Bipolar disorder (BD) is a major psychiatric disorder that has important consequences for those who live with it. Day by day new contributions for diagnosis and treatment appear thanks to a continuous research advance. However there are many challenges to defeat and between them we have not only the pathways to care that bipolar patients choose, but also the different factors that have an impact on seeking for treatment. Hypothesis: Bipolar patient’s perception of disease influences the pathway to care that he/she selects. Objective: To describe the role that perception of disease has on the selection of pathways to care in patients with BD. Methodology: We studied perception of disease in six patients with BD through focused interviews. The results were analyzed from a qualitative approach. Results: We found that even when the main type of health care practices reported by these interviewees was the allopathic form, usually they combine and try different health care forms. This lets each patient to build their own pathway to care in order to meet their needs and their suffering from living with BD. Conclusion: Pathways to care in BD are composed of a combination of health care practices, this happens because the person needs to look for the possibility to get a stock of potential alternatives of treatment which allows to maximize his/her curative resources. Beside this, having a variety of treatment modalities helps bipolar people to deal with the different issues that are part of the experience of living with BD.