Photo of Rhonda Kay Fousek, Licensed Professional Counselor in Fredericksburg, TX
Rhonda Kay Fousek
Licensed Professional Counselor, LPC-S
Verified Verified
Fredericksburg, TX 78624
Waitlist for new clients
In this crazy, non predictable world are you anxious, angry or overwhelmed? Are you more stressed, avoiding others, or are you to the point of calling it quits? Are you dealing with depression, anxiety, relationship issues, ADHD, PTSD, trauma or abuse. I believe we learn survival skills from our past that affect your present relationships, but are no longer heathy & we feel stuck. I am a Christian Therapist for over 20years. There is HOPE. God is a God of attachments and HE says it is not good to be alone. HE has given me to passion and HIS knowledge and HIS Wisdom to help you walk through this journey. You are not alone.
In this crazy, non predictable world are you anxious, angry or overwhelmed? Are you more stressed, avoiding others, or are you to the point of calling it quits? Are you dealing with depression, anxiety, relationship issues, ADHD, PTSD, trauma or abuse. I believe we learn survival skills from our past that affect your present relationships, but are no longer heathy & we feel stuck. I am a Christian Therapist for over 20years. There is HOPE. God is a God of attachments and HE says it is not good to be alone. HE has given me to passion and HIS knowledge and HIS Wisdom to help you walk through this journey. You are not alone.
(830) 433-8946 View (830) 433-8946

Online Therapists

Photo of Meredith Rogers, Licensed Professional Counselor in Fredericksburg, TX
Meredith Rogers
Licensed Professional Counselor, MA, LPCC, NCC
Verified Verified
2 Endorsed
Harker Heights, TX 76548
I have significant experience with patients suffering from depression, anxiety disorders, substance abuse, bipolar disorder and suicidal thoughts.
My approach to therapy is empathetic and gentle, yet practical and straightforward. I use cognitive behavioral therapy, which is the most widely used evidence-based practice. I partner with my clients to challenge their thoughts, ideas, and behaviors with the goal of facilitating real, lasting change and to achieve personal growth. Some of my specialties include anxiety, depression, substance abuse, coping skills, military family issues, marriage and family counseling. There are "therapy apps" that may be helpful for some but they do not deliver the experience of having therapy in person.
I have significant experience with patients suffering from depression, anxiety disorders, substance abuse, bipolar disorder and suicidal thoughts.
My approach to therapy is empathetic and gentle, yet practical and straightforward. I use cognitive behavioral therapy, which is the most widely used evidence-based practice. I partner with my clients to challenge their thoughts, ideas, and behaviors with the goal of facilitating real, lasting change and to achieve personal growth. Some of my specialties include anxiety, depression, substance abuse, coping skills, military family issues, marriage and family counseling. There are "therapy apps" that may be helpful for some but they do not deliver the experience of having therapy in person.
(254) 332-2382 View (254) 332-2382
Photo of Arthur Gaylian Kirby II, Licensed Professional Counselor in Fredericksburg, TX
Arthur Gaylian Kirby II
Licensed Professional Counselor, MS MDIV, LPC(S)
Verified Verified
San Antonio, TX 78229
Life experience has taught me to understand mental illness, bipolar mood disorder, other mood disorders, personality disorders, abuse victims of multiple sources, attachment disorders, sick and healthy religion and spiritually.
My job is to help people live happier lives. My office is a continuing education service for all who enter. The goal for me, and hopefully for the person I am working with, is to learn from each other through the change agent of conversation. After 40 years of experience, my belief is that humans never really change until what they have done is working anymore, is broken, and/or gone. Thus change begins with loss, some small and some life ending. At these moments of transition, learning how to let go is the lesson, whether we like it or not. Whatever big change you are going through, positive or negative begins with an ending.
Life experience has taught me to understand mental illness, bipolar mood disorder, other mood disorders, personality disorders, abuse victims of multiple sources, attachment disorders, sick and healthy religion and spiritually.
My job is to help people live happier lives. My office is a continuing education service for all who enter. The goal for me, and hopefully for the person I am working with, is to learn from each other through the change agent of conversation. After 40 years of experience, my belief is that humans never really change until what they have done is working anymore, is broken, and/or gone. Thus change begins with loss, some small and some life ending. At these moments of transition, learning how to let go is the lesson, whether we like it or not. Whatever big change you are going through, positive or negative begins with an ending.
