Bipolar Disorder Therapists in Saratoga, CA

Photo of Dr. Ela Ari, PhD, MA
Dr. Ela Ari
PhD, MA
Verified Verified
3 Endorsed
Saratoga, CA 95070  (Online Only)
As an Acceptance and Commitment Therapist, I specialize in supporting individuals facing a range of psychological challenges, including anxiety, depression, bipolar disorder, ADHD, borderline personality disorder, burnout, and other life difficulties.
As a clinical psychologist and psychotherapist, I understand how stress, anxiety, and life’s challenges can sometimes feel all-consuming. Drawing from both my expertise and personal resilience, I offer a space where we can explore these difficulties together. To start, we’ll schedule a complimentary 15-minute consultation to see if we're a good fit. From there, we’ll create a tailored plan to address your unique needs in a supportive and empathetic environment. Let’s work together to strengthen your resilience and build a more fulfilling, balanced life.
As an Acceptance and Commitment Therapist, I specialize in supporting individuals facing a range of psychological challenges, including anxiety, depression, bipolar disorder, ADHD, borderline personality disorder, burnout, and other life difficulties.
As a clinical psychologist and psychotherapist, I understand how stress, anxiety, and life’s challenges can sometimes feel all-consuming. Drawing from both my expertise and personal resilience, I offer a space where we can explore these difficulties together. To start, we’ll schedule a complimentary 15-minute consultation to see if we're a good fit. From there, we’ll create a tailored plan to address your unique needs in a supportive and empathetic environment. Let’s work together to strengthen your resilience and build a more fulfilling, balanced life.
(669) 255-0111 View (669) 255-0111
Photo of Jason Esswein, MS, LMFT, Marriage & Family Therapist
Jason Esswein
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Saratoga, CA 95070
I have extensive experience working with such clinical disorders as bipolar/ manic depression and depression, and offer spiritual, life, and dating coaching as well.
Do you feel guilty about things you've said and done? Do you lose sleep because of these feelings? Would you like to forgive yourself? What about repairing or rebuilding your relationships? We all think about our relationships during our lives. Yet this "unfinished business" can be an energy drain, robbing us of vitality and preventing us from having the life we truly want. Left unchecked, it can lead to depression and anxiety. One of life's most important processes is the act of forgiveness -- a process which rids us of self-loathing and bitterness so that we won't live in constant anguish.
I have extensive experience working with such clinical disorders as bipolar/ manic depression and depression, and offer spiritual, life, and dating coaching as well.
Do you feel guilty about things you've said and done? Do you lose sleep because of these feelings? Would you like to forgive yourself? What about repairing or rebuilding your relationships? We all think about our relationships during our lives. Yet this "unfinished business" can be an energy drain, robbing us of vitality and preventing us from having the life we truly want. Left unchecked, it can lead to depression and anxiety. One of life's most important processes is the act of forgiveness -- a process which rids us of self-loathing and bitterness so that we won't live in constant anguish.
(408) 831-3650 View (408) 831-3650
Photo of Dr. Ginny Estupinian, PhD, ABPP, Psychologist
Dr. Ginny Estupinian
Psychologist, PhD, ABPP
Verified Verified
Saratoga, CA 95070
I treat anxiety, depression, Bipolar disorders, and PTSD, offering personalized therapy for life's toughest challenges – from relationship crises to abuse and loss.
Struggling with life's toughest challenges? I'm here to help you reclaim your life. With extensive experience treating devastating anxiety, major depression, Bipolar disorders, and complex trauma, I specialize in helping individuals through seemingly impossible situations. Whether you're dealing with relationship stress, accidents, rape, domestic violence, or unexpected losses, my tailored approach can help you find your way back. I believe everyone can heal and grow with the right support, even when things feel overwhelming. Don't let your current circumstances define your future. Take the first step towards transformation
I treat anxiety, depression, Bipolar disorders, and PTSD, offering personalized therapy for life's toughest challenges – from relationship crises to abuse and loss.
Struggling with life's toughest challenges? I'm here to help you reclaim your life. With extensive experience treating devastating anxiety, major depression, Bipolar disorders, and complex trauma, I specialize in helping individuals through seemingly impossible situations. Whether you're dealing with relationship stress, accidents, rape, domestic violence, or unexpected losses, my tailored approach can help you find your way back. I believe everyone can heal and grow with the right support, even when things feel overwhelming. Don't let your current circumstances define your future. Take the first step towards transformation
(408) 521-1558 View (408) 521-1558
Photo of Susan Lambrose, LMFT, Marriage & Family Therapist
Susan Lambrose
Marriage & Family Therapist, LMFT
Verified Verified
Saratoga, CA 95070
I have worked with those who are challenged by Depression, Anxiety Disorders, PTSD, Bipolar Disorder, Dual Diagnosis (mental health issues and substance abuse), Chronic Pain Disorders, Grief Issues, and Relationship Issues.
