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Online Therapists

Photo of Austin City Family Practice in Gillespie County, TX
Austin City Family Practice
MD
Verified Verified
Round Rock, TX 78664
I'm a doctor, (MD) who enjoys Psych medication management as well as supportive counseling. Like to work with Depression, Anxiety, Bipolar Disorder, ADHD, PTSD, Substance Abuse issues, Schizophrenia, other.
I'm a doctor, (MD) who enjoys Psych medication management as well as supportive counseling. Like to work with Depression, Anxiety, Bipolar Disorder, ADHD, PTSD, Substance Abuse issues, Schizophrenia, other.
(512) 942-0398 View (512) 942-0398
Photo of Mindful Therapy with Lydia, Licensed Professional Counselor in Gillespie County, TX
Mindful Therapy with Lydia
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257  (Online Only)
Lydia Friese is a Licensed Professional Counselor , 86941. Lydia earned her M.S. in Clinical Psychology with a specialization in Clinical Counseling. She specializes in relationship issues, Substance Abuse Disorders, ADHD, Borderline Personality Disorder, Bipolar Disorder, PTSD, Anxiety and Depression. She has 3 years of experience in working with children, adolescents, teens, couples, adults and families. Lydia’s goal is to provide clients a safe space for clients to move into awareness and gain self-trust. In turn seeing life's challenges as manageable.
Lydia Friese is a Licensed Professional Counselor , 86941. Lydia earned her M.S. in Clinical Psychology with a specialization in Clinical Counseling. She specializes in relationship issues, Substance Abuse Disorders, ADHD, Borderline Personality Disorder, Bipolar Disorder, PTSD, Anxiety and Depression. She has 3 years of experience in working with children, adolescents, teens, couples, adults and families. Lydia’s goal is to provide clients a safe space for clients to move into awareness and gain self-trust. In turn seeing life's challenges as manageable.
(210) 504-7448 View (210) 504-7448
Photo of Audry Steele, Licensed Professional Counselor in Gillespie County, TX
Audry Steele
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78704
I specialize in a broad spectrum of psychological issues including anxiety, stress, depression, relationship complexities, codependency, narcissism, parenting, grief, post-partum challenges, self-esteem, bipolar symptoms, anger, and trauma.
Accepting new clients – Welcome, I've practiced psychotherapy for over 20 years and invite you to explore more about my approach here. If you find that you're interested in working together, please send an email. Perhaps you're reaching out because life's stressors have become overwhelming, relationships are challenging, or symptoms are too intense to handle alone. I specialize in depth-oriented therapy for adults facing personal, professional, or family challenges. I also support those who feel generally resilient and successful but are navigating significant stress.
I specialize in a broad spectrum of psychological issues including anxiety, stress, depression, relationship complexities, codependency, narcissism, parenting, grief, post-partum challenges, self-esteem, bipolar symptoms, anger, and trauma.
Accepting new clients – Welcome, I've practiced psychotherapy for over 20 years and invite you to explore more about my approach here. If you find that you're interested in working together, please send an email. Perhaps you're reaching out because life's stressors have become overwhelming, relationships are challenging, or symptoms are too intense to handle alone. I specialize in depth-oriented therapy for adults facing personal, professional, or family challenges. I also support those who feel generally resilient and successful but are navigating significant stress.
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Photo of Karisha Richards, Licensed Professional Counselor in Gillespie County, TX
Karisha Richards
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78209  (Online Only)
Welcome and thank you for visiting my profile, my name is Karisha and I am the owner of Delvon Behavioral Health! I am a fully Licensed Professional Counselor Supervisor with 15 years of experience working with children, adolescents, and adults. I specialize in teaching my clients how to manage symptoms of anxiety, depression, trauma, stress, and grief. I also have experience with clients who wish to explore their gender identity, exhibit symptoms of schizophrenia/psychosis, and bipolar disorder.
Welcome and thank you for visiting my profile, my name is Karisha and I am the owner of Delvon Behavioral Health! I am a fully Licensed Professional Counselor Supervisor with 15 years of experience working with children, adolescents, and adults. I specialize in teaching my clients how to manage symptoms of anxiety, depression, trauma, stress, and grief. I also have experience with clients who wish to explore their gender identity, exhibit symptoms of schizophrenia/psychosis, and bipolar disorder.
(903) 329-2946 View (903) 329-2946
Photo of Meredith Manas, Clinical Social Work/Therapist in Gillespie County, TX
Meredith Manas
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Georgetown, TX 78628
Meredith has worked in a variety of settings, both residential and outpatient, treating adults with a variety of issues including substance use disorders, dual diagnosis, anxiety, depression, bipolar disorder, and personality disorders. She approaches her clients with genuineness, compassion, and positive regard to meet them where they are in their journey towards living a life that is meaningful to the client. She works to instill motivation and hope that change is attainable.
