Photo of Lindsey Grela, Licensed Professional Counselor in Little Elm, TX
Lindsey Grela
Licensed Professional Counselor, MA, LPC
Verified Verified
Little Elm, TX 75068
Lindsey has experience working in a domestic violence outreach center, a community health crisis center, and a behavioral day treatment program for children and adolescents. As a part of her experience, Lindsey has worked with children and adults struggling with a variety of concerns, including, but not limited to: Post-Traumatic Stress Disorder (PTSD), Abuse, Trauma, Anxiety, Depression, Bipolar disorder, Grief, Relationship Concerns, and Personal Identity.
Lindsey has experience working in a domestic violence outreach center, a community health crisis center, and a behavioral day treatment program for children and adolescents. As a part of her experience, Lindsey has worked with children and adults struggling with a variety of concerns, including, but not limited to: Post-Traumatic Stress Disorder (PTSD), Abuse, Trauma, Anxiety, Depression, Bipolar disorder, Grief, Relationship Concerns, and Personal Identity.
(214) 225-2751 View (214) 225-2751
Photo of Dr. Kimberly Dawn Sawyer, Marriage & Family Therapist in Little Elm, TX
Dr. Kimberly Dawn Sawyer
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Little Elm, TX 75068  (Online Only)
Waitlist for new clients
I provide services through tele-health only. I work with individuals of all ages, couples, and families. I am here to work through the hard stuff and the everyday stuff!
I provide services through tele-health only. I work with individuals of all ages, couples, and families. I am here to work through the hard stuff and the everyday stuff!
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Photo of Ariadne Pereira, Licensed Professional Counselor in Little Elm, TX
Ariadne Pereira
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Little Elm, TX 75068
I am passionate about helping individuals, couples and families develop healthy solutions to better navigate life's challenges, so they can find true, meaningful happiness and fulfill their dreams. My goal is to provide my clients with a nonjudgmental, trauma-informed, multicultural competent therapeutic environment where they can feel accepted, understood, supported, valued, empowered, and loved. My approach to counseling includes using evidence-based therapeutic techniques designed to support clients construct solutions and finding answers for their own unique challenges while respecting their individuality and personal beliefs.
I am passionate about helping individuals, couples and families develop healthy solutions to better navigate life's challenges, so they can find true, meaningful happiness and fulfill their dreams. My goal is to provide my clients with a nonjudgmental, trauma-informed, multicultural competent therapeutic environment where they can feel accepted, understood, supported, valued, empowered, and loved. My approach to counseling includes using evidence-based therapeutic techniques designed to support clients construct solutions and finding answers for their own unique challenges while respecting their individuality and personal beliefs.
(469) 284-0019 View (469) 284-0019
Photo of Katherine Hilton, Clinical Social Work/Therapist in Little Elm, TX
Katherine Hilton
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
2 Endorsed
Little Elm, TX 75068
"Although all of life's transitions fall into one of two groups, predictable, (such as marriage or children leaving for college) and unpredictable, (a traumatic event or sudden death of a loved one) no two people react to them in exactly the same way. For some of us, they may force us to make subtle changes to our existing life and see things in a new light. While for others, they may close one chapter of our life, and force us to start a new one, putting us on a new and unfamiliar path that we have never walked before.
"Although all of life's transitions fall into one of two groups, predictable, (such as marriage or children leaving for college) and unpredictable, (a traumatic event or sudden death of a loved one) no two people react to them in exactly the same way. For some of us, they may force us to make subtle changes to our existing life and see things in a new light. While for others, they may close one chapter of our life, and force us to start a new one, putting us on a new and unfamiliar path that we have never walked before.