Hello. My name is Susan Lambrose and I am an LMFT and have been practicing in California for the past 14 years. I believe that one of the most important aspects of therapy is to create a safe space for clients to explore and express the challenges they are facing in their lives and the things they would most like to change. A good client/therapist relationship is key in this journey that will lead to inner clarity and the establishment and accomplishment of your own personal goals.
I have worked with those who are challenged by Depression, Anxiety Disorders, PTSD, Bipolar Disorder, Dual Diagnosis (mental health issues and substance abuse), Chronic Pain Disorders, Grief Issues, and Relationship Issues.
Hello. My name is Susan Lambrose and I am an LMFT and have been practicing in California for the past 14 years. I believe that one of the most important aspects of therapy is to create a safe space for clients to explore and express the challenges they are facing in their lives and the things they would most like to change. A good client/therapist relationship is key in this journey that will lead to inner clarity and the establishment and accomplishment of your own personal goals.
(619) 361-7708 View (619) 361-7708
Photo of Christo Franklin - DTLA Couples Counseling & Adoption Evaluations, PsyD, MDiv, Psychologist
DTLA Couples Counseling & Adoption Evaluations
Psychologist, PsyD, MDiv
Verified Verified
2 Endorsed
Saratoga, CA 95070  (Online Only)
I serve couples/throuples who are in one of two kinds of situations. 1) At least one person is so hurt or hopeless they aren't sure whether they want to stay in the relationship. 2) Everyone wants to keep this relationship; they want it to be the best version of the relationship. And they're having trouble getting there...If you are not communicating with each other well, if you are trying to chart a course but are unclear how to do so, we resolve these & more for a better today and tomorrow. Many of my clients are also dealing with schizophrenia, traumas, or bipolar disorder...I also do evaluations for couples adopting from India.
I serve couples/throuples who are in one of two kinds of situations. 1) At least one person is so hurt or hopeless they aren't sure whether they want to stay in the relationship. 2) Everyone wants to keep this relationship; they want it to be the best version of the relationship. And they're having trouble getting there...If you are not communicating with each other well, if you are trying to chart a course but are unclear how to do so, we resolve these & more for a better today and tomorrow. Many of my clients are also dealing with schizophrenia, traumas, or bipolar disorder...I also do evaluations for couples adopting from India.
(562) 837-0118 View (562) 837-0118
Photo of Marilee Ruebsamen, PhD, Psychologist
Marilee Ruebsamen
Psychologist, PhD
Not Verified Not Verified
Saratoga, CA 95070
Are you concerned for your children in an ongoing high conflict divorce or another highly distressing situation? I consult, support, offer parent/child coping strategies to prevent longterm effects of severe stress & trauma for children/affected others. Even the youngest can demonstrate remarkable resilience. We attend to their confusion, impaired awareness, degree of distorted cognition. Parents cultivate enhanced attunement, insight, learn to see beyond children's distorted appraisal. We co-create more accurate thinking, safer, more healthy relationships, make space for more realistic understanding, provide predictability, constancy, enhanced trust, explore feelings, support emotional regulation, form new, hope-filled stories to replace frightening, traumatic ones.
Are you concerned for your children in an ongoing high conflict divorce or another highly distressing situation? I consult, support, offer parent/child coping strategies to prevent longterm effects of severe stress & trauma for children/affected others. Even the youngest can demonstrate remarkable resilience. We attend to their confusion, impaired awareness, degree of distorted cognition. Parents cultivate enhanced attunement, insight, learn to see beyond children's distorted appraisal. We co-create more accurate thinking, safer, more healthy relationships, make space for more realistic understanding, provide predictability, constancy, enhanced trust, explore feelings, support emotional regulation, form new, hope-filled stories to replace frightening, traumatic ones.
(831) 275-8260 View (831) 275-8260
Photo of Evagelia A. Keilo, MA, LMFT, Marriage & Family Therapist
Evagelia A. Keilo
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Saratoga, CA 95070
Each of us are unique individuals; complex and ever-changing. We are often affected by family, relationships, work, and even spiritual dynamics. I strive to understand my clients' point of view so that I may collaboratively develop a treatment plan that is as unique as they are.
