Photo of Gil Winkelman ND in Portland, OR
Gil Winkelman ND
ND, MA
Verified Verified
Portland, OR 97210  (Online Only)
His primary interests are in Autism/ASD/Asperger's, OCD, ADD/ADHD, schizophrenia, migraines and bipolar disorders.
Dr Winkelman's focus is on understanding patients personal traits and health history to customize treatments that have the maximum possible impact. With a focus on neurological (brain) health, he uses a combination of neurofeedback, Walsh Protocol, and other natural treatments to help patients with a variety of conditions including, but not limited to: migraines, digestive disorders, depression, anxiety, Aspergers/Autism, OCD, ADD/ADHD, and Radical Attachment Disorder. Dr. Winkelman was trained in Neurofeedback by BCIA certified practitioners and utilizes the most up-to-date equipment in his practice. He has worked with veterans.
His primary interests are in Autism/ASD/Asperger's, OCD, ADD/ADHD, schizophrenia, migraines and bipolar disorders.
Dr Winkelman's focus is on understanding patients personal traits and health history to customize treatments that have the maximum possible impact. With a focus on neurological (brain) health, he uses a combination of neurofeedback, Walsh Protocol, and other natural treatments to help patients with a variety of conditions including, but not limited to: migraines, digestive disorders, depression, anxiety, Aspergers/Autism, OCD, ADD/ADHD, and Radical Attachment Disorder. Dr. Winkelman was trained in Neurofeedback by BCIA certified practitioners and utilizes the most up-to-date equipment in his practice. He has worked with veterans.
(503) 451-6760 View (503) 451-6760
Photo of Cassandra Gardner, Licensed Professional Counselor in Portland, OR
Cassandra Gardner
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Portland, OR 97212  (Online Only)
When working with clients I prioritize the therapeutic relationship. We become a team working toward your goals, and I place significant value on honesty, authenticity, humor, compassion, validation, and accountability into our work together. Since starting my counseling practice I have worked with people of all ages and backgrounds experiencing various challenges including but not limited to anxiety, depression, OCD, trauma, gender dysphoria, grief, interpersonal issues, life transitions, adoption, self-esteem, bipolar II disorder, and more.
When working with clients I prioritize the therapeutic relationship. We become a team working toward your goals, and I place significant value on honesty, authenticity, humor, compassion, validation, and accountability into our work together. Since starting my counseling practice I have worked with people of all ages and backgrounds experiencing various challenges including but not limited to anxiety, depression, OCD, trauma, gender dysphoria, grief, interpersonal issues, life transitions, adoption, self-esteem, bipolar II disorder, and more.
(503) 966-8721 View (503) 966-8721
Photo of Dr. Dianna Harris (Accepting New Clients), Psychologist in Portland, OR
Dr. Dianna Harris (Accepting New Clients)
Psychologist, PsyD, PMHNP
Verified Verified
Portland, OR 97229
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 4/22/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 4/22/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
(971) 606-4749 View (971) 606-4749
Photo of Nicole Casthely, Clinical Social Work Associate in Portland, OR
Nicole Casthely
Clinical Social Work Associate, MSW, CSWA
Verified Verified
1 Endorsed
Portland, OR 97086  (Online Only)
Currently accepting new clients. Hi, I’m Nicole. I’m a therapist who works with teens and adults experiencing depression, anxiety, and trauma. I also work with members of the LGTBQIA+ and BIPOC communities. My other treatment focuses are bipolar disorders, obsessive-compulsive disorder (OCD), grief, relationship issues, and family conflicts. I am excited to provide you with individualized sessions specific to your current concerns.
Currently accepting new clients. Hi, I’m Nicole. I’m a therapist who works with teens and adults experiencing depression, anxiety, and trauma. I also work with members of the LGTBQIA+ and BIPOC communities. My other treatment focuses are bipolar disorders, obsessive-compulsive disorder (OCD), grief, relationship issues, and family conflicts. I am excited to provide you with individualized sessions specific to your current concerns.
