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Online Therapists

Photo of Beth Linfoot, Counseling, PLLC, Licensed Professional Counselor in Zavala County, TX
Beth Linfoot, Counseling, PLLC
Licensed Professional Counselor, MS, MA, LPC, LCDC
Verified Verified
9 Endorsed
Boerne, TX 78006
Waitlist for new clients
I work with teens, young adults, individuals, families, and couples. I have extensive experience with relationship issues, self-esteem, depression, bipolar, trauma, anxiety, and addiction. I believe that all great struggle creates the opportunity for profound growth and that what lies on the other side of discomfort is greater than any of us could have imagined. I am passionate about helping others realize their emotional and spiritual potential.
I work with teens, young adults, individuals, families, and couples. I have extensive experience with relationship issues, self-esteem, depression, bipolar, trauma, anxiety, and addiction. I believe that all great struggle creates the opportunity for profound growth and that what lies on the other side of discomfort is greater than any of us could have imagined. I am passionate about helping others realize their emotional and spiritual potential.
(210) 591-8031 View (210) 591-8031
Photo of Margaret Bean, Marriage & Family Therapist in Zavala County, TX
Margaret Bean
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
My working experiences have offered me a wide range of opportunities to counsel couples, families, children, adolescents, and adults. I have knowledge in many areas including trauma, PTSD, depression, bipolar, schizophrenia, anxiety, self-esteem, multigenerational challenges, sexual assault, human trafficking, life transitions, and grief. experience working with members of the queer identity through all stages of their identity exploration and acceptance. I am also informed in various relationship practices including monogamous and alternative styles such as polyamory, kink, long-distance, and open relationships.
My working experiences have offered me a wide range of opportunities to counsel couples, families, children, adolescents, and adults. I have knowledge in many areas including trauma, PTSD, depression, bipolar, schizophrenia, anxiety, self-esteem, multigenerational challenges, sexual assault, human trafficking, life transitions, and grief. experience working with members of the queer identity through all stages of their identity exploration and acceptance. I am also informed in various relationship practices including monogamous and alternative styles such as polyamory, kink, long-distance, and open relationships.
(210) 941-4997 View (210) 941-4997
Photo of Stephanie Torres Rojas, Psychologist in Zavala County, TX
Stephanie Torres Rojas
Psychologist, PsyD
Verified Verified
San Antonio, TX 78216  (Online Only)
Her focus includes anxiety, depression, stress, trauma, grief, anger management, marital and family conflict, divorce, adjustment disorder, parenting skills, spirituality, coping skills, life transitions, acculturation, LGBTQ, existential concerns, bipolar disorders, racial minorities, chronic pain, and chronic illness.
Telehealth only. Dr. Stephanie Torres is a bilingual (Spanish) licensed psychologist who provides individual, couple, family, and group therapy. Her approach is inclusive, synergetic, and trauma-informed. She strives to create a safe, warm, and non-judgmental environment where everyone is treated with respect, uniqueness, egalitarianism, and anti-racism. She aims to help clients promote personal growth, overcome challenges, transitions, and difficulties in life, and facilitate the emotional and healing process.
Her focus includes anxiety, depression, stress, trauma, grief, anger management, marital and family conflict, divorce, adjustment disorder, parenting skills, spirituality, coping skills, life transitions, acculturation, LGBTQ, existential concerns, bipolar disorders, racial minorities, chronic pain, and chronic illness.
Telehealth only. Dr. Stephanie Torres is a bilingual (Spanish) licensed psychologist who provides individual, couple, family, and group therapy. Her approach is inclusive, synergetic, and trauma-informed. She strives to create a safe, warm, and non-judgmental environment where everyone is treated with respect, uniqueness, egalitarianism, and anti-racism. She aims to help clients promote personal growth, overcome challenges, transitions, and difficulties in life, and facilitate the emotional and healing process.
(210) 934-4597 View (210) 934-4597
Photo of Gloria Tijerina, Clinical Social Work/Therapist in Zavala County, TX
Gloria Tijerina
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78211
I am a licensed therapist with over 25 yrs experience with adults, the elderly, teens, couples, families, the chronic mentally ill, and the military. I have been in private practice since 2001, and previously worked at partial hospitalization day treatment clinics doing individual and group therapy. I served as program director of an inpatient psychiatric unit in a local hospital. I have a working knowledge of anxiety disorders including PTSD, depression and suicidal ideation, bipolar disorder, marital conflict and relationship issues, crisis and trauma, grief issues, sexual abuse, sexual identity issues, and Christian counseling.
