Photo of Geraldine E McBrinn, Clinical Social Work/Therapist in Silver Spring, MD
Geraldine E McBrinn
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Silver Spring, MD 20901
My areas of expertise include depression, bipolar, anxiety, psychosis, substance abuse, childhood mental health issues.
TELETHERAPY AVAILABLE. The idea of therapy can be overwhelming for anyone that hasn't sought it before or for someone who desires to restart therapy. My job as a licensed clinical social worker is not only to support you with whatever issue is taking place, but also to make you feel comfortable and safe to communicate what is usually very personal.
My areas of expertise include depression, bipolar, anxiety, psychosis, substance abuse, childhood mental health issues.
TELETHERAPY AVAILABLE. The idea of therapy can be overwhelming for anyone that hasn't sought it before or for someone who desires to restart therapy. My job as a licensed clinical social worker is not only to support you with whatever issue is taking place, but also to make you feel comfortable and safe to communicate what is usually very personal.
(301) 273-1728 View (301) 273-1728
Photo of Delverene Mills, Clinical Social Work/Therapist in Silver Spring, MD
Delverene Mills
Clinical Social Work/Therapist, MPA, LCSW-C
Verified Verified
Silver Spring, MD 20912  (Online Only)
If you are ready to take the next step in learning how to manage your anger, anxiety, depression, PTSD, grief, bipolar disorder, stress and relationships schedule an appointment with me.
Are you looking for a change and a way to erase the stigma within communities that seeking outside help is not what "we" do? I believe you are, as you took the first big step to do the research. I am proud of you! Therapy is a way for people from all walks of life to express themselves while learning effective therapeutic positive skills to assist with managing their everyday life through the various trials and tribulations they may face.
If you are ready to take the next step in learning how to manage your anger, anxiety, depression, PTSD, grief, bipolar disorder, stress and relationships schedule an appointment with me.
Are you looking for a change and a way to erase the stigma within communities that seeking outside help is not what "we" do? I believe you are, as you took the first big step to do the research. I am proud of you! Therapy is a way for people from all walks of life to express themselves while learning effective therapeutic positive skills to assist with managing their everyday life through the various trials and tribulations they may face.
(240) 775-1375 View (240) 775-1375
Photo of Andrea Goddard, Psychologist in Silver Spring, MD
Andrea Goddard
Psychologist, PsyD
Verified Verified
1 Endorsed
Silver Spring, MD 20910  (Online Only)
Dr. Andrea Goddard, the Clinical Director of the Center for Family and Behavioral Health (CBFH), devoted her career to providing psychological services to children, adolescents, adults, families and couples with a wide range of mental health and family relationship concerns. Dr. Goddard’s specialties include anxiety, ADHD, adjustment challenges, anger/aggression, bipolar disorder, depression, disruptive behavior, gender identity/questioning, noncompliance, OCD, tics, Tourette's, trauma, and family and couple relationship difficulties. Her approach is collaborative and she views clients as equal partners in the treatment process.
Dr. Andrea Goddard, the Clinical Director of the Center for Family and Behavioral Health (CBFH), devoted her career to providing psychological services to children, adolescents, adults, families and couples with a wide range of mental health and family relationship concerns. Dr. Goddard’s specialties include anxiety, ADHD, adjustment challenges, anger/aggression, bipolar disorder, depression, disruptive behavior, gender identity/questioning, noncompliance, OCD, tics, Tourette's, trauma, and family and couple relationship difficulties. Her approach is collaborative and she views clients as equal partners in the treatment process.
(443) 212-5077 View (443) 212-5077
Photo of Janice Fain Dean, Licensed Clinical Professional Counselor in Silver Spring, MD
Janice Fain Dean
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
Silver Spring, MD 20910
I work with a wide range of gifted people struggling with depression, anxiety, bipolar, family of origin challenges, and other mental health issues.
Kindness, unconditional acceptance, and deep listening: these are the basis of my work. If you are looking for someone who will connect with you, understand your particular life or work situation, and help you find and use your strengths to create more calm, better communication, more ease and love in your life, contact me. I always begin with deep listening, to help people find their own inner resources and build wellbeing. My office is fully accessible.