(503) 832-4924 View (503) 832-4924
Photo of Dr. Dianna Harris (Accepting New Clients), Psychologist in Portland, OR
Dr. Dianna Harris (Accepting New Clients)
Psychologist, PsyD, PMHNP
Verified Verified
Portland, OR 97219
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 4/22/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 4/22/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
(503) 476-9855 View (503) 476-9855
Photo of Lacey Burnett, Clinical Social Work/Therapist in Portland, OR
Lacey Burnett
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, OR 97219  (Online Only)
I have experience in addressing a wide range of concerns and diagnoses, including anxiety, depression, bipolar disorder, relationship issues, chronic health struggles, self-esteem, stress management, and ADHD. My goal is to empower my clients with tools and insights that can facilitate positive change and enhance their overall quality of life.
I have experience in addressing a wide range of concerns and diagnoses, including anxiety, depression, bipolar disorder, relationship issues, chronic health struggles, self-esteem, stress management, and ADHD. My goal is to empower my clients with tools and insights that can facilitate positive change and enhance their overall quality of life.
(503) 739-9366 View (503) 739-9366
Photo of Evan Egener, Licensed Professional Counselor in Portland, OR
Evan Egener
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Portland, OR 97215
I provide a nonjudgmental space for you to heal and grow. My practice is evidence-based and includes a variety of focuses. I have specific experience with individuals working in tech, healthcare providers, and legal professionals. Neurodivergence, autism, and associated relational challenges are areas where I have advanced training. I specialize in anxiety, ADHD, trauma, bipolar, depression, substance use disorders, parenting challenges, and relationship issues. My practice is LGBTQIA+ affirming, and I specialize in gender and sexual diversity.
I provide a nonjudgmental space for you to heal and grow. My practice is evidence-based and includes a variety of focuses. I have specific experience with individuals working in tech, healthcare providers, and legal professionals. Neurodivergence, autism, and associated relational challenges are areas where I have advanced training. I specialize in anxiety, ADHD, trauma, bipolar, depression, substance use disorders, parenting challenges, and relationship issues. My practice is LGBTQIA+ affirming, and I specialize in gender and sexual diversity.
(971) 206-6404 View (971) 206-6404
Photo of Elizabeth Leah Downs, Clinical Social Work/Therapist in Portland, OR
Elizabeth Leah Downs
Clinical Social Work/Therapist, LCSW, CHT, ACSW
Verified Verified
Portland, OR 97280
I work well with depression, grief, anger management, anxiety/ panic attacks, trauma/ sexual abuse, bipolar & obsessive-compulsive disorders, substance abuse & addictions, as well as with relationship, family, work & school difficulties.
Seeking therapy is an act of courage when your life is not working, when you are feeling overwhelming emotions, or are ready to grow. With over 35 years of experience, I work skillfully with adults, children, families & couples. I am here to compassionately facilitate your learning to live your life with emotional freedom, purpose, creativity, passion & joy! Get in touch with the strength & beauty of your Inner Self & develop more satisfying relationships. Examine your thinking & beliefs & develop mindfulness, transforming your moods & your life. I use a gentle therapeutic style which is an eclectic, psychodynamic, humanistic, transpersonal & holistic wellness approach.
I work well with depression, grief, anger management, anxiety/ panic attacks, trauma/ sexual abuse, bipolar & obsessive-compulsive disorders, substance abuse & addictions, as well as with relationship, family, work & school difficulties.
Seeking therapy is an act of courage when your life is not working, when you are feeling overwhelming emotions, or are ready to grow. With over 35 years of experience, I work skillfully with adults, children, families & couples. I am here to compassionately facilitate your learning to live your life with emotional freedom, purpose, creativity, passion & joy! Get in touch with the strength & beauty of your Inner Self & develop more satisfying relationships. Examine your thinking & beliefs & develop mindfulness, transforming your moods & your life. I use a gentle therapeutic style which is an eclectic, psychodynamic, humanistic, transpersonal & holistic wellness approach.