I am a licensed therapist with over 25 yrs experience with adults, the elderly, teens, couples, families, the chronic mentally ill, and the military. I have been in private practice since 2001, and previously worked at partial hospitalization day treatment clinics doing individual and group therapy. I served as program director of an inpatient psychiatric unit in a local hospital. I have a working knowledge of anxiety disorders including PTSD, depression and suicidal ideation, bipolar disorder, marital conflict and relationship issues, crisis and trauma, grief issues, sexual abuse, sexual identity issues, and Christian counseling.
(726) 227-0588 View (726) 227-0588
Photo of Nancy Recalde, Licensed Professional Counselor in Zavala County, 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 Caroline Chemwor Mkubwa, Clinical Social Work/Therapist in Zavala County, TX
Caroline Chemwor Mkubwa
Clinical Social Work/Therapist, LMSW
Verified Verified
San Antonio, TX 78244  (Online Only)
A teenager with history of poor social skills, diagnosed with developmental delay, psychosis nos, anxiety issues and diagnosis of schizophrenia and Bipolar. Also depression and autism.This are the presenting issues that the teenager has to deal with throughout his/her life. Sometimes the teenager have a psychosis episode and sometimes on denial.
A teenager with history of poor social skills, diagnosed with developmental delay, psychosis nos, anxiety issues and diagnosis of schizophrenia and Bipolar. Also depression and autism.This are the presenting issues that the teenager has to deal with throughout his/her life. Sometimes the teenager have a psychosis episode and sometimes on denial.
(210) 942-0793 View (210) 942-0793
Photo of Karisha Richards, Licensed Professional Counselor in Zavala 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 Arthur Gaylian Kirby II, Licensed Professional Counselor in Zavala County, 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 Mindful Therapy with Lydia, Licensed Professional Counselor in Zavala 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 Jim Toombs, Marriage & Family Therapist in Zavala County, TX
Jim Toombs
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
San Antonio, TX 78213
I have helped others with: depression, anxiety, physical or sex abuse, PTSD, bipolar depression, dissociative disorders, phobias, chronic pain, migraines, and performance anxiety.
Emotional pain ... sucks. I can help your pain. Flashbacks, nightmares and PTSD respond very well to EMDR, as do intrusive thoughts and disturbing memories. I have been using it since 1993, so early that Francine Shapiro, the creator of EMDR, trained me herself. In addition, my basic training is Marriage and Family so I excel in relationships. But memories cause most of our problems.
I have helped others with: depression, anxiety, physical or sex abuse, PTSD, bipolar depression, dissociative disorders, phobias, chronic pain, migraines, and performance anxiety.
Emotional pain ... sucks. I can help your pain. Flashbacks, nightmares and PTSD respond very well to EMDR, as do intrusive thoughts and disturbing memories. I have been using it since 1993, so early that Francine Shapiro, the creator of EMDR, trained me herself. In addition, my basic training is Marriage and Family so I excel in relationships. But memories cause most of our problems.
(210) 417-4687 View (210) 417-4687
Photo of Kimberly Thomas, Licensed Professional Counselor in Zavala County, TX
Kimberly Thomas
Licensed Professional Counselor, LPC
Verified Verified
Helotes, TX 78023  (Online Only)
I have also spent many hours working with adult and teen clients struggling with parenting/family issues, relationship issues, depression, anxiety, bipolar, anger management, and more!.
I recognize that you are the expert on you. My desire is to work collaboratively with you to enable you to reach your identified goals. If you are worried you can't afford counseling, please discuss your concerns with me. I will work with you as much as possible!
I have also spent many hours working with adult and teen clients struggling with parenting/family issues, relationship issues, depression, anxiety, bipolar, anger management, and more!.
I recognize that you are the expert on you. My desire is to work collaboratively with you to enable you to reach your identified goals. If you are worried you can't afford counseling, please discuss your concerns with me. I will work with you as much as possible!
(325) 240-5605 View (325) 240-5605
Photo of Miranda M. Solis, Licensed Professional Counselor in Zavala County, TX
Miranda M. Solis
Licensed Professional Counselor, MS, NCC, LPC-S
Verified Verified
2 Endorsed
San Antonio, TX 78229
Other specialties include sensory processing disorders, ADHD, bipolar disorder, and personality disorders.
I graduated from UTSA in 2012 with a Bachelor of Arts in Psychology with minors in Sociology and Philosophy and again in 2015 with a Master of Science in Clinical Mental Health Counseling. I worked in higher education, counseling college students for nine years. While I have a passion for helping young adults navigate their mental health, I equally enjoy working with teens, couples and families. I draw from various therapeutic styles, including CBT and Relational-Cultural Theory. I enjoy taking a person-centered approach to journey alongside my clients throughout the therapeutic process.
