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Online Therapists

Photo of Lee Rogers, Clinical Social Work/Therapist in Marble Falls, TX
Lee Rogers
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78731  (Online Only)
Waitlist for new clients
I focus my work on anxiety, bipolar disorder, PTSD, trauma, and life transitions in middle age.
I believe in creating a unique and supportive environment where no topic is off limits. My approach in therapy is centered around each person’s individual needs. I focus energy in sessions on empowering clients through their process of self-transformation. You can rely on my authentic, interactive, and curious self to be with you as you navigate your own path of healing. I am here to talk with you, explore with you, feel with you, and at times, challenge you.
I focus my work on anxiety, bipolar disorder, PTSD, trauma, and life transitions in middle age.
I believe in creating a unique and supportive environment where no topic is off limits. My approach in therapy is centered around each person’s individual needs. I focus energy in sessions on empowering clients through their process of self-transformation. You can rely on my authentic, interactive, and curious self to be with you as you navigate your own path of healing. I am here to talk with you, explore with you, feel with you, and at times, challenge you.
(737) 302-5714 View (737) 302-5714
Photo of Katherine Kainer, Psychologist in Marble Falls, TX
Katherine Kainer
Psychologist, PsyD
Verified Verified
San Antonio, TX 78212
Hello! My name is Dr. Katherine (Katie) Kainer and I am a licensed psychologist based in San Antonio, TX. I am the owner of ReNew Psychological Services, PLLC, and provide virtual therapy to clients all over Texas. I work with adults who experience various difficulties, including depression, anxiety, social anxiety, bipolar, ADHD, PTSD, trauma, anger, stress, body image, relational, communication, life transition/adjustment, grief/loss, burnout, work stress, perfectionism, self-esteem, family conflict, chronic pain, neurocognitive, military/veteran-related, and college mental health concerns.
Hello! My name is Dr. Katherine (Katie) Kainer and I am a licensed psychologist based in San Antonio, TX. I am the owner of ReNew Psychological Services, PLLC, and provide virtual therapy to clients all over Texas. I work with adults who experience various difficulties, including depression, anxiety, social anxiety, bipolar, ADHD, PTSD, trauma, anger, stress, body image, relational, communication, life transition/adjustment, grief/loss, burnout, work stress, perfectionism, self-esteem, family conflict, chronic pain, neurocognitive, military/veteran-related, and college mental health concerns.
(281) 746-6732 View (281) 746-6732
Photo of Karisha Richards, Licensed Professional Counselor in Marble Falls, 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 Aleksandra Bessent, Licensed Professional Counselor Associate in Marble Falls, TX
Aleksandra Bessent
Licensed Professional Counselor Associate, ECFMG-, cert, MD, MA, NCC
Verified Verified
2 Endorsed
Temple, TX 76501
I specialize in serving individuals experiencing OCD, bipolar disorder, PTSD, borderline personality disorder, grief, infidelity and more.
Are you trying to cope with constant worry, intrusive thoughts, trauma triggers, sadness or anger? Would you like to improve your relationships with partner/spouse/family? Are you struggling to recover from childhood trauma or narcissistic abuse, adjust to major life changes, such as acute or chronic disease, divorce, death of a loved person, career transition? There are times in life when we need professional help to feel better and live a more fulfilling life. I am here to help you to deal with distress, grief, sense of despair, get your symptoms under control, heal from trauma and experience happiness.
I specialize in serving individuals experiencing OCD, bipolar disorder, PTSD, borderline personality disorder, grief, infidelity and more.
Are you trying to cope with constant worry, intrusive thoughts, trauma triggers, sadness or anger? Would you like to improve your relationships with partner/spouse/family? Are you struggling to recover from childhood trauma or narcissistic abuse, adjust to major life changes, such as acute or chronic disease, divorce, death of a loved person, career transition? There are times in life when we need professional help to feel better and live a more fulfilling life. I am here to help you to deal with distress, grief, sense of despair, get your symptoms under control, heal from trauma and experience happiness.