Meredith has worked in a variety of settings, both residential and outpatient, treating adults with a variety of issues including substance use disorders, dual diagnosis, anxiety, depression, bipolar disorder, and personality disorders. She approaches her clients with genuineness, compassion, and positive regard to meet them where they are in their journey towards living a life that is meaningful to the client. She works to instill motivation and hope that change is attainable.
(512) 877-7806 View (512) 877-7806
Photo of Tony Vitela, LCSW, SAP, Clinical Social Work/Therapist in Gillespie County, TX
Tony Vitela, LCSW, SAP
Clinical Social Work/Therapist, LCSW, SAP
Verified Verified
Wimberley, TX 78676
I work with clients on a spectrum of issues including ADD/ADHD/ODD, Alcohol & Drugs, Anger Management, Anxiety, Bipolar Disorders, Conduct Disorders, Depression, Eating Disorders, Grief & Bereveavement, Life Transitions, Military Life Issues, OCD, Panic Atttacks, Parenting, Phobias, Psychotic Disorders, PTSD, Relationships, and Work-related Issues.
Licensed since 1993 and in private practice since 1999. Previous work-related experience includes working at a residential treatment center, youth shelter, juvenile detention center, chemical dependency unit, adolescent and adult in-patient hospital, Employee Assistance Program, crisis intervention, in-take assessments, and intensive out-patient programming. Over the past two decades, I have served individuals, couples, families, children, adolescents, adults, and the elderly. I am a certified and approved DOT Substance Abuse Professional.
I work with clients on a spectrum of issues including ADD/ADHD/ODD, Alcohol & Drugs, Anger Management, Anxiety, Bipolar Disorders, Conduct Disorders, Depression, Eating Disorders, Grief & Bereveavement, Life Transitions, Military Life Issues, OCD, Panic Atttacks, Parenting, Phobias, Psychotic Disorders, PTSD, Relationships, and Work-related Issues.
Licensed since 1993 and in private practice since 1999. Previous work-related experience includes working at a residential treatment center, youth shelter, juvenile detention center, chemical dependency unit, adolescent and adult in-patient hospital, Employee Assistance Program, crisis intervention, in-take assessments, and intensive out-patient programming. Over the past two decades, I have served individuals, couples, families, children, adolescents, adults, and the elderly. I am a certified and approved DOT Substance Abuse Professional.
(210) 941-2132 View (210) 941-2132
Photo of Stacey Lavoro Rexrode, Psychologist in Gillespie County, TX
Stacey Lavoro Rexrode
Psychologist, PhD
Verified Verified
Cedar Park, TX 78613  (Online Only)
I offer individual and group psychotherapy, psychological assessments, and tele-psychology interventions for trauma (PTSD), mood disorders (Depression, Bipolar Disorder), anxiety disorders (OCD, Social phobia, Panic Disorder), anger management and self-esteem programs, programs for Insomnia and sleep disorders, and parenting help.
I take pride in my ability to relate to a large population, and I enjoy working with clients 12 years of age and up. My clients over the years have had: depression, anxiety disorders, adjustment difficulty, as well as teenagers with a variety of school, peer, family, and self-esteem issues. I work best with clients who are motivated for change, but also understand that teenagers often come to therapy at the urging of parents and may be resistant at first. I welcome women's issues, veteran's issues, LGBTQ issues, those who are just "stuck", going through a life transition or folks who have been in and out of therapy for years.
I offer individual and group psychotherapy, psychological assessments, and tele-psychology interventions for trauma (PTSD), mood disorders (Depression, Bipolar Disorder), anxiety disorders (OCD, Social phobia, Panic Disorder), anger management and self-esteem programs, programs for Insomnia and sleep disorders, and parenting help.
I take pride in my ability to relate to a large population, and I enjoy working with clients 12 years of age and up. My clients over the years have had: depression, anxiety disorders, adjustment difficulty, as well as teenagers with a variety of school, peer, family, and self-esteem issues. I work best with clients who are motivated for change, but also understand that teenagers often come to therapy at the urging of parents and may be resistant at first. I welcome women's issues, veteran's issues, LGBTQ issues, those who are just "stuck", going through a life transition or folks who have been in and out of therapy for years.
