Photo of Jonathan Vander Schuur, Marriage & Family Therapist in Anacortes, WA
Jonathan Vander Schuur
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Anacortes, WA 98221
I love serving my community in Anacortes and surrounding areas. I have a wide range of expertise. I offer counseling for individuals, couples and minors. I work with all ages, especially children and teens, and take state insurances. I have significant experience working with couples, especially in domestic violence situations and in family reunification. I am also a Guardian Ad Litem for Island county.
I love serving my community in Anacortes and surrounding areas. I have a wide range of expertise. I offer counseling for individuals, couples and minors. I work with all ages, especially children and teens, and take state insurances. I have significant experience working with couples, especially in domestic violence situations and in family reunification. I am also a Guardian Ad Litem for Island county.
(833) 232-4735 View (833) 232-4735
Photo of Walter Vyhmeister, Counselor in Anacortes, WA
Walter Vyhmeister
Counselor, MDiv, MA, PhD
Verified Verified
1 Endorsed
Anacortes, WA 98221  (Online Only)
Serving as a minister and earning a PhD in Counseling Psychology equipped me to care for people in crises. Working with vulnerable children and their families or caregivers, also proved to be a valuable foundation for clinical care. In a medical academic setting, training residents in the use of spirituality and psychology as they cared for their patients, deepened my own understanding of just how complex clinical issues can become. This also increased my understanding of the level of stress healthcare providers and victims themselves experience during illness.
Serving as a minister and earning a PhD in Counseling Psychology equipped me to care for people in crises. Working with vulnerable children and their families or caregivers, also proved to be a valuable foundation for clinical care. In a medical academic setting, training residents in the use of spirituality and psychology as they cared for their patients, deepened my own understanding of just how complex clinical issues can become. This also increased my understanding of the level of stress healthcare providers and victims themselves experience during illness.
(360) 227-5430 View (360) 227-5430
Photo of Gino Wolfe—Anxiety•depression•grief—Kids Adults, Marriage & Family Therapist Associate in Anacortes, WA
Gino Wolfe—Anxiety•depression•grief—Kids Adults
Marriage & Family Therapist Associate, LMFTA, SUDP, MHP, CMHS
Verified Verified
Anacortes, WA 98221
Do you ever feel like you’re alone in life as if the world is resting on your shoulders? Do you feel the burden of caring for loved ones while feeling like no one is there to take care of you? Do you feel disconnected from relationships in your life? Are you in the military and struggling with feelings of anxiety or stress about your deployment? Are you having trouble leaving your experiences from the military behind or experiencing PTSD? Is grief from losing a loved one impacting your relationships and your ability to manage the day-to-day? Through expert therapy, you can learn to move beyond your pain and be happier. Reach out now
Do you ever feel like you’re alone in life as if the world is resting on your shoulders? Do you feel the burden of caring for loved ones while feeling like no one is there to take care of you? Do you feel disconnected from relationships in your life? Are you in the military and struggling with feelings of anxiety or stress about your deployment? Are you having trouble leaving your experiences from the military behind or experiencing PTSD? Is grief from losing a loved one impacting your relationships and your ability to manage the day-to-day? Through expert therapy, you can learn to move beyond your pain and be happier. Reach out now
(360) 219-9635 View (360) 219-9635
Photo of Abcde L. K. Matias, Counselor in Anacortes, WA
Abcde L. K. Matias
Counselor, MS
Verified Verified
1 Endorsed
Anacortes, WA 98221  (Online Only)
Hi all, I'm accepting new clients as of March 1st, 2024. I believe everyone has a voice that matters, and I want to hear your story. Therapy can be challenging and enjoyable however the process unfolds, I will be there for the journey. I’m here to help guide you on what you think is important and provide useful tools along the way. Specializing in adolescents, adult counseling, and couples counseling through telehealth, other counseling specializations are available as well. Also, I'm currently facilitating an ongoing open Women's Support Group via telehealth.
Hi all, I'm accepting new clients as of March 1st, 2024. I believe everyone has a voice that matters, and I want to hear your story. Therapy can be challenging and enjoyable however the process unfolds, I will be there for the journey. I’m here to help guide you on what you think is important and provide useful tools along the way. Specializing in adolescents, adult counseling, and couples counseling through telehealth, other counseling specializations are available as well. Also, I'm currently facilitating an ongoing open Women's Support Group via telehealth.