(503) 444-9712 View (503) 444-9712
Photo of Monika Zoretic, Counselor in Portland, OR
Monika Zoretic
Counselor, MA, LPCC
Verified Verified
Portland, OR 97204
I am experienced helping people with eating disorders, mood disorders (depression, anxiety, bipolar disorder), trauma, and PTSD. Adoption and blended family problems are also close to my heart and I enjoy helping others in these areas. I am Star Behavioral Health Tier 2 trained and have lived the military life as a spouse of a career Marine. I work with those aged 5 and older. If you need someone who can really listen to you and help you figure out how to change your life for the better, I can help you.
I am experienced helping people with eating disorders, mood disorders (depression, anxiety, bipolar disorder), trauma, and PTSD. Adoption and blended family problems are also close to my heart and I enjoy helping others in these areas. I am Star Behavioral Health Tier 2 trained and have lived the military life as a spouse of a career Marine. I work with those aged 5 and older. If you need someone who can really listen to you and help you figure out how to change your life for the better, I can help you.
(614) 441-9988 View (614) 441-9988
Photo of Steven M Brown, Counselor in Portland, OR
Steven M Brown
Counselor, MA, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Portland, OR 97202  (Online Only)
Not only limited to the anxiety, depression, bipolar, PTSD, ADHD/ADD, OCD, anger issues, and personality disorders or attachment issues.
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
Not only limited to the anxiety, depression, bipolar, PTSD, ADHD/ADD, OCD, anger issues, and personality disorders or attachment issues.
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
(253) 466-7490 View (253) 466-7490
Photo of Erin Reyburn, Licensed Professional Counselor in Portland, OR
Erin Reyburn
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
Portland, OR 97086  (Online Only)
​I specialize in the treatment of adults struggling with LGBTQ+ issues, anxiety, depression, bipolar disorder, life transitions, and relational stressors.
I am a state-licensed and board-certified Professional Counselor in Oregon and Washington. I received my Master’s Degree in Clinical Psychology with an Emphasis in Marriage and Family Therapy from Pepperdine University and began my clinical work in the mental health field in 2006.
​I specialize in the treatment of adults struggling with LGBTQ+ issues, anxiety, depression, bipolar disorder, life transitions, and relational stressors.
I am a state-licensed and board-certified Professional Counselor in Oregon and Washington. I received my Master’s Degree in Clinical Psychology with an Emphasis in Marriage and Family Therapy from Pepperdine University and began my clinical work in the mental health field in 2006.
(503) 455-7381 View (503) 455-7381
Photo of Southern Oregon Psychiatry, LLC in Portland, OR
Southern Oregon Psychiatry, LLC
PMHNP
Verified Verified
Portland, OR 97086
Visit our website sopsychiatry.com to request a consultation. Southern Oregon Psychiatry offers comprehensive psychiatric services to adults throughout Oregon. Conditions treated include mood disorders (e.g. depression, bipolar disorder), ADHD, anxiety disorders, psychosis, PTSD, OCD and substance use disorders. We offer special rates for veterans and first responders.
Visit our website sopsychiatry.com to request a consultation. Southern Oregon Psychiatry offers comprehensive psychiatric services to adults throughout Oregon. Conditions treated include mood disorders (e.g. depression, bipolar disorder), ADHD, anxiety disorders, psychosis, PTSD, OCD and substance use disorders. We offer special rates for veterans and first responders.
(541) 243-5314 View (541) 243-5314
Photo of Cathedral Park Counseling , Clinical Social Work/Therapist in Portland, OR
Cathedral Park Counseling
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Portland, OR 97203
Are you feeling overwhelmed by anxiety or struggling with obsessive thoughts and compulsions? As a therapist specializing in anxiety and OCD, I understand the unique challenges that people face in managing these conditions. Using evidence-based techniques such as Cognitive Behavioral Therapy (CBT), I can help you develop practical strategies to overcome your fears and regain control of your life. Whether it's social anxiety holding you back from enjoying life to the fullest or intrusive thoughts disrupting your daily activities, together we can work towards building resilience and finding peace of mind. Let's get started.