Other specialties include sensory processing disorders, ADHD, bipolar disorder, and personality disorders.
I graduated from UTSA in 2012 with a Bachelor of Arts in Psychology with minors in Sociology and Philosophy and again in 2015 with a Master of Science in Clinical Mental Health Counseling. I worked in higher education, counseling college students for nine years. While I have a passion for helping young adults navigate their mental health, I equally enjoy working with teens, couples and families. I draw from various therapeutic styles, including CBT and Relational-Cultural Theory. I enjoy taking a person-centered approach to journey alongside my clients throughout the therapeutic process.
(210) 880-2393 View (210) 880-2393
Photo of M. Diane Way, Licensed Professional Counselor in Zavala County, TX
M. Diane Way
Licensed Professional Counselor, EdD, LMFT, LPC, EMDR
Verified Verified
Adkins, TX 78101
I love what I do! I am a compassionate, nonjudgmental, and caring individual who has gone through painful life experiences myself and have likewise experienced the freedom and peace of healing. I am an experienced, skillful clinician who treats adults, adolescents, and children who are experiencing anxiety, insecurity, nightmares, depression, emotional reactions to trauma, stress, grief, guilt, and/or anger. I diagnose and treat children's' issues including ADHD, separation anxiety, divorce issues, anxiety, depressive disorders, autistic spectrum disorders, behavioral, social, school, or academic problems. I teach parents to implement structure & behavioral techniques that really work!
I love what I do! I am a compassionate, nonjudgmental, and caring individual who has gone through painful life experiences myself and have likewise experienced the freedom and peace of healing. I am an experienced, skillful clinician who treats adults, adolescents, and children who are experiencing anxiety, insecurity, nightmares, depression, emotional reactions to trauma, stress, grief, guilt, and/or anger. I diagnose and treat children's' issues including ADHD, separation anxiety, divorce issues, anxiety, depressive disorders, autistic spectrum disorders, behavioral, social, school, or academic problems. I teach parents to implement structure & behavioral techniques that really work!
(830) 448-0508 View (830) 448-0508
Photo of Beverly M Davis, Psychologist in Zavala County, TX
Beverly M Davis
Psychologist, PhD
Verified Verified
San Antonio, TX 78232
After 30 years of practice I still love what I do. My work is personal--only I answer calls, make appointments, greet you at the door. I want to know who you are, how I can help, what we can accomplish together. My response to you is always original and addresses your unique pain. I am trained in several theoretical models and I use them to guide my practice, but your personal struggle is the focus of our work together. You can come alone or with your partner, child, or family.
After 30 years of practice I still love what I do. My work is personal--only I answer calls, make appointments, greet you at the door. I want to know who you are, how I can help, what we can accomplish together. My response to you is always original and addresses your unique pain. I am trained in several theoretical models and I use them to guide my practice, but your personal struggle is the focus of our work together. You can come alone or with your partner, child, or family.
(210) 485-1679 View (210) 485-1679
Photo of Sandra Araiza Salazar, Licensed Professional Counselor in Zavala County, TX
Sandra Araiza Salazar
Licensed Professional Counselor, LPC-S
Verified Verified
4 Endorsed
San Antonio, TX 78258
We restore hope for families. We specialize in identifying and treating: ADHD, Autism Spectrum Disorders, Anxiety, Depression & Mood Disorders. Some of our therapies include the following: Trauma-Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Relational Cultural Therapy, Family Systems, EMDR, Gottman Therapy, and Expressive Arts. If you or your loved one shows signs or symptoms of a mental health concern, there is hope. Please seek help from a trained professional who has clinical experience.
We restore hope for families. We specialize in identifying and treating: ADHD, Autism Spectrum Disorders, Anxiety, Depression & Mood Disorders. Some of our therapies include the following: Trauma-Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Relational Cultural Therapy, Family Systems, EMDR, Gottman Therapy, and Expressive Arts. If you or your loved one shows signs or symptoms of a mental health concern, there is hope. Please seek help from a trained professional who has clinical experience.
(210) 399-0898 View (210) 399-0898
Photo of Ashley Moïse in Zavala County, TX
Ashley Moïse
MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78254  (Online Only)
Let's face it, therapy is hard. It's uncomfortable, it's confronting, and it can dig up emotions we'd rather keep buried. But amidst the discomfort lies an opportunity for profound growth and healing. Therapy isn't about wallowing in misery; it's about bravely facing the demons that hold us back and emerging stronger on the other side. It's a journey of self-discovery, guided by a compassionate professional who offers insight, support, and tools to navigate life's challenges. So, while it may not always be easy, the rewards of therapy are immeasurable – a clearer mind, a lighter heart, and the freedom to live authentically.