(972) 734-1408 View (972) 734-1408
Photo of Sabrina Denise Henderson, Licensed Professional Counselor Associate in Little Elm, TX
Sabrina Denise Henderson
Licensed Professional Counselor Associate, PhD(c), LPC-A, NCC
Verified Verified
Little Elm, TX 75068
Waitlist for new clients
Mental illness lives. Anxiety lives. OCD lives. Addiction lives. Depression lives. Imagine millions of people around the universe waking up with the same dark, aching places you promised you’d never talk about. I’ve noticed how quick we are, as human beings, to push aside the most meaningful parts of our lives. Let’s not push aside the things that need to be talked about. Let’s bring mental illness to the light. The worst thing we can do is ignore it. It exists and it easily consumes. So if you’re struggling right now my role is to listen, discern your strengths and vulnerabilities, and invite growth as you place trust in my care.
Mental illness lives. Anxiety lives. OCD lives. Addiction lives. Depression lives. Imagine millions of people around the universe waking up with the same dark, aching places you promised you’d never talk about. I’ve noticed how quick we are, as human beings, to push aside the most meaningful parts of our lives. Let’s not push aside the things that need to be talked about. Let’s bring mental illness to the light. The worst thing we can do is ignore it. It exists and it easily consumes. So if you’re struggling right now my role is to listen, discern your strengths and vulnerabilities, and invite growth as you place trust in my care.
(469) 425-8848 View (469) 425-8848
Photo of Jessica E Matisoff, Licensed Professional Counselor in Little Elm, TX
Jessica E Matisoff
Licensed Professional Counselor, LPC, RPT, EMDR
Verified Verified
1 Endorsed
Little Elm, TX 75068
I love working with children, adolescents and adults who may struggle with anxiety, depression, family issues, or any other day-to-day challenges. My ideal client's goals would be for them to become the best version of themselves and be ready to work in and outside of therapy; wanting happiness, health, and overall a better sense of belonging and direction for their life. I can help by walking alongside of you as your guide, helping you navigate life's greatest challenges through kindness, support, and self awareness.
I love working with children, adolescents and adults who may struggle with anxiety, depression, family issues, or any other day-to-day challenges. My ideal client's goals would be for them to become the best version of themselves and be ready to work in and outside of therapy; wanting happiness, health, and overall a better sense of belonging and direction for their life. I can help by walking alongside of you as your guide, helping you navigate life's greatest challenges through kindness, support, and self awareness.
(469) 564-8349 View (469) 564-8349
Photo of Sylvia Trevino, Licensed Professional Counselor in Little Elm, TX
Sylvia Trevino
Licensed Professional Counselor, LPC
Verified Verified
Little Elm, TX 75068
Sylvia Trevino is a Licensed Professional Counselor in Texas who has been practicing since 2015. She obtained a Bachelor's degree from Lubbock Christian University in Family Studies and earned a Master's MA in Counseling from Wayland Baptist University. Sylvia has experience helping clients with anxiety, depression, ADHD, anger issues, substance use issues, suicidal ideation, relationship problems, grief, PTSD, and trauma. In her free time, Sylvia enjoys going to the movies or watching movies at home, going for walks, spending time with grandkids, crafts, crocheting, and decorating.
Sylvia Trevino is a Licensed Professional Counselor in Texas who has been practicing since 2015. She obtained a Bachelor's degree from Lubbock Christian University in Family Studies and earned a Master's MA in Counseling from Wayland Baptist University. Sylvia has experience helping clients with anxiety, depression, ADHD, anger issues, substance use issues, suicidal ideation, relationship problems, grief, PTSD, and trauma. In her free time, Sylvia enjoys going to the movies or watching movies at home, going for walks, spending time with grandkids, crafts, crocheting, and decorating.
(469) 840-3354 View (469) 840-3354

More Therapists Nearby

Photo of Healing Mind Psychiatry PLLC in Little Elm, TX
Healing Mind Psychiatry PLLC
PA-C
Verified Verified
2 Endorsed
Frisco, TX 75033
Now Accepting NEW Clients! Welcome to Healing Mind Psychiatry, where our goal is to offer compassionate, thorough, and individualized mental health services. We know how intimidating it might be to seek professional assistance for mental health issues. Our clinic offers a wide range of services to both adolescents and adults dealing with a variety of mental health conditions. As a result, our team of skilled mental health providers are committed to fostering a secure and welcoming environment for every client who enters our doors. From depression and anxiety, bipolar illness & ADHD, our specialists have the knowledge to help you.