(254) 613-8558 View (254) 613-8558
Photo of Kayla Burrow, Licensed Professional Counselor in Marble Falls, TX
Kayla Burrow
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78705  (Online Only)
I am a licensed professional counselor in Texas with 7 years of professional work experience. I have experience in helping clients with stress, anxiety, major depressive disorder, bipolar disorder, schizophrenia & schizoaffective disorder, as well as, the co-occurring diagnosis .
I am a licensed professional counselor in Texas with 7 years of professional work experience. I have experience in helping clients with stress, anxiety, major depressive disorder, bipolar disorder, schizophrenia & schizoaffective disorder, as well as, the co-occurring diagnosis .
(737) 252-6587 View (737) 252-6587
Photo of Gina Antonia Nepa, Clinical Social Work/Therapist in Marble Falls, TX
Gina Antonia Nepa
Clinical Social Work/Therapist, LCSW, LICSW, LMSW, CTP
Verified Verified
Austin, TX 78705  (Online Only)
I'm honored to get to hold space with you. I am primarily offering ADHD assessments at this time. I’m passionate about working with clients to confirm or rule out ADHD, and offer subsequent treatment to support in ADHD management and/or the presence of anxiety, depression, bipolar disorder, substance misuse, and trauma impact. I'm particularly passionate about working with LGBTQIA+-identified individuals, and believe that liberation of shame is imperative in a strong therapeutic partnership. I fundamentally believe that each of us is doing our best with the tools that we have.
I'm honored to get to hold space with you. I am primarily offering ADHD assessments at this time. I’m passionate about working with clients to confirm or rule out ADHD, and offer subsequent treatment to support in ADHD management and/or the presence of anxiety, depression, bipolar disorder, substance misuse, and trauma impact. I'm particularly passionate about working with LGBTQIA+-identified individuals, and believe that liberation of shame is imperative in a strong therapeutic partnership. I fundamentally believe that each of us is doing our best with the tools that we have.
(206) 558-5483 View (206) 558-5483
Photo of Laura McDowell-Salcedo, LCSW, Clinical Social Work/Therapist in Marble Falls, 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 Veronica Turullols-Gonzalez, Licensed Master Social Worker in Marble Falls, TX
Veronica Turullols-Gonzalez
Licensed Master Social Worker, LMSW
Verified Verified
2 Endorsed
Austin, TX 78745
Over the last 8 years I have worked with teens, families, and adults who have experienced depression, anxiety, grief/loss, anger issues, bipolar, PTSD, thoughts/attempts of suicide, self-harm, panic attacks, existential stress, abuse, trauma, addiction, body dysmorphia, LGBTQIA+ issues, cultural shock, interpersonal conflict, life transitions and much more.
My goal is to provide you with a space to process the difficult things but also empower you so that you leave each session feeling a little more whole than the last. Within this safe space your needs come first, judgment will never be placed on you, you can be your true genuine self, and you get to choose what you want out of your treatment. My approach to therapy is warm, empathetic, and strengths based. I utilize several different modalities to best meet individuals needs but almost always incorporate some form of positive psychology and/or mindfulness to strengthen neuro-connections in the brain that influence positive thinking.
Over the last 8 years I have worked with teens, families, and adults who have experienced depression, anxiety, grief/loss, anger issues, bipolar, PTSD, thoughts/attempts of suicide, self-harm, panic attacks, existential stress, abuse, trauma, addiction, body dysmorphia, LGBTQIA+ issues, cultural shock, interpersonal conflict, life transitions and much more.
My goal is to provide you with a space to process the difficult things but also empower you so that you leave each session feeling a little more whole than the last. Within this safe space your needs come first, judgment will never be placed on you, you can be your true genuine self, and you get to choose what you want out of your treatment. My approach to therapy is warm, empathetic, and strengths based. I utilize several different modalities to best meet individuals needs but almost always incorporate some form of positive psychology and/or mindfulness to strengthen neuro-connections in the brain that influence positive thinking.