Let's face it, therapy is hard. It's uncomfortable, it's confronting, and it can dig up emotions we'd rather keep buried. But amidst the discomfort lies an opportunity for profound growth and healing. Therapy isn't about wallowing in misery; it's about bravely facing the demons that hold us back and emerging stronger on the other side. It's a journey of self-discovery, guided by a compassionate professional who offers insight, support, and tools to navigate life's challenges. So, while it may not always be easy, the rewards of therapy are immeasurable – a clearer mind, a lighter heart, and the freedom to live authentically.
(210) 672-1451 View (210) 672-1451
Photo of Cristina Trevino, Licensed Professional Counselor in Zavala County, TX
Cristina Trevino
Licensed Professional Counselor, MS, LPC, EdD
Verified Verified
Laredo, TX 78045
Life is challenging, but you do not need to face it alone. As a dedicated therapist, my ultimate goal is to provide a safe, non-judgmental space where you can explore your emotions, navigate challenges, and embark on a journey of self-discovery and personal growth. Throughout my years of experience in the field of therapy, I have had the privilege of witnessing the incredible resilience of individuals like yourself. I firmly believe that every person has the capacity to heal and thrive, and I am committed to guiding and supporting you along that path.
Life is challenging, but you do not need to face it alone. As a dedicated therapist, my ultimate goal is to provide a safe, non-judgmental space where you can explore your emotions, navigate challenges, and embark on a journey of self-discovery and personal growth. Throughout my years of experience in the field of therapy, I have had the privilege of witnessing the incredible resilience of individuals like yourself. I firmly believe that every person has the capacity to heal and thrive, and I am committed to guiding and supporting you along that path.
(956) 420-6405 View (956) 420-6405
Photo of Rachel A Nichols, Licensed Professional Counselor in Zavala County, TX
Rachel A Nichols
Licensed Professional Counselor, MS, LPC-S
Verified Verified
San Antonio, TX 78209
Living is an art and you are the outcome. You owe it to yourself to live your best life. Do you feel like you want to get in touch with your expanded self, and all possibilities of life? Are you ready to change your habitual patterns, relationships, and set new goals? Relational issues will improve as you Increase your awareness of the cause of communication struggles and you will be able to love without petty squabbles. Reconnect and become the person you were meant to be.
Living is an art and you are the outcome. You owe it to yourself to live your best life. Do you feel like you want to get in touch with your expanded self, and all possibilities of life? Are you ready to change your habitual patterns, relationships, and set new goals? Relational issues will improve as you Increase your awareness of the cause of communication struggles and you will be able to love without petty squabbles. Reconnect and become the person you were meant to be.
(210) 598-5209 View (210) 598-5209
Photo of Angela Diehl, Marriage & Family Therapist in Zavala County, TX
Angela Diehl
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78230
I am a Licensed Marriage and Family Therapist with over 20 years of experience providing solution focused, brief therapy for those experiencing challenges-personal, professional or interpersonal-at any stage of their lives. Please contact me if you or a loved one are seeking solutions to these challenges.
I am a Licensed Marriage and Family Therapist with over 20 years of experience providing solution focused, brief therapy for those experiencing challenges-personal, professional or interpersonal-at any stage of their lives. Please contact me if you or a loved one are seeking solutions to these challenges.
(210) 908-5844 View (210) 908-5844
Photo of Christina Hoeppner, Licensed Professional Counselor in Zavala County, TX
Christina Hoeppner
Licensed Professional Counselor, MSG, LPC-S
Verified Verified
San Antonio, TX 78258
Are you tired, hurting or lost as to what to do next to change the way your life is going? I want to help you find lasting solutions that will empower you to not only brave your current challenges but also tackle what may come later on. I believe that real change is possible, especially when one explores and maximizes spiritual resources. A sense of power from one's faith can make a significant difference in his/her ability to implement and maintain lasting joy and peace. As a Christian, I enjoy helping individuals access this important personal resource and use it to their advantage.
Are you tired, hurting or lost as to what to do next to change the way your life is going? I want to help you find lasting solutions that will empower you to not only brave your current challenges but also tackle what may come later on. I believe that real change is possible, especially when one explores and maximizes spiritual resources. A sense of power from one's faith can make a significant difference in his/her ability to implement and maintain lasting joy and peace. As a Christian, I enjoy helping individuals access this important personal resource and use it to their advantage.
(210) 801-9154 View (210) 801-9154
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.