Now Accepting NEW Clients! Welcome to Healing Mind Psychiatry, where our goal is to offer compassionate, thorough, and individualized mental health services. We know how intimidating it might be to seek professional assistance for mental health issues. Our clinic offers a wide range of services to both adolescents and adults dealing with a variety of mental health conditions. As a result, our team of skilled mental health providers are committed to fostering a secure and welcoming environment for every client who enters our doors. From depression and anxiety, bipolar illness & ADHD, our specialists have the knowledge to help you.
(214) 241-4684 View (214) 241-4684
Photo of Summer Rose, Psychologist in Little Elm, TX
Summer Rose
Psychologist, PsyD
Verified Verified
1 Endorsed
Frisco, TX 75033  (Online Only)
Hi there! Thank you for considering my practice. I have extensive expertise in the following areas: depression/bipolar disorders, anxiety, trauma, parenting issues, behavioral disorders, family discord and child/adolescent issues (though I work with lots of adults too). My modality is eclectic; however, my approach is tailored to what will work for your unique situation. I have expertise in the area of psychological assessment. I conduct assessments weekly for ADHD, learning differences, behavior disorders, etc. I am a frequent speaker in the DFW metroplex and have been featured as an expert panelist on NPR. But above all, I privilege my clients and their voice.
Hi there! Thank you for considering my practice. I have extensive expertise in the following areas: depression/bipolar disorders, anxiety, trauma, parenting issues, behavioral disorders, family discord and child/adolescent issues (though I work with lots of adults too). My modality is eclectic; however, my approach is tailored to what will work for your unique situation. I have expertise in the area of psychological assessment. I conduct assessments weekly for ADHD, learning differences, behavior disorders, etc. I am a frequent speaker in the DFW metroplex and have been featured as an expert panelist on NPR. But above all, I privilege my clients and their voice.
(281) 609-7482 View (281) 609-7482
Photo of Paul A. Jurek, PhD, Licensed Professional Counselor in Little Elm, TX
Paul A. Jurek, PhD
Licensed Professional Counselor, LPC-S, LMFT-S
Verified Verified
4 Endorsed
Denton, TX 76201
Dr. Jurek's specialty is treating Child and Family challenges. He utilizes a collaborate approach to address ADHD, Autism Spectrum Disorders, Anxiety, Depression, Bipolar Disorder and Marital and Family issues. Clients' ages range from three to seniors. Dr. Jurek's clinical training allows him to administer Diagnostic Assessments and to provide comprehensive treatment which may include: play therapy, parenting skills, individual, couples and family counseling. He offers an inviting, safe environment to assist individuals and families navigate through life's difficulties.
Dr. Jurek's specialty is treating Child and Family challenges. He utilizes a collaborate approach to address ADHD, Autism Spectrum Disorders, Anxiety, Depression, Bipolar Disorder and Marital and Family issues. Clients' ages range from three to seniors. Dr. Jurek's clinical training allows him to administer Diagnostic Assessments and to provide comprehensive treatment which may include: play therapy, parenting skills, individual, couples and family counseling. He offers an inviting, safe environment to assist individuals and families navigate through life's difficulties.
(940) 535-7219 View (940) 535-7219
PyschoNeuroPlasticity (PNP) Center
Psychologist, PhD
Verified Verified
Lewisville, TX 75057
The PsychoNeuroPlasticity (PNP) Center is currently accepting children, adolescents and adults who may be living with ADD/ADHD, Post Traumatic Stress Disorder (PTSD), Mood Disorders, Bipolar Disorder, Obsessive Compulsive Disorder (OCD), Anxiety, Depression, Memory, and Brain-Health concerns as well as other Neurological and Spectrum Disorders. We offer a comprehensive 2-day brain-based assessment along with three-month follow-up and treatment planning.