(360) 504-4825 View (360) 504-4825
Photo of Denise Miller, Counselor in Anacortes, WA
Denise Miller
Counselor, MA, LMHC
Verified Verified
Anacortes, WA 98221
Waitlist for new clients
I take a holistic approach to counseling, with an emphasis on mind, body and spirit in relationship to self and others. I specialize in trauma informed practices utilizing modalities such as EMDR, CBT, DBT, and family systems therapy.I am a Children's Mental Health Therapist and a Minority Mental Health Therapist with experience working with Native American, Hispanic and African American and LGBTQ populations.
I take a holistic approach to counseling, with an emphasis on mind, body and spirit in relationship to self and others. I specialize in trauma informed practices utilizing modalities such as EMDR, CBT, DBT, and family systems therapy.I am a Children's Mental Health Therapist and a Minority Mental Health Therapist with experience working with Native American, Hispanic and African American and LGBTQ populations.
(360) 233-8085 View (360) 233-8085

More Therapists Nearby

Photo of Clarity Counseling-Joan Forest LICSW, Clinical Social Work/Therapist in Anacortes, WA
Clarity Counseling-Joan Forest LICSW
Clinical Social Work/Therapist, L, I, C, S, W
Verified Verified
La Conner, WA 98257
Each client has unique circumstances, challenges and goals, and I adapt my treatment to best fit the particular needs of the individual, couple or family. I am experienced in helping clients with difficult life transitions, depression, anxiety, PTSD, and marital problems. I am currently seeing children age five and up, teens and adults. My office is located in Greenbank, WA, and I provide telehealth as well as in person therapy.
Each client has unique circumstances, challenges and goals, and I adapt my treatment to best fit the particular needs of the individual, couple or family. I am experienced in helping clients with difficult life transitions, depression, anxiety, PTSD, and marital problems. I am currently seeing children age five and up, teens and adults. My office is located in Greenbank, WA, and I provide telehealth as well as in person therapy.
(360) 284-1317 View (360) 284-1317

Online Therapists

Photo of Tamara Axtell, Counselor in Anacortes, WA
Tamara Axtell
Counselor, MS, LMHC, NCC
Verified Verified
1 Endorsed
Black Diamond, WA 98010
Providing caring and evidence-based treatments for anxiety, bipolar disorder, trauma, and co-occurring addictions is one of my passions.
Where are you trying to go? Is your past or fear for the future like a ball and chain, shackling you from the freedom you crave? Can you imagine your ideal life? I love to help my clients find a way toward living the life they envision. We all need a little help sometimes when life gets complicated. I always commit to working as hard as my clients in the time we spend together in sessions. I help clients gain practical skills and confidence for whatever challenges they are facing. Call me today and we will work together to break through to your best life!
Providing caring and evidence-based treatments for anxiety, bipolar disorder, trauma, and co-occurring addictions is one of my passions.
Where are you trying to go? Is your past or fear for the future like a ball and chain, shackling you from the freedom you crave? Can you imagine your ideal life? I love to help my clients find a way toward living the life they envision. We all need a little help sometimes when life gets complicated. I always commit to working as hard as my clients in the time we spend together in sessions. I help clients gain practical skills and confidence for whatever challenges they are facing. Call me today and we will work together to break through to your best life!
(253) 649-2370 View (253) 649-2370
Photo of Amnah Ali, Marriage & Family Therapist Associate in Anacortes, WA
Amnah Ali
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
3 Endorsed
Redmond, WA 98052
I provide client centered support for depression, anxiety, OCD, ADHD, ASD, bipolar disorder, sexual trauma, internalized oppression, racial/identity trauma, and familial and relational issues.
I am trained in talk therapy, Play Therapy, Sandtray Therapy, expressive art and TF-CBT to provide support to my clients. My people are children 3+, tweens, teens, adult individuals, and couples. I provide support to people from a variety of cultural, ethnic and religious backgrounds and focus more on an individual than their diagnosis. I believe every human being deserves compassion, love and respect. I will hold your hand and join you on your journey of self compassion and peace. My motto is 'embrace your elements, attain your peace'.
I provide client centered support for depression, anxiety, OCD, ADHD, ASD, bipolar disorder, sexual trauma, internalized oppression, racial/identity trauma, and familial and relational issues.