(512) 886-7414 View (512) 886-7414
Photo of Sarah Pendergraft, Clinical Social Work/Therapist in Marble Falls, TX
Sarah Pendergraft
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
2 Endorsed
Austin, TX 78746
We can lose touch with ourselves for a variety of reasons. Sometimes the symptoms of our issues disconnect us from ourselves, our environment, and our loved ones. I help clients reconnect with who they are, what they need, and what is most important to them. In sessions, I help clients work through trauma, addiction, chronic pain, chronic health, personal development, relationships, limiting beliefs, black-and-white thinking, judgments, and self-compassion. As a somatic therapist and yoga instructor, I help clients cultivate mindfulness and meditation skills, which can be a critical part of the therapeutic process.
We can lose touch with ourselves for a variety of reasons. Sometimes the symptoms of our issues disconnect us from ourselves, our environment, and our loved ones. I help clients reconnect with who they are, what they need, and what is most important to them. In sessions, I help clients work through trauma, addiction, chronic pain, chronic health, personal development, relationships, limiting beliefs, black-and-white thinking, judgments, and self-compassion. As a somatic therapist and yoga instructor, I help clients cultivate mindfulness and meditation skills, which can be a critical part of the therapeutic process.
(512) 233-6018 View (512) 233-6018
Photo of Pamela Gates, Licensed Professional Counselor in Marble Falls, TX
Pamela Gates
Licensed Professional Counselor, MA, LPCS, LCDC, ADCIII
Verified Verified
Lakeway, TX 78734  (Online Only)
Do you need someone to talk to and to find solutions to painful emotions and behaviors that are hurting you, your relationships and negatively impacting your quality of life? Call me, I can help. I have experience with most psychological disorders and difficult life circumstances and have helped individuals and families successfully cope with depression, anxiety, mood disorders, trauma recovery, and substance abuse and addiction issues both within self or in the family. I have worked in a variety of settings as a clinician, supervisor, manager and director both before and after starting my own private practice in 2000.
Do you need someone to talk to and to find solutions to painful emotions and behaviors that are hurting you, your relationships and negatively impacting your quality of life? Call me, I can help. I have experience with most psychological disorders and difficult life circumstances and have helped individuals and families successfully cope with depression, anxiety, mood disorders, trauma recovery, and substance abuse and addiction issues both within self or in the family. I have worked in a variety of settings as a clinician, supervisor, manager and director both before and after starting my own private practice in 2000.
(512) 607-7221 View (512) 607-7221
Photo of Jamie Figari, Clinical Social Work/Therapist in Marble Falls, TX
Jamie Figari
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Austin, TX 78756
I specialize in working with individuals and couples from a holistic perspective, incorporating evidence-based modalities to support healing and growth. My practice is informed by the belief that healing occurs within the context of relationships. I approach therapy from a "person in the environment perspective". I help clients explore the dynamics within their families of origin and how these patterns continue to influence their current relationships and sense of self. We will also explore the importance of secure attachments in fostering emotional regulation and resilience.
I specialize in working with individuals and couples from a holistic perspective, incorporating evidence-based modalities to support healing and growth. My practice is informed by the belief that healing occurs within the context of relationships. I approach therapy from a "person in the environment perspective". I help clients explore the dynamics within their families of origin and how these patterns continue to influence their current relationships and sense of self. We will also explore the importance of secure attachments in fostering emotional regulation and resilience.
(512) 855-6363 View (512) 855-6363
Photo of Marty Romero Brickley, M.Ed., LPC, Licensed Professional Counselor in Marble Falls, TX
Marty Romero Brickley, M.Ed., LPC
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Austin, TX 78745
I provide counseling for individuals, couples, marriages and families. I also provide individual sessions for Meridian Tapping and iRest® Yoga Nidra Meditation. I integrate Imago, Meridian Tapping and meditation to empower you in learning to navigate your life and relationships. I guide you in exploring body feelings, emotions and beliefs as well as your relationship systems. I will guide you in learning how to become safe with yourself and how to be empowered in the present while living in the world. I look forward to working with you. I will treat your concerns with the utmost respect and with complete confidentiality.