(210) 664-4392 View (210) 664-4392
Photo of Joann Martillotti-Cartwright, Licensed Professional Counselor in Fredericksburg, TX
Joann Martillotti-Cartwright
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Cedar Park, TX 78613
My specialties are: family struggles around recovery/addiction/mental health issues; substance abuse/addictions; anger management, healthy relationships, and challenging personalities/relationship behaviors; and trauma, depression/bipolar disorder, and anxiety.
My clients’ success has made space for you! Move from stuck to empowered! If you want to change - your relationships, your relationship to alcohol/drugs/food/sex/social media, your anxiety or depression, the way you react under stress - then call me today. You can have the life you desire and deserve. I want to help you develop new tools and resources to be who you want to be, get the relationships you want, and reach exceptional goals. You don't have to go it alone. Let's work together to break through! Now offering several therapy packages - Enhancing Sobriety, Transforming Relationships, and Breaking Free of Trauma. Call today!
My specialties are: family struggles around recovery/addiction/mental health issues; substance abuse/addictions; anger management, healthy relationships, and challenging personalities/relationship behaviors; and trauma, depression/bipolar disorder, and anxiety.
My clients’ success has made space for you! Move from stuck to empowered! If you want to change - your relationships, your relationship to alcohol/drugs/food/sex/social media, your anxiety or depression, the way you react under stress - then call me today. You can have the life you desire and deserve. I want to help you develop new tools and resources to be who you want to be, get the relationships you want, and reach exceptional goals. You don't have to go it alone. Let's work together to break through! Now offering several therapy packages - Enhancing Sobriety, Transforming Relationships, and Breaking Free of Trauma. Call today!
(512) 355-7320 View (512) 355-7320
Photo of Battling Minds, LLC , Clinical Social Work/Therapist in Fredericksburg, TX
Battling Minds, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78209
Tiffany Juarez is a Licensed Clinical Social Worker in Texas with 13 years of experience. She meets people with grace, empathy and her interpersonal skills allow her to connect and see people where they are. She creates a collaborative space of growth and self-development. Tiffany treats conditions like post-traumatic stress disorder, anxiety, depression, addiction, bipolar, and many other conditions. Tiffany is sensitive to the uniqueness of each patient's situation and adapts treatment appropriately to accommodate individual needs and concerns.
Tiffany Juarez is a Licensed Clinical Social Worker in Texas with 13 years of experience. She meets people with grace, empathy and her interpersonal skills allow her to connect and see people where they are. She creates a collaborative space of growth and self-development. Tiffany treats conditions like post-traumatic stress disorder, anxiety, depression, addiction, bipolar, and many other conditions. Tiffany is sensitive to the uniqueness of each patient's situation and adapts treatment appropriately to accommodate individual needs and concerns.
(210) 981-4168 View (210) 981-4168
Photo of Robin Elizabeth Remsing, Clinical Social Work/Therapist in Fredericksburg, TX
Robin Elizabeth Remsing
Clinical Social Work/Therapist, LCSW-S
Verified Verified
5 Endorsed
Austin, TX 78746
I have experience with a wide range of mental health disorders including depression, anxiety, bipolar disorder, suicidality and substance use.
I believe the therapeutic relationship should be authentic and emotionally safe for you. I am practical and honest with feedback and have a laid back and warm approach. I will go at the pace you set and provide insight and encouragement. I will be respectful of your cultural, spiritual and lifestyle choices.
I have experience with a wide range of mental health disorders including depression, anxiety, bipolar disorder, suicidality and substance use.
I believe the therapeutic relationship should be authentic and emotionally safe for you. I am practical and honest with feedback and have a laid back and warm approach. I will go at the pace you set and provide insight and encouragement. I will be respectful of your cultural, spiritual and lifestyle choices.