I work with a wide range of gifted people struggling with depression, anxiety, bipolar, family of origin challenges, and other mental health issues.
Kindness, unconditional acceptance, and deep listening: these are the basis of my work. If you are looking for someone who will connect with you, understand your particular life or work situation, and help you find and use your strengths to create more calm, better communication, more ease and love in your life, contact me. I always begin with deep listening, to help people find their own inner resources and build wellbeing. My office is fully accessible.
(301) 679-7886 View (301) 679-7886
Photo of Bailli L Coles, Clinical Social Work/Therapist in Silver Spring, MD
Bailli L Coles
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Silver Spring, MD 20914  (Online Only)
I specialize in the treatment of various mental health diagnoses, including but not limited to, ADHD, PTSD, complex PTSD, bipolar disorder, anxiety, and depression.
My goal as a therapist is to provide high quality therapeutic services that are accessible to everyone. I received my Bachelor of Science in Psychology from Howard University in Washington, DC and my Master of Social Work from University of Maryland School of Social Work in Baltimore, MD.
I specialize in the treatment of various mental health diagnoses, including but not limited to, ADHD, PTSD, complex PTSD, bipolar disorder, anxiety, and depression.
My goal as a therapist is to provide high quality therapeutic services that are accessible to everyone. I received my Bachelor of Science in Psychology from Howard University in Washington, DC and my Master of Social Work from University of Maryland School of Social Work in Baltimore, MD.
(301) 678-1278 View (301) 678-1278
Photo of Family Intervention Partners, Counselor in Silver Spring, MD
Family Intervention Partners
Counselor, MD, DNP, PhD, LCPC, LCSW-C
Verified Verified
Silver Spring, MD 20904
We treat Schizophrenia, Bipolar Disorders, Depression, Anxiety, PTSD, Panic Disorders, School Issues, Childhood Trauma, Emotional Disorders, Stress and Behavior Problems.
We provide medication management/psychiatry, therapy and psychiatric rehabilitation services. Our clinic consists of a team of licensed Prescribers, Psychologists, therapists, social workers, and case managers who work together to provide the best mental healthcare services to our patients. We provide comprehensive Child, Adolescent and Adult psychiatric treatment, and psychotherapy in a non-judgmental, patient-centered environment. We have bilingual therapists available. We are always accepting new clients and we do not have waitlists. Same day and next day appointments available!
We treat Schizophrenia, Bipolar Disorders, Depression, Anxiety, PTSD, Panic Disorders, School Issues, Childhood Trauma, Emotional Disorders, Stress and Behavior Problems.
We provide medication management/psychiatry, therapy and psychiatric rehabilitation services. Our clinic consists of a team of licensed Prescribers, Psychologists, therapists, social workers, and case managers who work together to provide the best mental healthcare services to our patients. We provide comprehensive Child, Adolescent and Adult psychiatric treatment, and psychotherapy in a non-judgmental, patient-centered environment. We have bilingual therapists available. We are always accepting new clients and we do not have waitlists. Same day and next day appointments available!
(301) 786-5657 View (301) 786-5657
Photo of Breighone Brown, Clinical Social Work/Therapist in Silver Spring, MD
Breighone Brown
Clinical Social Work/Therapist, LMSW
Verified Verified
Silver Spring, MD 20906
Are you suffering from symptoms of depression, ADHD, anxiety, bipolar, autism spectrum, OCD, and/or PTSD? I can help facilitate your healing process and provide a safe space to voice your deepest concerns freely. Our goal is to significantly improve your self-concept, increase a positive outlook on life, and, most importantly, feel like your best self.
Are you suffering from symptoms of depression, ADHD, anxiety, bipolar, autism spectrum, OCD, and/or PTSD? I can help facilitate your healing process and provide a safe space to voice your deepest concerns freely. Our goal is to significantly improve your self-concept, increase a positive outlook on life, and, most importantly, feel like your best self.