The PsychoNeuroPlasticity (PNP) Center is currently accepting children, adolescents and adults who may be living with ADD/ADHD, Post Traumatic Stress Disorder (PTSD), Mood Disorders, Bipolar Disorder, Obsessive Compulsive Disorder (OCD), Anxiety, Depression, Memory, and Brain-Health concerns as well as other Neurological and Spectrum Disorders. We offer a comprehensive 2-day brain-based assessment along with three-month follow-up and treatment planning.
(972) 434-5454 View (972) 434-5454
Photo of Jacqueline Guardiola, Licensed Professional Counselor in Little Elm, TX
Jacqueline Guardiola
Licensed Professional Counselor, MS, LPC
Verified Verified
Denton, TX 76201  (Online Only)
I specialize in treating adults, adolescents, and children who are dealing with anxiety, depression, trauma, and PTSD. I also have experience in treating Bipolar Disorder and substance use. As an experienced play therapist, I am trained to work with children, focusing on trauma treatment using EMDR. I enjoy involving caregivers in the process through parent-child interaction therapy. My priority is understanding your expectations and helping you achieve your goals.
I specialize in treating adults, adolescents, and children who are dealing with anxiety, depression, trauma, and PTSD. I also have experience in treating Bipolar Disorder and substance use. As an experienced play therapist, I am trained to work with children, focusing on trauma treatment using EMDR. I enjoy involving caregivers in the process through parent-child interaction therapy. My priority is understanding your expectations and helping you achieve your goals.
(512) 768-2731 View (512) 768-2731
Photo of Kali Carter, Licensed Professional Counselor in Little Elm, TX
Kali Carter
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Flower Mound, TX 75028
I am a Licensed Professional Counselor Supervisor in the state of Texas. I have a Master’s Degree in Counseling and Development from Texas Woman’s University. Throughout my career I’ve had the opportunity to work with a diverse clientele including children, adolescents, teens, and adults. I have experience treating anxiety, depression, trauma, PTSD, bipolar disorder, adjustment disorders, self-esteem struggles, parenting, and relationship issues.
I am a Licensed Professional Counselor Supervisor in the state of Texas. I have a Master’s Degree in Counseling and Development from Texas Woman’s University. Throughout my career I’ve had the opportunity to work with a diverse clientele including children, adolescents, teens, and adults. I have experience treating anxiety, depression, trauma, PTSD, bipolar disorder, adjustment disorders, self-esteem struggles, parenting, and relationship issues.
(940) 398-0678 View (940) 398-0678
Photo of Ichange Counseling, Psychiatry & Testing, Licensed Professional Counselor in Little Elm, TX
Ichange Counseling, Psychiatry & Testing
Licensed Professional Counselor, MS, LPC-S, LCDC, MD
Verified Verified
Corinth, TX 76208
ADD/ ADHD testing, Bipolar,Depression, Anxiety, On Site Psychiatrist as needed, Improving Behavior, Making & Keeping Friends, Adjusting to Blended Family, Disordered Eating, Grieving Death, Understanding Divorce, Abuse, Preventing Suicide, Anxiety, Career / Job Skill,Social Skills, Couples,.
All ages welcome. Finding a counselor is overwhelming. We can offer you support. Counseling and coaching for depression, anxiety, bipolar, trauma and much more. We use play therapy, Cog. Behavioral, couples and family techniques, expressive therapies and individualized approaches. In contract with local EAP's. Treatment is customized for clients' specific needs. Licensed supervisor, and published book author. Both undergrad and grad degrees from MSU with continued training in CBT, solution focused, and family systems in New Jersey and Boston.