I am trained in talk therapy, Play Therapy, Sandtray Therapy, expressive art and TF-CBT to provide support to my clients. My people are children 3+, tweens, teens, adult individuals, and couples. I provide support to people from a variety of cultural, ethnic and religious backgrounds and focus more on an individual than their diagnosis. I believe every human being deserves compassion, love and respect. I will hold your hand and join you on your journey of self compassion and peace. My motto is 'embrace your elements, attain your peace'.
(206) 203-5701 View (206) 203-5701
Photo of Brenna Cooley, Clinical Social Work/Therapist in Anacortes, WA
Brenna Cooley
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Everett, WA 98201  (Online Only)
My experience includes working with individuals who have co-occurring disorders such as a substance use diagnosis and a mental health illness(s): anxiety, depression, bipolar, schizophrenia, and psychosis.
When I hear the words "ideal client," I immediately think about someone who is willing to change. This is someone who is wanting to work on themselves and is ready to take "personal inventory." Someone who is open, honest, and vulnerable with themselves and their therapist. A client who is willing to engage and participate in the process of bettering themselves. We can work on managing stress, day to day challenges, or learning coping skills. We will work together on a therapeutic approach that is right for you.
My experience includes working with individuals who have co-occurring disorders such as a substance use diagnosis and a mental health illness(s): anxiety, depression, bipolar, schizophrenia, and psychosis.
When I hear the words "ideal client," I immediately think about someone who is willing to change. This is someone who is wanting to work on themselves and is ready to take "personal inventory." Someone who is open, honest, and vulnerable with themselves and their therapist. A client who is willing to engage and participate in the process of bettering themselves. We can work on managing stress, day to day challenges, or learning coping skills. We will work together on a therapeutic approach that is right for you.
(425) 600-6541 x1 View (425) 600-6541 x1
Photo of Lujane Helwani, Pre-Licensed Professional in Anacortes, WA
Lujane Helwani
Pre-Licensed Professional
Verified Verified
1 Endorsed
Seattle, WA 98136  (Online Only)
I enjoy and am qualified to help individuals, couples, or families navigate life's challenges, whether personal, with a partner, family, or peers. You will find that I am respectful, personable, open, knowledgeable, and humorous in my sessions. All faiths, or lack thereof, are welcome. I am experienced with grief, loss, trauma, PTSD, depression, anxiety, suicidal thoughts, bipolar, schizophrenia, autism, ODD, and OCD. My therapeutic approach involves collaborating with clients to identify and enlist their strengths or resources to improve their quality of life.
I enjoy and am qualified to help individuals, couples, or families navigate life's challenges, whether personal, with a partner, family, or peers. You will find that I am respectful, personable, open, knowledgeable, and humorous in my sessions. All faiths, or lack thereof, are welcome. I am experienced with grief, loss, trauma, PTSD, depression, anxiety, suicidal thoughts, bipolar, schizophrenia, autism, ODD, and OCD. My therapeutic approach involves collaborating with clients to identify and enlist their strengths or resources to improve their quality of life.
(360) 515-4722 View (360) 515-4722
Photo of Steven Kubacki, Psychologist in Anacortes, WA
Steven Kubacki
Psychologist, PhD
Verified Verified
Seattle, WA 98115
I have been providing psychotherapy and consulting services since 1993 for adults, adolescents, children, couples, and families. My practice is quite diverse and involves the following services: (1) Treatment of PTSD, trauma, bereavement, relationship issues, depression, anxiety disorders, eating disorders, borderline disorder, ADHD, bipolar, conduct disorders, obsessive-compulsive disorder, and Asperger’s. (2) Treatment of chronic pain, quality of life issues, and psychology problems due to debilitating or acute illnesses, such as cancer and auto-immune diseases. (3) Personal growth, spiritual development, and wellness counseling. (4) Sports psychology to improve performance and motivation. (5) Cognitive, personality, learning, and pre-surgical assessments.
I have been providing psychotherapy and consulting services since 1993 for adults, adolescents, children, couples, and families. My practice is quite diverse and involves the following services: (1) Treatment of PTSD, trauma, bereavement, relationship issues, depression, anxiety disorders, eating disorders, borderline disorder, ADHD, bipolar, conduct disorders, obsessive-compulsive disorder, and Asperger’s. (2) Treatment of chronic pain, quality of life issues, and psychology problems due to debilitating or acute illnesses, such as cancer and auto-immune diseases. (3) Personal growth, spiritual development, and wellness counseling. (4) Sports psychology to improve performance and motivation. (5) Cognitive, personality, learning, and pre-surgical assessments.