Are you feeling overwhelmed by anxiety or struggling with obsessive thoughts and compulsions? As a therapist specializing in anxiety and OCD, I understand the unique challenges that people face in managing these conditions. Using evidence-based techniques such as Cognitive Behavioral Therapy (CBT), I can help you develop practical strategies to overcome your fears and regain control of your life. Whether it's social anxiety holding you back from enjoying life to the fullest or intrusive thoughts disrupting your daily activities, together we can work towards building resilience and finding peace of mind. Let's get started.
(971) 800-2078 View (971) 800-2078
Photo of Jake Hamilton in Portland, OR
Jake Hamilton
ND, MS
Verified Verified
1 Endorsed
Portland, OR 97211
I’m interested in working with people who would like to take a holistic look at their mental health. This can include an interpersonal counseling approach as well as testing for and treating any potential underlying physiological causes of mental and emotional symptoms. I particularly enjoy working with people with mood disorders, ADHD, anxiety, and OCD.
I’m interested in working with people who would like to take a holistic look at their mental health. This can include an interpersonal counseling approach as well as testing for and treating any potential underlying physiological causes of mental and emotional symptoms. I particularly enjoy working with people with mood disorders, ADHD, anxiety, and OCD.
(971) 351-3213 View (971) 351-3213
Photo of Paula Emerick, Marriage & Family Therapist in Portland, OR
Paula Emerick
Marriage & Family Therapist, LMFT, CADC I
Verified Verified
Portland, OR 97214  (Online Only)
Waitlist for new clients
I believe the most important parts of therapy are trust and collaboration. You'll know immediately if the therapist is right for you. If you don't feel it, keep looking. There's a lot of us therapists out here and your time and self-work are important! Additionally, at our most vulnerable times in life, we need someone who will hold a safe space for us to approach our edges - the parts of us we tend to avoid or neglect. Addressing our 'issues' is intensely brave and can also be terrifying! I commend you for embarking on this journey and invite you to call me if my words resonate with your needs.
I believe the most important parts of therapy are trust and collaboration. You'll know immediately if the therapist is right for you. If you don't feel it, keep looking. There's a lot of us therapists out here and your time and self-work are important! Additionally, at our most vulnerable times in life, we need someone who will hold a safe space for us to approach our edges - the parts of us we tend to avoid or neglect. Addressing our 'issues' is intensely brave and can also be terrifying! I commend you for embarking on this journey and invite you to call me if my words resonate with your needs.
(971) 260-4121 View (971) 260-4121
Photo of Randy Olander, Psychologist in Portland, OR
Randy Olander
Psychologist, PhD
Verified Verified
Portland, OR 97213  (Online Only)
I’m similar to the clients I work with in a lot of ways. Before becoming a psychologist, I held numerous jobs as a warehouse worker, a cook, a salesman, a teacher, and a nurse. I began working in mental health in the 1983 first as an assistant for hospitalized persons suffering with mental illness. I then became a psychiatric nurse where I helped clients with their medications the psychiatrist prescribed them. For the last 24 years I have provided psychotherapy to hundreds of clients. I think my long time working as a therapist and my down to earth nature is what makes me different.
I’m similar to the clients I work with in a lot of ways. Before becoming a psychologist, I held numerous jobs as a warehouse worker, a cook, a salesman, a teacher, and a nurse. I began working in mental health in the 1983 first as an assistant for hospitalized persons suffering with mental illness. I then became a psychiatric nurse where I helped clients with their medications the psychiatrist prescribed them. For the last 24 years I have provided psychotherapy to hundreds of clients. I think my long time working as a therapist and my down to earth nature is what makes me different.