ADD/ ADHD testing, Bipolar,Depression, Anxiety, On Site Psychiatrist as needed, Improving Behavior, Making & Keeping Friends, Adjusting to Blended Family, Disordered Eating, Grieving Death, Understanding Divorce, Abuse, Preventing Suicide, Anxiety, Career / Job Skill,Social Skills, Couples,.
All ages welcome. Finding a counselor is overwhelming. We can offer you support. Counseling and coaching for depression, anxiety, bipolar, trauma and much more. We use play therapy, Cog. Behavioral, couples and family techniques, expressive therapies and individualized approaches. In contract with local EAP's. Treatment is customized for clients' specific needs. Licensed supervisor, and published book author. Both undergrad and grad degrees from MSU with continued training in CBT, solution focused, and family systems in New Jersey and Boston.
(940) 236-0662 View (940) 236-0662
Photo of Paul D Myers, Counselor in Little Elm, TX
Paul D Myers
Counselor, MA, LPC-S
Verified Verified
5 Endorsed
Frisco, TX 75034
Counseling is my life's calling! I have a background in helping people with the following struggles: depression, anxiety, ADD, bipolar, past abuse, marital or family conflict, parenting issues, troubled teenagers, and career decisions.
I understand your pain, I've been there. I want to help you, your children and, your family make life transformations and create positive change. Imagine freedom from anxiety, the ability to break depression, and a new healthy direction for your life! I've seen great results in my clients and I want to you be the next person I serve to make a positive difference. I counsel from a faith based cognitive behavioral perspective to help you gain control over your thoughts and feelings and overcome the pain that life throws our way.
Counseling is my life's calling! I have a background in helping people with the following struggles: depression, anxiety, ADD, bipolar, past abuse, marital or family conflict, parenting issues, troubled teenagers, and career decisions.
I understand your pain, I've been there. I want to help you, your children and, your family make life transformations and create positive change. Imagine freedom from anxiety, the ability to break depression, and a new healthy direction for your life! I've seen great results in my clients and I want to you be the next person I serve to make a positive difference. I counsel from a faith based cognitive behavioral perspective to help you gain control over your thoughts and feelings and overcome the pain that life throws our way.
(972) 893-9036 View (972) 893-9036
Photo of Holly Fedro, Clinical Social Work/Therapist in Little Elm, TX
Holly Fedro
Clinical Social Work/Therapist, LCSW
Verified Verified
Frisco, TX 75034
Holly and her staff of licensed therapists have extensive experience treating childhood disorders like ADHD/LD, Autism Spectrum, unipolar and bipolar depression, aggression, anxiety, oppositional behavior, attachment disorders, and social skill problems. We help parents develop positive behavior plans to reduce behavior difficulties at home and school. Marital and other family relationship issues are also addressed. We use a short term, cognitive behavioral approach to provide practical advise and proven strategies to help resolve problems as quickly and efficiently as possible.
Holly and her staff of licensed therapists have extensive experience treating childhood disorders like ADHD/LD, Autism Spectrum, unipolar and bipolar depression, aggression, anxiety, oppositional behavior, attachment disorders, and social skill problems. We help parents develop positive behavior plans to reduce behavior difficulties at home and school. Marital and other family relationship issues are also addressed. We use a short term, cognitive behavioral approach to provide practical advise and proven strategies to help resolve problems as quickly and efficiently as possible.
(972) 528-9164 View (972) 528-9164
Photo of Jennifer Brobst, Psychologist in Little Elm, TX
Jennifer Brobst
Psychologist, PhD, LSSP
Verified Verified
Frisco, TX 75034
I am a Licensed Clinical Psychologist and a Licensed Specialist in School Psychology. I love working with adults, teenagers, children, and families. I have experience helping patients with depression, anxiety, bipolar, autism and other developmental disabilities, OCD, ADHD, family concerns, parenting stress, career and academic concerns, as well as traumatic experiences. In addition, I have extensive experience in grief therapy during times of loss, such as in a time of death, divorce, and other significant life changes. I also enjoy working on goals of self-improvement, self-awareness, and compassion with my patients.