(206) 922-8133 View (206) 922-8133
Photo of Sadler-Bridges Wellness Group, Counselor in Anacortes, WA
Sadler-Bridges Wellness Group
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98178  (Online Only)
Hi! I am Audria & I believe therapy is a beautiful act of courage to bring true change to your life! I am passionate about supporting you & helping to find the balance of learning & healing. We will collaborate to optimize your strengths; navigate together through stress, anxiety, depression, PTSD, trauma, ADHD, & life transitions/changes. I practice from an eclectic solution focused, & person-centered perspective with a foundation in CBT, DBT, ACT, holistic and spiritual practices, and plant medicines. My goal is to help you heal, grow, & learn by equipping you with coping skills & strategies to live a fulfilled, authentic life!
Hi! I am Audria & I believe therapy is a beautiful act of courage to bring true change to your life! I am passionate about supporting you & helping to find the balance of learning & healing. We will collaborate to optimize your strengths; navigate together through stress, anxiety, depression, PTSD, trauma, ADHD, & life transitions/changes. I practice from an eclectic solution focused, & person-centered perspective with a foundation in CBT, DBT, ACT, holistic and spiritual practices, and plant medicines. My goal is to help you heal, grow, & learn by equipping you with coping skills & strategies to live a fulfilled, authentic life!
(425) 358-9179 View (425) 358-9179
Photo of Niko Palacios, Marriage & Family Therapist in Anacortes, WA
Niko Palacios
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
1 Endorsed
Edmonds, WA 98020
Sometimes we struggle to make meaning where life has thrown us a curveball: a death, a divorce, coming out, or even a pandemic. It’s overwhelming trying to bring order to chaos, at times having to impossibly reconcile competing truths. “It gets better” fails to appreciate the acute pain of the moment, only going so far in moving the needle towards hope. In an age where humans are increasingly polarized, buoyed by deeply held beliefs, there remains a need for something more than personal happiness alone. As a relational Therapist, I help clients find sustainable wellness; prioritizing relationship with self and others over ideology.
Sometimes we struggle to make meaning where life has thrown us a curveball: a death, a divorce, coming out, or even a pandemic. It’s overwhelming trying to bring order to chaos, at times having to impossibly reconcile competing truths. “It gets better” fails to appreciate the acute pain of the moment, only going so far in moving the needle towards hope. In an age where humans are increasingly polarized, buoyed by deeply held beliefs, there remains a need for something more than personal happiness alone. As a relational Therapist, I help clients find sustainable wellness; prioritizing relationship with self and others over ideology.
(206) 222-2942 View (206) 222-2942
Photo of Centered Mind Counseling - Sammamish Location, Counselor in Anacortes, WA
Centered Mind Counseling - Sammamish Location
Counselor, PsyD, LMHC, ARNP, LICSW, LMFT
Verified Verified
4 Endorsed
Sammamish, WA 98075
Centered Mind Counseling Services, offers counseling, nutrition, and medication management services for individuals, couples & families. In-Person or Telehealth Video Sessions are available. We have a wide range of clinical expertise, more specialty treatment areas to help you, and an expanded availability of services. We are committed to working with you or your child to create the long-lasting changes you desire. Call or text us at (425) 269-3277. Together, we can determine how we can help you!
Centered Mind Counseling Services, offers counseling, nutrition, and medication management services for individuals, couples & families. In-Person or Telehealth Video Sessions are available. We have a wide range of clinical expertise, more specialty treatment areas to help you, and an expanded availability of services. We are committed to working with you or your child to create the long-lasting changes you desire. Call or text us at (425) 269-3277. Together, we can determine how we can help you!
(425) 269-3277 View (425) 269-3277
Photo of Life and Peace Counseling, Marriage & Family Therapist Associate in Anacortes, WA
Life and Peace Counseling
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Mountlake Terrace, WA 98043  (Online Only)
I'm a devoted and joyful therapist who values the strength of embracing life's positive aspects. With a relaxed demeanor and a sincere affection for people, I'm here to guide you on a journey towards tranquility, optimism, and insight. I provide support, understanding, and a secure environment for exploration where you can openly express yourself. It's my heartfelt commitment to collaborate with you, ensuring you feel acknowledged and upheld throughout our therapeutic journey.