(240) 434-0568 View (240) 434-0568
Photo of Shyrielane A Watson, Licensed Clinical Professional Counselor in Silver Spring, MD
Shyrielane A Watson
Licensed Clinical Professional Counselor, MA, CAS, LCPC, NCC
Verified Verified
Silver Spring, MD 20910
Shyrielane specializes in the treatment of mood disorders (depression, bipolar disorder), anxiety disorders (panic disorders, social anxiety), Trauma (PTSD, Acute stress disorder, etc.
Shyrielane's goal is to provide outstanding customer service, sound biblical insight, quality psychotherapy, and effective outcome. You will experience an objective, non-judgmental, professional, who is willing to address religion and spirituality. She has over 10 years of clinical experience in treating adults, children, and families. You can expect a safe place where you will feel comfortable to open up and share your personal problems with someone who is willing to listen, encourage, and equip you with new skills.
Shyrielane specializes in the treatment of mood disorders (depression, bipolar disorder), anxiety disorders (panic disorders, social anxiety), Trauma (PTSD, Acute stress disorder, etc.
Shyrielane's goal is to provide outstanding customer service, sound biblical insight, quality psychotherapy, and effective outcome. You will experience an objective, non-judgmental, professional, who is willing to address religion and spirituality. She has over 10 years of clinical experience in treating adults, children, and families. You can expect a safe place where you will feel comfortable to open up and share your personal problems with someone who is willing to listen, encourage, and equip you with new skills.
(240) 244-9998 View (240) 244-9998
Photo of Claire Elaine Briscoe, Clinical Social Work/Therapist in Silver Spring, MD
Claire Elaine Briscoe
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20910  (Online Only)
I have been joyfully practicing psychotherapy for over 30 years in the greater Washington, D.C. area. I have a general practice and specialize in depression, bipolar disorder and addictions/recovery/co-dependency issues. I work with chronic illness and specialize in diabetes. My preferred modality is individual and couple's therapy. I enjoy my clients immensely and feel a great deal of satisfaction in helping people better their lives, alleviate depression and resolve painful relationship issues.
I have been joyfully practicing psychotherapy for over 30 years in the greater Washington, D.C. area. I have a general practice and specialize in depression, bipolar disorder and addictions/recovery/co-dependency issues. I work with chronic illness and specialize in diabetes. My preferred modality is individual and couple's therapy. I enjoy my clients immensely and feel a great deal of satisfaction in helping people better their lives, alleviate depression and resolve painful relationship issues.
(301) 852-6395 View (301) 852-6395
Photo of Gertrud Irmgard Classen-Miller, Clinical Social Work/Therapist in Silver Spring, MD
Gertrud Irmgard Classen-Miller
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Silver Spring, MD 20910
My areas of expertise include depression/anxiety/bipolar/psychosis, eating disorders, substance abuse and family/couples/children issues.
TELETHERAPY AVAILABLE, Welcome to collaborative and solution based help to experience joy, success and purpose in your life. For over 25 years I have worked with adults, couples, families, adolescents and children in Maryland. My practice is culturally and ethnically diverse. I founded the group practice Classen-Miller & Associates which offers a full range of clinical approaches for all age groups with our licensed clinicians reflecting the full diversity of our community.
My areas of expertise include depression/anxiety/bipolar/psychosis, eating disorders, substance abuse and family/couples/children issues.
TELETHERAPY AVAILABLE, Welcome to collaborative and solution based help to experience joy, success and purpose in your life. For over 25 years I have worked with adults, couples, families, adolescents and children in Maryland. My practice is culturally and ethnically diverse. I founded the group practice Classen-Miller & Associates which offers a full range of clinical approaches for all age groups with our licensed clinicians reflecting the full diversity of our community.
(301) 747-3565 View (301) 747-3565
Photo of Alem Asefa, Counselor in Silver Spring, MD
Alem Asefa
Counselor, LGPC
Verified Verified
1 Endorsed
Silver Spring, MD 20903  (Online Only)
Individuals looking to manage or eliminate depression, trauma, PTSD, ADHD, bipolar disorder, low self-esteem, health challenges, career stress, relationship issues, grief and loss, identity/immigrant experiences and transitions work with me to identify and implement strategies to manage or eliminate stress and distress. Through identifying, understanding and evaluating emotional states, thinking and behavior patterns we eliminate and replace unproductive habits with more adaptive patterns toward an increased sense of well-being and ability to thrive and function satisfactorily.