I am a Licensed Clinical Psychologist and a Licensed Specialist in School Psychology. I love working with adults, teenagers, children, and families. I have experience helping patients with depression, anxiety, bipolar, autism and other developmental disabilities, OCD, ADHD, family concerns, parenting stress, career and academic concerns, as well as traumatic experiences. In addition, I have extensive experience in grief therapy during times of loss, such as in a time of death, divorce, and other significant life changes. I also enjoy working on goals of self-improvement, self-awareness, and compassion with my patients.
(972) 833-0114 View (972) 833-0114
Photo of Lifeworks Counseling Center, PLLC, Licensed Professional Counselor in Little Elm, TX
Lifeworks Counseling Center, PLLC
Licensed Professional Counselor, LPC
Verified Verified
Frisco, TX 75034
Lifeworks therapists work with most emotional/psychological disorders; such as, major depression, bipolar, anxiety/PTSD, anger/stress, grief & personality disorders.
Lifeworks Counseling Center, PLLC has been in business since 1992. We provide therapy for ages 4 and up. We have 9 therapists (LPC, LMFT, LCSW) who provide counseling for almost any emotional/mental/spiritual challenge people face in today's culture. We have therapists on most major insurance and EAP panels and also work with private pay clients as well.
Lifeworks therapists work with most emotional/psychological disorders; such as, major depression, bipolar, anxiety/PTSD, anger/stress, grief & personality disorders.
Lifeworks Counseling Center, PLLC has been in business since 1992. We provide therapy for ages 4 and up. We have 9 therapists (LPC, LMFT, LCSW) who provide counseling for almost any emotional/mental/spiritual challenge people face in today's culture. We have therapists on most major insurance and EAP panels and also work with private pay clients as well.
(972) 435-0231 View (972) 435-0231
Photo of Staci Butler, Licensed Professional Counselor in Little Elm, TX
Staci Butler
Licensed Professional Counselor, MS, NCC
Verified Verified
5 Endorsed
The Colony, TX 75056
Hi, I’m so glad you’re here! Perhaps you’ve felt overwhelmed or like you’re never good enough. You aren’t able to be yourself at work or school. Maybe it takes all of your energy just to get through each day. Let’s explore what is keeping you from feeling your best, together. I want our sessions to feel safe, supportive, and non-judgmental so that you can get the most out of therapy. We will work together to find the root of your problems and figure out how to start feeling better.
Hi, I’m so glad you’re here! Perhaps you’ve felt overwhelmed or like you’re never good enough. You aren’t able to be yourself at work or school. Maybe it takes all of your energy just to get through each day. Let’s explore what is keeping you from feeling your best, together. I want our sessions to feel safe, supportive, and non-judgmental so that you can get the most out of therapy. We will work together to find the root of your problems and figure out how to start feeling better.
(214) 393-6139 View (214) 393-6139
Photo of Miranda Rex, Licensed Professional Counselor Associate in Little Elm, TX
Miranda Rex
Licensed Professional Counselor Associate, MA, MS, MT-BC, LPC-A, NCC
Verified Verified
Denton, TX 76205
If you’ve felt a little lost or stuck, or like something just isn’t right, or maybe even felt nothing at all, therapy is a great space to figure things out. In today’s world, it’s easy to lose touch with ourselves and our feelings. You might have specific goals you want to achieve, or you might just need a safe space to untangle the knots in your brain; we will collaborate and decide together what best meets your needs.
If you’ve felt a little lost or stuck, or like something just isn’t right, or maybe even felt nothing at all, therapy is a great space to figure things out. In today’s world, it’s easy to lose touch with ourselves and our feelings. You might have specific goals you want to achieve, or you might just need a safe space to untangle the knots in your brain; we will collaborate and decide together what best meets your needs.
(214) 949-4338 View (214) 949-4338

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.