(512) 886-5530 View (512) 886-5530
Photo of Lifetime Christian Counselors,LLC, Licensed Professional Counselor in Gillespie County, TX
Lifetime Christian Counselors,LLC
Licensed Professional Counselor, MS, LPC-S, RPT
Verified Verified
San Antonio, TX 78229
I am prepared to help a variety of individuals who are in need of support and encouragement in the areas of : child play therapy , adult issues , family and couples therapy . I work with a range of client issues : behavioral adjustments , coping , anxiety , domestic violence , depression and grief issues . I approach therapy from a Christian perspective which allows each person to search for their inner source of faith and support . Everyone receives the support to gain the spiritual insights to meet the challenges of life.
I am prepared to help a variety of individuals who are in need of support and encouragement in the areas of : child play therapy , adult issues , family and couples therapy . I work with a range of client issues : behavioral adjustments , coping , anxiety , domestic violence , depression and grief issues . I approach therapy from a Christian perspective which allows each person to search for their inner source of faith and support . Everyone receives the support to gain the spiritual insights to meet the challenges of life.
(210) 903-5603 View (210) 903-5603
Photo of Amanda Campbell, Licensed Professional Counselor in Gillespie County, TX
Amanda Campbell
Licensed Professional Counselor, MS, LPC
Verified Verified
Austin, TX 78748
If you are looking for someone with experience to listen to your situation, help you identify things that need to change, and to help you make those changes, I would love to talk with you. I have been counseling children, adolescents, individuals, couples and families for 22 years. We will work together to develop treatment goals and strategies to get things back on course. It is so hard when relationships are stressed or broken, when children are having problems educationally or socially, and when anxiety or depression prevents you from being who you want to be. I can help.
If you are looking for someone with experience to listen to your situation, help you identify things that need to change, and to help you make those changes, I would love to talk with you. I have been counseling children, adolescents, individuals, couples and families for 22 years. We will work together to develop treatment goals and strategies to get things back on course. It is so hard when relationships are stressed or broken, when children are having problems educationally or socially, and when anxiety or depression prevents you from being who you want to be. I can help.
(512) 361-5694 View (512) 361-5694
Photo of Sara Hamilton, Psychologist in Gillespie County, TX
Sara Hamilton
Psychologist, PsyD
Verified Verified
San Antonio, TX 78240
Do you frequently ask yourself "Why do I keep doing this?!" If so, we are likely to be a good fit. I seek to help my clients better understand their emotional needs and respond to them in healthy ways so that they feel better at work, at play, in relationships, and in their own skin. My particular interest is with those seeking to lose weight, and working with those clients from a Health At Every Size perspective. After working with hundreds of weight loss surgery clients, I have a unique understanding among mental health professionals of the challenges that come before and after bariatric surgery.
Do you frequently ask yourself "Why do I keep doing this?!" If so, we are likely to be a good fit. I seek to help my clients better understand their emotional needs and respond to them in healthy ways so that they feel better at work, at play, in relationships, and in their own skin. My particular interest is with those seeking to lose weight, and working with those clients from a Health At Every Size perspective. After working with hundreds of weight loss surgery clients, I have a unique understanding among mental health professionals of the challenges that come before and after bariatric surgery.
(830) 448-2056 View (830) 448-2056
Photo of Jeralyn R Tharp Lpcc-S Licdc, Counselor in Gillespie County, TX
Jeralyn R Tharp Lpcc-S Licdc
Counselor, MEd , LPCC-S, LICDC, LMHC FL, Gamb
Verified Verified
San Antonio, TX 78213  (Online Only)
Welcome I hope to be part of your support journey as you seek hope, health and recovery to various life challenges . I have over 25 years experience providing Substance Abuse and Mental Health Treatment in a great deal of diverse settings. I am interested in learning more about (you ) and (your ) goals and objectives for therapy. I believe a counseling relationship works best when you are comfortable with a therapist and free to be who you are. I help you reach this goal by bringing to the session , experience , honesty of myself , kindness and genuine regard. I am part of the Veteran Choice Programs to receive VA referrals.
Welcome I hope to be part of your support journey as you seek hope, health and recovery to various life challenges . I have over 25 years experience providing Substance Abuse and Mental Health Treatment in a great deal of diverse settings. I am interested in learning more about (you ) and (your ) goals and objectives for therapy. I believe a counseling relationship works best when you are comfortable with a therapist and free to be who you are. I help you reach this goal by bringing to the session , experience , honesty of myself , kindness and genuine regard. I am part of the Veteran Choice Programs to receive VA referrals.