(830) 271-2135 View (830) 271-2135
Photo of Dr. Shawne Ortiz, Psychologist in Fredericksburg, TX
Dr. Shawne Ortiz
Psychologist, PsyD
Verified Verified
New Braunfels, TX 78130  (Online Only)
I am a bilingual (English/Spanish) licensed psychologist providing individual, couples and family counseling. I am licensed in Texas with over 18 years of experience working as a psychotherapist. I have worked with clients with a wide range of concerns including depression, anxiety, bipolar disorder, relationship issues, parenting problems, and stress management. I also helped many people who have experienced physical trauma or emotional abuse. In addition to working with mood disorders, I have worked with individuals and families involved in the legal system as well as Child Protective Services.
I am a bilingual (English/Spanish) licensed psychologist providing individual, couples and family counseling. I am licensed in Texas with over 18 years of experience working as a psychotherapist. I have worked with clients with a wide range of concerns including depression, anxiety, bipolar disorder, relationship issues, parenting problems, and stress management. I also helped many people who have experienced physical trauma or emotional abuse. In addition to working with mood disorders, I have worked with individuals and families involved in the legal system as well as Child Protective Services.
(830) 415-0589 View (830) 415-0589
Photo of Beverly L Alexander, Psychologist in Fredericksburg, TX
Beverly L Alexander
Psychologist, PhD
Verified Verified
1 Endorsed
Austin, TX 78748  (Online Only)
I specialize in depression,anxiety and bipolar disorders as well as relationship issues.
The decision to enter into therapy is a very personal one, and who you do it with is important. I can offer a peaceful and safe place to explore who you are and the difficulties you may be having,in order to live a happier life. I listen fully in an effort to see you truly, but I'm quite interactive. I'm deep at times, and I'm playful and practical as well, helping you figure out solutions and to make plans. This is a joint process where we come together to make your life better.
I specialize in depression,anxiety and bipolar disorders as well as relationship issues.
The decision to enter into therapy is a very personal one, and who you do it with is important. I can offer a peaceful and safe place to explore who you are and the difficulties you may be having,in order to live a happier life. I listen fully in an effort to see you truly, but I'm quite interactive. I'm deep at times, and I'm playful and practical as well, helping you figure out solutions and to make plans. This is a joint process where we come together to make your life better.
(512) 861-8723 View (512) 861-8723
Photo of Laura McDowell-Salcedo, LCSW, Clinical Social Work/Therapist in Fredericksburg, TX
Laura McDowell-Salcedo, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78731
I provide counseling services to adults with a variety of issues including depression, anxiety, bipolar disorder, relationship problems, addictions and ADHD. I offer individual and couples psychotherapy services. My style is interactive and supportive, yet direct in working with clients and I view psychotherapy as a collaborative effort between therapist and client.I use a combination of therapy techniques suited to your individual needs which may include: Cognitive-Behavioral (CBT), Eye Movement Desensitization & Reprocessing (EMDR), Family Systems, Humanistic and Relational.
I provide counseling services to adults with a variety of issues including depression, anxiety, bipolar disorder, relationship problems, addictions and ADHD. I offer individual and couples psychotherapy services. My style is interactive and supportive, yet direct in working with clients and I view psychotherapy as a collaborative effort between therapist and client.I use a combination of therapy techniques suited to your individual needs which may include: Cognitive-Behavioral (CBT), Eye Movement Desensitization & Reprocessing (EMDR), Family Systems, Humanistic and Relational.
(512) 598-4711 View (512) 598-4711
Photo of Kathy Keith, Licensed Professional Counselor in Fredericksburg, TX
Kathy Keith
Licensed Professional Counselor, LPC
Verified Verified
Round Rock, TX 78681
My name is Kathy Keith, MA, a Licensed Professional Counselor with over 24 years of clinical experience. I have experience working with adults, teenagers, and couples with Anger Management, Bipolar Disorder, Anxiety, Addiction, Behavioral Issues, Codependency, Coping Skills, Depression, Dual Diagnosis, Eating Disorders, Schizophrenia, Trauma, PTSD, and many more. The most common theoretical approaches I use are CBT, Interpersonal psychology, Trauma Focused CBT, Reality Therapy, ACT, Mindfulness, and positive psychology. I believe that I am supportive, compassionate, and respectful that guide you to where you want to go!