I provide counseling for individuals, couples, marriages and families. I also provide individual sessions for Meridian Tapping and iRest® Yoga Nidra Meditation. I integrate Imago, Meridian Tapping and meditation to empower you in learning to navigate your life and relationships. I guide you in exploring body feelings, emotions and beliefs as well as your relationship systems. I will guide you in learning how to become safe with yourself and how to be empowered in the present while living in the world. I look forward to working with you. I will treat your concerns with the utmost respect and with complete confidentiality.
(512) 354-2813 View (512) 354-2813
Photo of Heather Lorraine Scott, Marriage & Family Therapist Associate in Marble Falls, TX
Heather Lorraine Scott
Marriage & Family Therapist Associate, MFTA, MA
Verified Verified
1 Endorsed
Austin, TX 78736
Hello, I am glad you are here! I hold the belief that anyone can change, sometimes we get stuck and need a little help. Weather you need help with parenting, a listening ear after losing a loved one, or need to get a handle on a mental health disorder I can assist you.
Hello, I am glad you are here! I hold the belief that anyone can change, sometimes we get stuck and need a little help. Weather you need help with parenting, a listening ear after losing a loved one, or need to get a handle on a mental health disorder I can assist you.
(512) 881-7904 View (512) 881-7904
Photo of Reno Gomez, Clinical Social Work/Therapist in Marble Falls, 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 Regina Medart, LPC, Licensed Professional Counselor in Marble Falls, TX
Regina Medart, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Austin, TX 78701
Therapy can be your space to explore questions about yourself & others and how to cope with your unique challenges in a deeper way. Over time you too can begin to feel how liberating it is to show up for yourself. "Imperfections" are just the best way you have been able to cope with life circumstances. Learn how to listen to your own internal wisdom and tolerate the emotions you may have been numb to or disconnected from. Develop new ways to cope and be in the world that support the life you want to create. You too can begin to build a life you may have only wished for by giving yourself the time and support you deserve.
Therapy can be your space to explore questions about yourself & others and how to cope with your unique challenges in a deeper way. Over time you too can begin to feel how liberating it is to show up for yourself. "Imperfections" are just the best way you have been able to cope with life circumstances. Learn how to listen to your own internal wisdom and tolerate the emotions you may have been numb to or disconnected from. Develop new ways to cope and be in the world that support the life you want to create. You too can begin to build a life you may have only wished for by giving yourself the time and support you deserve.
(512) 572-3701 View (512) 572-3701
Photo of Rosy Fuentes(Bilingual), Licensed Professional Counselor in Marble Falls, TX
Rosy Fuentes(Bilingual)
Licensed Professional Counselor, PhD, MA
Verified Verified
Austin, TX 78754
There are difficult things that are hard to talk about and you may carry them quietly for years and years. They weigh on you, causing emotional, physical and relational problems. If you've reached a point where you feel that you can no longer do it alone, I would like to help. As a counselor, I will listen, and will work together in helping you with what has or is happening. Our goal will be to accept yourself unconditionally and determine the best next steps to overcome what you are facing.
There are difficult things that are hard to talk about and you may carry them quietly for years and years. They weigh on you, causing emotional, physical and relational problems. If you've reached a point where you feel that you can no longer do it alone, I would like to help. As a counselor, I will listen, and will work together in helping you with what has or is happening. Our goal will be to accept yourself unconditionally and determine the best next steps to overcome what you are facing.
(737) 345-3002 View (737) 345-3002
Photo of Black Moth Psychotherapy & Supervision , Clinical Social Work/Therapist in Marble Falls, TX
Black Moth Psychotherapy & Supervision
Clinical Social Work/Therapist, LCSW-S, CSTIP
Verified Verified
San Antonio, TX 78232  (Online Only)
Hi, I'm Esperanza. I want to be your LCSW supervisor! My supervision services help create culturally competent, trauma informed clinicians with unique clinical skills focused on evidence based whole brain whole body practices. With specializations in somatics, behavioral neuroscience, integrative medicine and more, I am confident that I can guide you into becoming the best clinician you can be. Clinical supervision is an investment, so I will always ensure you're getting MORE than your money's worth! Pricing includes access to e-books, clinical resources, and top notch LCSW exam prep. Only accepting supervisees at this time.
