms, e.g., only partial remission of symptoms or full remission of symptoms but for \<2 months * Diagnosis of BD in a depressive episode * Personal and family history of epilepsy (TBS exclusion) * Binge alcohol drinking * Taking substances in the last month that can elevate…