My name is Kathy Keith, MA, a Licensed Professional Counselor with over 24 years of clinical experience. I have experience working with adults, teenagers, and couples with Anger Management, Bipolar Disorder, Anxiety, Addiction, Behavioral Issues, Codependency, Coping Skills, Depression, Dual Diagnosis, Eating Disorders, Schizophrenia, Trauma, PTSD, and many more. The most common theoretical approaches I use are CBT, Interpersonal psychology, Trauma Focused CBT, Reality Therapy, ACT, Mindfulness, and positive psychology. I believe that I am supportive, compassionate, and respectful that guide you to where you want to go!
(469) 772-5769 View (469) 772-5769
Photo of Nancy Recalde, Licensed Professional Counselor in Fredericksburg, TX
Nancy Recalde
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78249
My specialty is mood disorders, depression, anxiety, bipolar and trauma.
I believe that we are created with potential for balance and harmony, however, life is not always easy, we may struggle at times to reach this balance. When we get "stuck" or face difficult challenges, we must first identify which areas of life need adjusting or strengthening, and then, we set out to make the necessary changes. Whether it is physical, emotional, spiritual or mental unbalance, we can positively impact our lives by starting to work in one area, and, since they are all connected, the rest will follow. The mind-body connection is undeniable, research and science favor an integrated approach to behavioral health.
My specialty is mood disorders, depression, anxiety, bipolar and trauma.
I believe that we are created with potential for balance and harmony, however, life is not always easy, we may struggle at times to reach this balance. When we get "stuck" or face difficult challenges, we must first identify which areas of life need adjusting or strengthening, and then, we set out to make the necessary changes. Whether it is physical, emotional, spiritual or mental unbalance, we can positively impact our lives by starting to work in one area, and, since they are all connected, the rest will follow. The mind-body connection is undeniable, research and science favor an integrated approach to behavioral health.
(833) 721-1255 View (833) 721-1255
Photo of Boundless Journey LLC, Licensed Professional Counselor in Fredericksburg, TX
Boundless Journey LLC
Licensed Professional Counselor, LPC-S
Verified Verified
Austin, TX 73301  (Online Only)
My name is Jennifer Meyer and I've had a lifelong passion for helping individuals from a person-centered and trauma-informed approach. With over 20 years experience as a Licensed Professional Counselor within community mental health, I have worked extensively with individuals struggling with chronic mental health and substance use issues. This includes, but is not limited to: depression, anxiety, Bipolar, PTSD and other trauma-related issues, and psychosis. My work has also focused on providing crisis counseling support, particularly concentrated on suicidal behaviors and providing grief/loss support for suicide survivors.
My name is Jennifer Meyer and I've had a lifelong passion for helping individuals from a person-centered and trauma-informed approach. With over 20 years experience as a Licensed Professional Counselor within community mental health, I have worked extensively with individuals struggling with chronic mental health and substance use issues. This includes, but is not limited to: depression, anxiety, Bipolar, PTSD and other trauma-related issues, and psychosis. My work has also focused on providing crisis counseling support, particularly concentrated on suicidal behaviors and providing grief/loss support for suicide survivors.
(682) 900-6426 View (682) 900-6426
Photo of Terri A Brabo, Licensed Professional Counselor in Fredericksburg, TX
Terri A Brabo
Licensed Professional Counselor, MA, LPC-S, LCCA
Verified Verified
San Antonio, TX 78205  (Online Only)
Hello there! If you are reading this, I can imagine that you are maybe feeling like you are at a crossroads in your life and are not feeling 100% confident about what to do next. Do you perhaps feel like you are great at taking care of others, but not so much yourself? Are you feeling lost, overwhelmed, or generally filled with dread when you think of your potential future? Are there things in your past that you feel like you haven't been able to move forward from? Maybe, there are things going on in your present, and you just feel stuck. If any of this resonates with you, I am glad that you are here!
Hello there! If you are reading this, I can imagine that you are maybe feeling like you are at a crossroads in your life and are not feeling 100% confident about what to do next. Do you perhaps feel like you are great at taking care of others, but not so much yourself? Are you feeling lost, overwhelmed, or generally filled with dread when you think of your potential future? Are there things in your past that you feel like you haven't been able to move forward from? Maybe, there are things going on in your present, and you just feel stuck. If any of this resonates with you, I am glad that you are here!