Hi, I'm Esperanza. I want to be your LCSW supervisor! My supervision services help create culturally competent, trauma informed clinicians with unique clinical skills focused on evidence based whole brain whole body practices. With specializations in somatics, behavioral neuroscience, integrative medicine and more, I am confident that I can guide you into becoming the best clinician you can be. Clinical supervision is an investment, so I will always ensure you're getting MORE than your money's worth! Pricing includes access to e-books, clinical resources, and top notch LCSW exam prep. Only accepting supervisees at this time.
(210) 592-4799 View (210) 592-4799
Photo of Jeanne Serra, Marriage & Family Therapist in Marble Falls, TX
Jeanne Serra
Marriage & Family Therapist, LMFT
Verified Verified
Austin, TX 73301  (Online Only)
You are exhausted. You recognize there is a problem, but don't know how to solve it. You are caught in the cycle of overwhelm. If you continue down this road all you will find is powerlessness and hopelessness. You don't have to stay trapped. My focus is to empower you to take back control of your life & become the best version of yourself. I provide relief to adults in California and Texas experiencing anxiety and overwhelm through a relationally based approach. I use my empathic style to connect to the suffering of my clients and help them move through this to a place of healing.
You are exhausted. You recognize there is a problem, but don't know how to solve it. You are caught in the cycle of overwhelm. If you continue down this road all you will find is powerlessness and hopelessness. You don't have to stay trapped. My focus is to empower you to take back control of your life & become the best version of yourself. I provide relief to adults in California and Texas experiencing anxiety and overwhelm through a relationally based approach. I use my empathic style to connect to the suffering of my clients and help them move through this to a place of healing.
(619) 356-2563 View (619) 356-2563
Photo of Dr. Shannon Stavinoha, Psychologist in Marble Falls, TX
Dr. Shannon Stavinoha
Psychologist, MA, PhD
Verified Verified
Austin, TX 78738
Currently Accepting New Clients. I work with people from a variety of different backgrounds and across a broad range of human experiences. I enjoy helping clients find meaning, strength, and growth after surviving difficult, painful, and traumatic experiences. I enjoy working with adults and emerging adults. I feel grateful that I get to play a part in the lives of the clients I work with and share in their experiences.
Currently Accepting New Clients. I work with people from a variety of different backgrounds and across a broad range of human experiences. I enjoy helping clients find meaning, strength, and growth after surviving difficult, painful, and traumatic experiences. I enjoy working with adults and emerging adults. I feel grateful that I get to play a part in the lives of the clients I work with and share in their experiences.
(512) 643-6586 View (512) 643-6586
Photo of Morgan Grace, Clinical Social Work/Therapist in Marble Falls, TX
Morgan Grace
Clinical Social Work/Therapist, LCSW-S, LCDC, CCTP, EMDR, TCYM
Verified Verified
1 Endorsed
Austin, TX 78701
Waitlist for new clients
Welcome! I work with individuals who are looking to heal from past wounds and find their highest self. With a multidimensional background, I will meet you where you are and we'll explore the barriers that may be preventing you from moving forward. I believe you already have the tools you need. It takes a safe space with which to release the emotional weight and begin to see life with a new perspective. Our work together could be best summarized with the quote "Courage is not the absence of fear; courage is fear walking". It is an honor to help support you in this phase of your journey.
Welcome! I work with individuals who are looking to heal from past wounds and find their highest self. With a multidimensional background, I will meet you where you are and we'll explore the barriers that may be preventing you from moving forward. I believe you already have the tools you need. It takes a safe space with which to release the emotional weight and begin to see life with a new perspective. Our work together could be best summarized with the quote "Courage is not the absence of fear; courage is fear walking". It is an honor to help support you in this phase of your journey.
(507) 509-2169 View (507) 509-2169

See more therapy options for Marble Falls

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.