Individuals looking to manage or eliminate depression, trauma, PTSD, ADHD, bipolar disorder, low self-esteem, health challenges, career stress, relationship issues, grief and loss, identity/immigrant experiences and transitions work with me to identify and implement strategies to manage or eliminate stress and distress. Through identifying, understanding and evaluating emotional states, thinking and behavior patterns we eliminate and replace unproductive habits with more adaptive patterns toward an increased sense of well-being and ability to thrive and function satisfactorily.
(240) 221-5216 View (240) 221-5216
Photo of Christopher Trotman, Clinical Social Work/Therapist in Silver Spring, MD
Christopher Trotman
Clinical Social Work/Therapist, LMSW
Verified Verified
Silver Spring, MD 20904  (Online Only)
My experience, including living with sickle cell anemia, allows me to specialize in chronic illness, pain, emotional regulation, depression, anxiety, trauma, bipolar disorder and other related issues.
Hey there! If you're here, you may be starting (or continuing) a journey of self-discovery. As a dedicated licensed master social worker, I'm honored to assist you. I know reaching out for help can be difficult sometimes. If you’re willing to take that intimidating first step, I promise you- I will do my best in helping make it as easy and enjoyable for you as I possibly can. I aim to create a healing space, where we'll laugh together, you may cry, and you'll feel ready to overcome challenges. Shoot me an email and we'll schedule a free 15 min consultation! Now accepting clients in both MD and AZ
My experience, including living with sickle cell anemia, allows me to specialize in chronic illness, pain, emotional regulation, depression, anxiety, trauma, bipolar disorder and other related issues.
Hey there! If you're here, you may be starting (or continuing) a journey of self-discovery. As a dedicated licensed master social worker, I'm honored to assist you. I know reaching out for help can be difficult sometimes. If you’re willing to take that intimidating first step, I promise you- I will do my best in helping make it as easy and enjoyable for you as I possibly can. I aim to create a healing space, where we'll laugh together, you may cry, and you'll feel ready to overcome challenges. Shoot me an email and we'll schedule a free 15 min consultation! Now accepting clients in both MD and AZ
(301) 851-0601 View (301) 851-0601
Photo of Nana Daining Board Approved Supervisor, Clinical Social Work/Therapist in Silver Spring, MD
Nana Daining Board Approved Supervisor
Clinical Social Work/Therapist, LCSW-C, CCTP, CIMHP
Verified Verified
2 Endorsed
Silver Spring, MD 20901  (Online Only)
I am a Certified Trauma Specialist who treats both Single and Complex trauma. I also see clients with Anxiety, Depression, Bipolar Disorder, OCD, Relationship issues, Grief and loss counseling, and adjustment related issues. I am Certified in Cognitive Behavioral , and Dialectical Behavioral Therapies, and trained in Motivational Interviewing, Functional and Nutritional Medicine. My therapy style is Strength-based, Person-Centered, combining the above listed treatment modalities with psycho-education, and engagement. Creating a safe and healing environment for my clients.
I am a Certified Trauma Specialist who treats both Single and Complex trauma. I also see clients with Anxiety, Depression, Bipolar Disorder, OCD, Relationship issues, Grief and loss counseling, and adjustment related issues. I am Certified in Cognitive Behavioral , and Dialectical Behavioral Therapies, and trained in Motivational Interviewing, Functional and Nutritional Medicine. My therapy style is Strength-based, Person-Centered, combining the above listed treatment modalities with psycho-education, and engagement. Creating a safe and healing environment for my clients.