(915) 900-4636 View (915) 900-4636
Photo of Austin DBT Associates, Licensed Professional Counselor in Fredericksburg, TX
Austin DBT Associates
Licensed Professional Counselor, MA, LPC-S, LMFT
Verified Verified
1 Endorsed
Austin, TX 78759
Nicole Lansbery is a Licensed Professional Counselor-Supervisor and Licensed Marriage and Family Therapist. Nicole attended the University of Texas at Austin where she received her Bachelor’s in Psychology. She went on to attend St. Edward’s University to receive her Master's in Counseling. ​ Before starting her own private practice ten years ago, Nicole worked at a local psychiatric hospital for five years, in both inpatient and intensive outpatient settings. While there she restarted the pet therapy program with her golden retriever – a certified Pet Partner, Ruby.
Nicole Lansbery is a Licensed Professional Counselor-Supervisor and Licensed Marriage and Family Therapist. Nicole attended the University of Texas at Austin where she received her Bachelor’s in Psychology. She went on to attend St. Edward’s University to receive her Master's in Counseling. ​ Before starting her own private practice ten years ago, Nicole worked at a local psychiatric hospital for five years, in both inpatient and intensive outpatient settings. While there she restarted the pet therapy program with her golden retriever – a certified Pet Partner, Ruby.
(737) 530-3467 View (737) 530-3467
Photo of Jen Biddle, Clinical Social Work/Therapist in Fredericksburg, TX
Jen Biddle
Clinical Social Work/Therapist, LCSW-S, LCDC-i
Verified Verified
Austin, TX 78727  (Online Only)
In this unprecedented time of chaos and confusion, we all need someone to talk to that understands our needs and concerns. For those struggling with depression and anxiety, I can provide a soundboard, encouragement, and ongoing support. I can provide you with creative ways to redirect yourself, re-focus yourself, and to cope with what's going on around us and inside your close-knit family or social circles. For those struggling with addiction issues, I can provide a non-judgemental ear, help teach you coping strategies for cravings and triggers to use, and help you find creative avenues to enjoy life during these difficult days.
In this unprecedented time of chaos and confusion, we all need someone to talk to that understands our needs and concerns. For those struggling with depression and anxiety, I can provide a soundboard, encouragement, and ongoing support. I can provide you with creative ways to redirect yourself, re-focus yourself, and to cope with what's going on around us and inside your close-knit family or social circles. For those struggling with addiction issues, I can provide a non-judgemental ear, help teach you coping strategies for cravings and triggers to use, and help you find creative avenues to enjoy life during these difficult days.
(833) 726-4622 View (833) 726-4622
Photo of Reno Gomez, Clinical Social Work/Therapist in Fredericksburg, TX
Reno Gomez
Clinical Social Work/Therapist, LCSW-S
Verified Verified
9 Endorsed
Austin, TX 78724  (Online Only)
Waitlist for new clients
I am a LCSW who works with individuals who are experiencing a disruption in a relationship, difficulty managing their mood, or experiencing symptoms related to trauma. My experience providing individual and group outpatient services, as well as crisis intervention services, allows me to provide my client with the tools needed to work towards recovery. I work to form a trusting therapeutic relationship to allow for exploration of strengths and skills to overcome life challenges. My hope is for all clients to acquire the skills to be their own therapist, and progress from the counseling relationship with an increased sense of self.
I am a LCSW who works with individuals who are experiencing a disruption in a relationship, difficulty managing their mood, or experiencing symptoms related to trauma. My experience providing individual and group outpatient services, as well as crisis intervention services, allows me to provide my client with the tools needed to work towards recovery. I work to form a trusting therapeutic relationship to allow for exploration of strengths and skills to overcome life challenges. My hope is for all clients to acquire the skills to be their own therapist, and progress from the counseling relationship with an increased sense of self.
(512) 233-6597 View (512) 233-6597
Photo of Freedom Fighters Therapy LLC, Counselor in Fredericksburg, TX
Freedom Fighters Therapy LLC
Counselor, MEd, LMHC, LPCC-S, LICDC
Verified Verified
San Antonio, TX 78213  (Online Only)
IT's Time for Operation YOU. Welcome to Freedom Fighters Therapy LLC, we are a growing Christian private group practice with caring skilled therapist in Pace Florida, Dayton, Ohio and San Antonio, Texas via telehealth. Our distinctive therapy program is designed to help Military Members deal with Trauma and PTSD related to adjusting to the Military life, combat deployments, reintegration and long-term effects of post military. We are a VACCN community care provider, we understand how to work with your referral and VA clinics or Military systems. We also provide counseling services for the mental health needs of the community.