(210) 405-8981 View (210) 405-8981
Photo of Donetta D. Quinones, Counselor in Gillespie County, TX
Donetta D. Quinones
Counselor, PhD, MS, LMHC, LPC
Verified Verified
San Antonio, TX 78216  (Online Only)
During the therapeutic process, I challenge clients with the statement that I am "Daring You to Be YOU!" This challenge of personal acceptance is designed to help individuals to evaluate their thoughts, emotions, and behaviors to determine what is hindering them from achieving their goals. As clients go through the therapeutic process, they learn to develop the intimacy (in-to-me-I-see) needed to develop the strength to face life's challenges. The ideal client wants therapeutic support in acknowledging personal triggers, defining happiness, developing healthy relationships, and identifying areas for personal development.
During the therapeutic process, I challenge clients with the statement that I am "Daring You to Be YOU!" This challenge of personal acceptance is designed to help individuals to evaluate their thoughts, emotions, and behaviors to determine what is hindering them from achieving their goals. As clients go through the therapeutic process, they learn to develop the intimacy (in-to-me-I-see) needed to develop the strength to face life's challenges. The ideal client wants therapeutic support in acknowledging personal triggers, defining happiness, developing healthy relationships, and identifying areas for personal development.
(888) 332-4166 x101 View (888) 332-4166 x101
Photo of Dana Edgerton, Licensed Professional Counselor in Gillespie County, TX
Dana Edgerton
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78701
Solutions Over Stress - you have the power to choose. It takes strength and courage to do something different. Through the collaborative process of therapy you will not have to face the unknown alone. Together we will identify the barriers that make it difficult to reach your desired goals and live up to your greatest potential. As your therapist, I will create a safe environment for you to openly express and explore your thoughts and feelings. I use a variety of therapeutic approaches to initiate lasting changes from the inside out.
Solutions Over Stress - you have the power to choose. It takes strength and courage to do something different. Through the collaborative process of therapy you will not have to face the unknown alone. Together we will identify the barriers that make it difficult to reach your desired goals and live up to your greatest potential. As your therapist, I will create a safe environment for you to openly express and explore your thoughts and feelings. I use a variety of therapeutic approaches to initiate lasting changes from the inside out.
(512) 942-0226 View (512) 942-0226
Photo of Andrew Michael Greene, Clinical Social Work/Therapist in Gillespie County, TX
Andrew Michael Greene
Clinical Social Work/Therapist, LCSW, LCDC, EMDR
Verified Verified
6 Endorsed
Austin, TX 78746
"Life is really simple, but we insist on making it complicated." -Confucius. My philosophy is this; you already know the answers to your problems, you just don't know that you know them yet. My job is to help you unlock the secrets to your own happiness and productivity. I work with adults, adolescents, couples, and families, and get tremendous fulfillment in seeing my clients succeed. No problem is unsolvable. Working with me will grant you greater stress tolerance and emotional resilience, as well as "mind-hacks" that will change how you deal with normal day-to-day life.
"Life is really simple, but we insist on making it complicated." -Confucius. My philosophy is this; you already know the answers to your problems, you just don't know that you know them yet. My job is to help you unlock the secrets to your own happiness and productivity. I work with adults, adolescents, couples, and families, and get tremendous fulfillment in seeing my clients succeed. No problem is unsolvable. Working with me will grant you greater stress tolerance and emotional resilience, as well as "mind-hacks" that will change how you deal with normal day-to-day life.
(469) 515-7903 View (469) 515-7903
Photo of Jessie Lewis, Clinical Social Work/Therapist in Gillespie County, TX
Jessie Lewis
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78703
I naturally work from a strengths-based, client-centered perspective and feel that collaboration and rapport are key components in the therapeutic process. My goal is to help clients heal and flourish in their lives. Through deeper emotional exploration, things that seem to keep getting us "stuck" can be examined and worked through, resulting in true healing and change. In our sessions, I work with my clients in exploring thoughts, emotions, experiences, relationships, behaviors, etc. and together we work towards a healthier and happier life.
I naturally work from a strengths-based, client-centered perspective and feel that collaboration and rapport are key components in the therapeutic process. My goal is to help clients heal and flourish in their lives. Through deeper emotional exploration, things that seem to keep getting us "stuck" can be examined and worked through, resulting in true healing and change. In our sessions, I work with my clients in exploring thoughts, emotions, experiences, relationships, behaviors, etc. and together we work towards a healthier and happier life.
(512) 270-2469 View (512) 270-2469
Photo of Louis B Laves-Webb, Counselor in Gillespie County, TX
Louis B Laves-Webb
Counselor, LCSW, LPC-S
Verified Verified
Austin, TX 78701
Ultimately, it’s about what is important to you. Please visit our website at www.LouisLaves-Webb.com to best learn how we can meet your needs. We have over 20 years of clinical experience, two locations, and Telehealth, same day, evening and weekend appointments available. Perhaps you're feeling stuck, scared, at a loss, or genuinely overwhelmed. Counseling sessions can provide a soothing ear, clearer direction, deeper connections, and functional tools when needed. Now Offering services Statewide.