I'm a devoted and joyful therapist who values the strength of embracing life's positive aspects. With a relaxed demeanor and a sincere affection for people, I'm here to guide you on a journey towards tranquility, optimism, and insight. I provide support, understanding, and a secure environment for exploration where you can openly express yourself. It's my heartfelt commitment to collaborate with you, ensuring you feel acknowledged and upheld throughout our therapeutic journey.
(425) 541-7313 View (425) 541-7313
Photo of Diana Quinn, Counselor in Anacortes, WA
Diana Quinn
Counselor, MA, LMHC, CMHS
Verified Verified
1 Endorsed
Tacoma, WA 98409
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
(253) 242-6619 View (253) 242-6619
Photo of Stephanie Perceful, Counselor in Anacortes, WA
Stephanie Perceful
Counselor, MA, LMHC
Verified Verified
University Place, WA 98466
I believe that the relationship to our self is the most important relationship that we will ever have. A bond with a therapist who witnesses and understands us in a nonjudgmental way can be a wonderful ally in improving that relationship and making positive changes in our lives. Trauma, attachment issues, toxic families of origin, oppression, grief, and ancestral/family patterns are just some just some examples that can cause suffering that motivates someone to start therapy. I have experience working with clients with depression, anxiety, panic attacks, PTSD, and other mood disorders that make it difficult to function in life.
I believe that the relationship to our self is the most important relationship that we will ever have. A bond with a therapist who witnesses and understands us in a nonjudgmental way can be a wonderful ally in improving that relationship and making positive changes in our lives. Trauma, attachment issues, toxic families of origin, oppression, grief, and ancestral/family patterns are just some just some examples that can cause suffering that motivates someone to start therapy. I have experience working with clients with depression, anxiety, panic attacks, PTSD, and other mood disorders that make it difficult to function in life.
(253) 242-8557 View (253) 242-8557
Photo of Counseling Services for Wellbeing, Marriage & Family Therapist in Anacortes, WA
Counseling Services for Wellbeing
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Burien, WA 98166
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
(206) 426-0366 View (206) 426-0366
Photo of New Perceptions Counseling PLLC- April Daye, Marriage & Family Therapist Associate in Anacortes, WA
New Perceptions Counseling PLLC- April Daye
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Lacey, WA 98516  (Online Only)
As a therapist, I believe in tailoring my approach to each individual client. Your journey is unique, and I want to ensure that the methods we use are designed to meet your specific needs and goals. Whether you're dealing with PTSD, substance use disorders, depression, grief, sexual trauma, abuse, anxiety, stress, or relationship challenges, my aim is to provide the support and assistance you need to process these challenges and achieve your goals successfully. With my background as a retired Army veteran and a mother of five children, I understand the complexities of life and the various developmental stages we all go through.
As a therapist, I believe in tailoring my approach to each individual client. Your journey is unique, and I want to ensure that the methods we use are designed to meet your specific needs and goals. Whether you're dealing with PTSD, substance use disorders, depression, grief, sexual trauma, abuse, anxiety, stress, or relationship challenges, my aim is to provide the support and assistance you need to process these challenges and achieve your goals successfully. With my background as a retired Army veteran and a mother of five children, I understand the complexities of life and the various developmental stages we all go through.
(360) 844-3027 x1001 View (360) 844-3027 x1001
Photo of Trinity Saldana, Marriage & Family Therapist in Anacortes, WA
Trinity Saldana
Marriage & Family Therapist, MS, CMHS, LMFT
Verified Verified
Lynnwood, WA 98036  (Online Only)
I enjoy working with individuals who have experienced scary or stressful childhood experiences and would like a safe space to process those experiences. Sometimes those experiences turn into mood disorders, PTSD, anxiety, or failure to thrive in relationships. I am interested in helping guide you to working through these struggles and finding peace in your life. I also enjoy working with couples who feel disconnected in their relationships and would like a new direction with their partner.
I enjoy working with individuals who have experienced scary or stressful childhood experiences and would like a safe space to process those experiences. Sometimes those experiences turn into mood disorders, PTSD, anxiety, or failure to thrive in relationships. I am interested in helping guide you to working through these struggles and finding peace in your life. I also enjoy working with couples who feel disconnected in their relationships and would like a new direction with their partner.
(360) 524-0189 View (360) 524-0189
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.