IT's Time for Operation YOU. Welcome to Freedom Fighters Therapy LLC, we are a growing Christian private group practice with caring skilled therapist in Pace Florida, Dayton, Ohio and San Antonio, Texas via telehealth. Our distinctive therapy program is designed to help Military Members deal with Trauma and PTSD related to adjusting to the Military life, combat deployments, reintegration and long-term effects of post military. We are a VACCN community care provider, we understand how to work with your referral and VA clinics or Military systems. We also provide counseling services for the mental health needs of the community.
(850) 726-5501 View (850) 726-5501
Photo of Martha Brandt, Licensed Professional Counselor in Fredericksburg, TX
Martha Brandt
Licensed Professional Counselor, MEd, LPC-S, SEP
Verified Verified
5 Endorsed
Austin, TX 78746
Are you overwhelmed? Anxious? Lonely? In emotional or even physical pain? Working hard to care for everyone else and coming up empty within yourself? Feeling isolated in the close relationship you care about most? Therapy offers a safe and confidential place to get some help to develop or perhaps rekindle a lively connection to yourself and your own dreams. If your relationship is suffering, it can help you regain the closeness and intimacy you once had and if you are parents help you nurture your own marriage while raising secure children.
Are you overwhelmed? Anxious? Lonely? In emotional or even physical pain? Working hard to care for everyone else and coming up empty within yourself? Feeling isolated in the close relationship you care about most? Therapy offers a safe and confidential place to get some help to develop or perhaps rekindle a lively connection to yourself and your own dreams. If your relationship is suffering, it can help you regain the closeness and intimacy you once had and if you are parents help you nurture your own marriage while raising secure children.
(512) 699-6950 View (512) 699-6950
Photo of Dr. Kate Halinski, Licensed Professional Counselor in Fredericksburg, TX
Dr. Kate Halinski
Licensed Professional Counselor, PhD, LPC-S, RPT-S, EMDR
Verified Verified
Boerne, TX 78006
I specialize in counseling children, adolescents and teens struggling with trauma, anxiety or depression utilizing play therapy and expressive art techniques. With 20 years of counseling experience, I work collaboratively with parents and guardians to teach creative and effective parenting strategies to improve family relationships. If you are looking for a place to feel supported and challenged in a non-judgmental and accepting way, please consider my counseling services.
I specialize in counseling children, adolescents and teens struggling with trauma, anxiety or depression utilizing play therapy and expressive art techniques. With 20 years of counseling experience, I work collaboratively with parents and guardians to teach creative and effective parenting strategies to improve family relationships. If you are looking for a place to feel supported and challenged in a non-judgmental and accepting way, please consider my counseling services.
(210) 714-1711 View (210) 714-1711
Photo of Silvana S Padmanabhan, Clinical Social Work/Therapist in Fredericksburg, TX
Silvana S Padmanabhan
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Belton, TX 76513
Hello. I have over 20 years experience as a psychotherapist. I have worked with clients with a wide range of difficulties including: depression, anxiety, trauma, relationship issues, communication difficulties, family of origin issues, life transitions, anger management, and grief and loss. My counseling style is warm and interactive. I believe in treating everyone I meet with respect and compassion. I have unconditional positive regard for all clients. Through psychotherapy I can have you maneuver through difficult emotions/stressors/crises and help you learn coping skills.
Hello. I have over 20 years experience as a psychotherapist. I have worked with clients with a wide range of difficulties including: depression, anxiety, trauma, relationship issues, communication difficulties, family of origin issues, life transitions, anger management, and grief and loss. My counseling style is warm and interactive. I believe in treating everyone I meet with respect and compassion. I have unconditional positive regard for all clients. Through psychotherapy I can have you maneuver through difficult emotions/stressors/crises and help you learn coping skills.
(254) 274-3624 View (254) 274-3624

See more therapy options for Fredericksburg


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.