Ultimately, it’s about what is important to you. Please visit our website at www.LouisLaves-Webb.com to best learn how we can meet your needs. We have over 20 years of clinical experience, two locations, and Telehealth, same day, evening and weekend appointments available. Perhaps you're feeling stuck, scared, at a loss, or genuinely overwhelmed. Counseling sessions can provide a soothing ear, clearer direction, deeper connections, and functional tools when needed. Now Offering services Statewide.
(512) 942-2010 View (512) 942-2010
Photo of Sheryl Boyd, Licensed Professional Counselor in Gillespie County, TX
Sheryl Boyd
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Austin, TX 78752
Sometimes the hardest thing we might do is taking the first step to begin counseling- getting help means we have struggles. The issues we face in life have the ability to deeply damage us, but also the potential for personal growth. Be encouraged that the first step to emotional healing is difficult, but it's worth taking. We can know how to love ourselves better if our value can be affirmed by someone who cares, and you can face them knowing you are not alone. I can help you reach your goals for counseling, or perhaps even find out where to begin.
Sometimes the hardest thing we might do is taking the first step to begin counseling- getting help means we have struggles. The issues we face in life have the ability to deeply damage us, but also the potential for personal growth. Be encouraged that the first step to emotional healing is difficult, but it's worth taking. We can know how to love ourselves better if our value can be affirmed by someone who cares, and you can face them knowing you are not alone. I can help you reach your goals for counseling, or perhaps even find out where to begin.
(512) 675-6293 View (512) 675-6293
Photo of Back Porch Therapy, PLLC, Clinical Social Work/Therapist in Gillespie County, TX
Back Porch Therapy, PLLC
Clinical Social Work/Therapist, LCSW-S
Verified Verified
New Braunfels, TX 78130  (Online Only)
You have many choices when it comes to picking a counselor/therapist, but what is the most important thing to consider when choosing? Does the person appear to be kind? Do they have the qualifications to serve you? Does he/she make you feel comfortable and ease the anxiety you might be feeling regarding sharing such personal information so quickly? How does the office environment feel (telehealth or in the office)? More importantly, how quickly do you feel your exact problem is being addressed?
You have many choices when it comes to picking a counselor/therapist, but what is the most important thing to consider when choosing? Does the person appear to be kind? Do they have the qualifications to serve you? Does he/she make you feel comfortable and ease the anxiety you might be feeling regarding sharing such personal information so quickly? How does the office environment feel (telehealth or in the office)? More importantly, how quickly do you feel your exact problem is being addressed?
(903) 730-6198 View (903) 730-6198
Photo of Dorothy 'dory' Warren, Licensed Professional Counselor in Gillespie County, TX
Dorothy 'dory' Warren
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78216
The connection between client and therapist is the main factor necessary for successful therapeutic change. I will help you clarify essential goals, that once achieved will lead to you firing me. By being "client-centered", our sessions will be led by you and I will walk with you during your journey, adding evidence-based information, posing insight-oriented questions and helping present relative information in a novel context (due to my being unbiased). "Firing" your therapist means you feel confident to utilize new skills to better manage life:)
The connection between client and therapist is the main factor necessary for successful therapeutic change. I will help you clarify essential goals, that once achieved will lead to you firing me. By being "client-centered", our sessions will be led by you and I will walk with you during your journey, adding evidence-based information, posing insight-oriented questions and helping present relative information in a novel context (due to my being unbiased). "Firing" your therapist means you feel confident to utilize new skills to better manage life:)
(210) 794-8171 View (210) 794-8171
Photo of June Ellen Buniak, Clinical Social Work/Therapist in Gillespie County, TX
June Ellen Buniak
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78757
PEACE. It does not mean to be in a place where there is no noise, trouble, or hard work. It means to be in the midst of those things and still be calm in your heart." This has been a goal in my life, and one I have enjoyed sharing with my clients. These days, most of my clients seek counseling because they are having trouble sleeping, are overindulging in food or alcohol, are feeling angry and irritable, or sad and low on energy, much of the time.
PEACE. It does not mean to be in a place where there is no noise, trouble, or hard work. It means to be in the midst of those things and still be calm in your heart." This has been a goal in my life, and one I have enjoyed sharing with my clients. These days, most of my clients seek counseling because they are having trouble sleeping, are overindulging in food or alcohol, are feeling angry and irritable, or sad and low on energy, much of the time.
(512) 879-6084 View (512) 879-6084

See more therapy options for Gillespie County

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.