(503) 994-5004 View (503) 994-5004
Photo of Christopher Lee Creaturo, Licensed Professional Counselor in Portland, OR
Christopher Lee Creaturo
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97205  (Online Only)
I work with clients to offer serious relief from the effects of trauma, depression and anxiety on their lives. Tools like EMDR and Internal Family Systems, as well the creation of a judgement-free space to talk can bring hope to the stuck parts of our worlds, and finally allow us to be present in our own lives again. Finding relief can feel like taking a first deep breath after being underwater for a long time, and that's an outcome worth fighting together for. Please email to learn more and find our if we make a good therapy team.
I work with clients to offer serious relief from the effects of trauma, depression and anxiety on their lives. Tools like EMDR and Internal Family Systems, as well the creation of a judgement-free space to talk can bring hope to the stuck parts of our worlds, and finally allow us to be present in our own lives again. Finding relief can feel like taking a first deep breath after being underwater for a long time, and that's an outcome worth fighting together for. Please email to learn more and find our if we make a good therapy team.
(458) 217-6034 View (458) 217-6034
James D Boyer
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97229
I have a passion for human growth processes. Throughout my thirty years of practice I have appreciated the opportunity to be a resource for those seeking a shift in their lives towards greater health, resolution of trauma and better functioning in the adventure of close relationships. I work with individuals, couples and families collaboratively to find their path towards fuller experiences of self hood and relatedness. I approach human challenges from an integrated framework of family/attachment theory, interpersonal neurobiology and optimal brain functioning. Through research based approaches to greater self regulation clients expand their capacity for health
I have a passion for human growth processes. Throughout my thirty years of practice I have appreciated the opportunity to be a resource for those seeking a shift in their lives towards greater health, resolution of trauma and better functioning in the adventure of close relationships. I work with individuals, couples and families collaboratively to find their path towards fuller experiences of self hood and relatedness. I approach human challenges from an integrated framework of family/attachment theory, interpersonal neurobiology and optimal brain functioning. Through research based approaches to greater self regulation clients expand their capacity for health
(503) 966-5793 View (503) 966-5793
Photo of Sheena Jain, Licensed Professional Counselor in Portland, OR
Sheena Jain
Licensed Professional Counselor, LMHC
Verified Verified
1 Endorsed
Portland, OR 97225
Hello, I'm Sheena. My mission is to assist individuals in navigating the complexities of trauma, depression, and anxiety. I embrace an eclectic approach that encourages awareness, creativity, multicultural appreciation, and gratitude within a safe and nurturing environment. To promote healing and empower my clients, I utilize therapeutic techniques like Acceptance Commitment Therapy (ACT), EMDR, and Somatic Techniques, often resulting in an enhanced sense of self-worth and the ability to recall past events without feeling triggered.
Hello, I'm Sheena. My mission is to assist individuals in navigating the complexities of trauma, depression, and anxiety. I embrace an eclectic approach that encourages awareness, creativity, multicultural appreciation, and gratitude within a safe and nurturing environment. To promote healing and empower my clients, I utilize therapeutic techniques like Acceptance Commitment Therapy (ACT), EMDR, and Somatic Techniques, often resulting in an enhanced sense of self-worth and the ability to recall past events without feeling triggered.
(503) 278-3732 View (503) 278-3732
Photo of Cameron F. Esprit, LPC Intern in Portland, OR
Cameron F. Esprit
LPC Intern
Verified Verified
1 Endorsed
Portland, OR 97205
I welcome all walks of life in my practice—come as you are. Regardless of the specific issues you face, I'm confident that I can assist you. I integrate the wisdom of history's greatest thinkers with contemporary mental health research, offering a therapeutic partnership that is both mentally enriching and emotionally supportive. My aim is for us to develop a practical philosophy of life for you, tailored to aid you in the navigation of your experiences and challenges.
I welcome all walks of life in my practice—come as you are. Regardless of the specific issues you face, I'm confident that I can assist you. I integrate the wisdom of history's greatest thinkers with contemporary mental health research, offering a therapeutic partnership that is both mentally enriching and emotionally supportive. My aim is for us to develop a practical philosophy of life for you, tailored to aid you in the navigation of your experiences and challenges.
(971) 299-7022 View (971) 299-7022

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.