(240) 213-4440 View (240) 213-4440
Photo of Sheila Lucia Cuomo, Licensed Clinical Professional Counselor in Silver Spring, MD
Sheila Lucia Cuomo
Licensed Clinical Professional Counselor, EdD, LCPC
Verified Verified
Silver Spring, MD 20903
I provide therapy to individuals, adults, adolescents, families & couples struggling with mental health disorders, poor communication, & issues that interfere with a quality of life and cohesiveness with others. I work with individuals suffering from depression, anxiety, stress, trauma, complex trauma & addictions. I use a person-centered approach to build a trusting relationship with my clients and offer a healing environment to begin the healing process. I strive to help individuals learn and develop useful tools, decrease maladaptive behaviors & help them change their distorted thinking that most often interferes with success.
I provide therapy to individuals, adults, adolescents, families & couples struggling with mental health disorders, poor communication, & issues that interfere with a quality of life and cohesiveness with others. I work with individuals suffering from depression, anxiety, stress, trauma, complex trauma & addictions. I use a person-centered approach to build a trusting relationship with my clients and offer a healing environment to begin the healing process. I strive to help individuals learn and develop useful tools, decrease maladaptive behaviors & help them change their distorted thinking that most often interferes with success.
(240) 713-5878 View (240) 713-5878
Photo of iHeal Wellness Therapy and Consulting, LLC, Clinical Social Work/Therapist in Silver Spring, MD
iHeal Wellness Therapy and Consulting, LLC
Clinical Social Work/Therapist, PhD, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20910
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
(240) 641-1845 View (240) 641-1845
Photo of Whitney Hunt, Clinical Social Work/Therapist in Silver Spring, MD
Whitney Hunt
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20906  (Online Only)
Throughout our lives, we often need support in overcoming personal and/or environmental challenges and addressing issues that prevent us from being successful, feeling fulfilled, and living healthy lives. Using a warm, genuine, and empathic approach, I work with clients to build trusting and collaborative relationships that help them gain a deeper understanding of themselves, experience emotional relief, and feel empowered to make profound change. By creating a safe and accepting environment, we will explore difficult or confusing experiences together with the goal of making sense of difficulties and where they may have originated.
Throughout our lives, we often need support in overcoming personal and/or environmental challenges and addressing issues that prevent us from being successful, feeling fulfilled, and living healthy lives. Using a warm, genuine, and empathic approach, I work with clients to build trusting and collaborative relationships that help them gain a deeper understanding of themselves, experience emotional relief, and feel empowered to make profound change. By creating a safe and accepting environment, we will explore difficult or confusing experiences together with the goal of making sense of difficulties and where they may have originated.
(443) 815-4927 View (443) 815-4927
Photo of Saba Wong, Clinical Social Work/Therapist in Silver Spring, MD
Saba Wong
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Silver Spring, MD 20910  (Online Only)
Saba is a compassionate, person-centered therapist who creates a warm and safe environment for her clients to express themselves freely and without judgement. Saba’s goal is to help others feel heard, empowered, and valued. Saba has extensive experience working with children and adults who have experienced anxiety, depression, and trauma.
Saba is a compassionate, person-centered therapist who creates a warm and safe environment for her clients to express themselves freely and without judgement. Saba’s goal is to help others feel heard, empowered, and valued. Saba has extensive experience working with children and adults who have experienced anxiety, depression, and trauma.
(240) 266-9158 View (240) 266-9158
Photo of Andrea Kim, Clinical Social Work/Therapist in Silver Spring, MD
Andrea Kim
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Waitlist for new clients
No matter how hard we try, sometimes we feel stuck dwelling on thoughts and feelings that we know hinder us from being able to move forward in our lives. I believe that therapy is a space for those that feel stuck to not only develop health coping skills, but also assess the impact that their life experiences might've had on their worldview and behaviors. I want to hold space for you to explore, unlearn and grow at a pace that is right for you.
No matter how hard we try, sometimes we feel stuck dwelling on thoughts and feelings that we know hinder us from being able to move forward in our lives. I believe that therapy is a space for those that feel stuck to not only develop health coping skills, but also assess the impact that their life experiences might've had on their worldview and behaviors. I want to hold space for you to explore, unlearn and grow at a pace that is right for you.
(240) 724-8754 View (240) 724-8754
Photo of Re-New Psychological Services, Psychologist in Silver Spring, MD
Re-New Psychological Services
Psychologist, PhD
Verified Verified
3 Endorsed
Silver Spring, MD 20910  (Online Only)
At Re-New Psychological we are of the belief that you're doing the best you can with the tools that you have. We work to help you identify your strengths and your successes and identify areas of growth. Rather than highlighting pathology in your life, we help you develop new tools to overcome any roadblocks you have encountered. We bring clinical expertise to our work with you, but regard you as the expert on your life. You can expect that our work with you will be collaborative and goal-focused.
At Re-New Psychological we are of the belief that you're doing the best you can with the tools that you have. We work to help you identify your strengths and your successes and identify areas of growth. Rather than highlighting pathology in your life, we help you develop new tools to overcome any roadblocks you have encountered. We bring clinical expertise to our work with you, but regard you as the expert on your life. You can expect that our work with you will be collaborative and goal-focused.
(202) 688-3813 View (202) 688-3813
Photo of Albena Tzaneff, Counselor in Silver Spring, MD
Albena Tzaneff
Counselor, MA, LPC, CCM
Verified Verified
Silver Spring, MD 20906  (Online Only)
As a foreign-born immigrant from Bulgaria, I work especially well with people from collectivistic cultures like my own. If you desire a transformation in your life, I offer supportive skills balanced with authentic and collaborative techniques aimed at identifying patterns that keep you from showing up as your best self. I offer a fresh take on therapy that balances evidence-based strategies with grounding mind/body approaches.
As a foreign-born immigrant from Bulgaria, I work especially well with people from collectivistic cultures like my own. If you desire a transformation in your life, I offer supportive skills balanced with authentic and collaborative techniques aimed at identifying patterns that keep you from showing up as your best self. I offer a fresh take on therapy that balances evidence-based strategies with grounding mind/body approaches.
(301) 265-3116 View (301) 265-3116

See more therapy options for Silver Spring

Bipolar Disorder Therapists

What is the most successful approach to treating bipolar disorder?

Living with bipolar disorder can be challenging, and a number of therapies have been found effective in providing support to patients as they gain the skills to understand and manage the disorder. Family-focused therapy is often helpful for children and teens (the majority of cases develop before age 19); it aims to minimize mood cycling by improving family communication and reducing conflict. It also helps young people navigate the developmental challenges the disorder can create. Cognitive and behavioral therapy (CBT) and variants such as Dialectical behavior therapy (DBT)help patients manage the thoughts and feelings that influence bipolar mood swings as well as develop specific behavioral strategies to counteract them.

What happens in therapy for bipolar disorder?

Because the patterns of mood switching and its triggers differ for each person and can change over time, mood tracking or monitoring becomes a basic way patients learn about the nature of their condition. One of the most common features of therapy is finding a workable method of mood monitoring, in which patients track their daily activities and rate their moods, then use the findings to adjust routines accordingly. Patients learn ways of handling the many stresses that arise in life so that they do not trigger mood swings.

What kinds of problems does therapy help with?

Like many other mental health disorders, BPD is heavily influenced by stress; therapy provides skills for coping with stressors of all kinds. Therapy is extremely important for helping individuals identify the situations that may trigger mood switching, so that mood swings can be prevented. Therapy may especially target recognition of the early stages of mood change so that they can be managed. In addition, therapy helps patients deal with the significant amount of turbulence the disorder can create in relationships and in work life.

What is the goal of therapy for bipolar disorder?

Therapy helps patients set up their lives to maintain stability so that their mood isn’t constantly threatened by daily events. Perhaps the first task of therapy is to educate people about the nature of the disorder. At the same time, a primary goal of therapy is to enhance adherence to drug treatment. Extended periods of mood stability can prompt patients to discontinue medication, triggering relapse, while the early phases of manic episodes can feel so energizing that patients stop medication, ushering in full-blown mania and the altered self-perception that can lead to destructive behaviors. Another major goal of therapy is to understand one’s mood patterns so as to minimize both the frequency and intensity of mood cycling.