Each of us are unique individuals; complex and ever-changing. We are often affected by family, relationships, work, and even spiritual dynamics. I strive to understand my clients' point of view so that I may collaboratively develop a treatment plan that is as unique as they are.
(650) 297-2576 View (650) 297-2576
Photo of Ross MacPhee, MA, Marriage & Family Therapist Associate
Ross MacPhee
Marriage & Family Therapist Associate, MA
Verified Verified
Saratoga, CA 95070
My name is Ross MacPhee. My focus is on understanding your unique needs and helping create a clear plan to achieve them. I work with couples, individuals, and families. You may be in a relationship that is struggling, an individual who wants to improve your mood, control your anxiety, recover from the loss of a loved one, or are ready to address unresolved trauma. Together we figure out the best path to increase your well-being. I listen with compassion and empathy, creating a safe place to explore you. Therapy can be hard, working together, we make change possible.
My name is Ross MacPhee. My focus is on understanding your unique needs and helping create a clear plan to achieve them. I work with couples, individuals, and families. You may be in a relationship that is struggling, an individual who wants to improve your mood, control your anxiety, recover from the loss of a loved one, or are ready to address unresolved trauma. Together we figure out the best path to increase your well-being. I listen with compassion and empathy, creating a safe place to explore you. Therapy can be hard, working together, we make change possible.
(831) 574-6375 View (831) 574-6375
Photo of Dr. Dottie Larson, PhD, Psychologist
Dr. Dottie Larson
Psychologist, PhD
Verified Verified
1 Endorsed
Saratoga, CA 95070
Do you find yourself feeling things really deeply or “overthinking” what everything means? Do you find yourself wondering about how your past experiences have shaped you and search for patterns in your life, trying to get to the root of your struggles. Or perhaps, life just doesn’t feel the way you imagined it would, or it feels like something is missing. You want to change but nothing seems to work or it doesn't last very long. There is another way. You may have been trying to do this all on your own. Maybe that is how you have been doing it your whole life. But you don’t have to. Let’s get to the root of your struggles together.
Do you find yourself feeling things really deeply or “overthinking” what everything means? Do you find yourself wondering about how your past experiences have shaped you and search for patterns in your life, trying to get to the root of your struggles. Or perhaps, life just doesn’t feel the way you imagined it would, or it feels like something is missing. You want to change but nothing seems to work or it doesn't last very long. There is another way. You may have been trying to do this all on your own. Maybe that is how you have been doing it your whole life. But you don’t have to. Let’s get to the root of your struggles together.
(408) 539-3435 View (408) 539-3435
Photo of Alisha Boley, LMFT, Marriage & Family Therapist
Alisha Boley
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Saratoga, CA 95070
Struggling with a mental health or emotional issue? A difficult child/teen? In your relationship? Difficult life transitions? Addiction issues? Gender Identity? Family reunification? I can help you overcome your problems and embrace a healthier lifestyle. You deserve a therapist who will truly strive to understand the way you think. I will take the time to understand your thought processes, emotions, fears, and concerns. Of course, seeking therapy is not always easy; but you deserve to get the help you need to live a happy, fulfilling life.
Struggling with a mental health or emotional issue? A difficult child/teen? In your relationship? Difficult life transitions? Addiction issues? Gender Identity? Family reunification? I can help you overcome your problems and embrace a healthier lifestyle. You deserve a therapist who will truly strive to understand the way you think. I will take the time to understand your thought processes, emotions, fears, and concerns. Of course, seeking therapy is not always easy; but you deserve to get the help you need to live a happy, fulfilling life.
(408) 669-3640 View (408) 669-3640
Photo of Sean Becker, LCSW, Clinical Social Work/Therapist
Sean Becker
Clinical Social Work/Therapist, LCSW
Verified Verified
Saratoga, CA 95070  (Online Only)
Sometimes it seems nothing goes right with our relationship, family, work-life, and being able to forgive yourself for past mistakes. Nothing seems to change no matter what you do. What would that mean to you to have relationship others want, professional life that give you joy, and keep promises you make to yourself. Well, I’m here to say that it is possible and I'm here to help you, Give me a call to set up a free consultation.
Sometimes it seems nothing goes right with our relationship, family, work-life, and being able to forgive yourself for past mistakes. Nothing seems to change no matter what you do. What would that mean to you to have relationship others want, professional life that give you joy, and keep promises you make to yourself. Well, I’m here to say that it is possible and I'm here to help you, Give me a call to set up a free consultation.
(510) 491-0742 View (510) 491-0742
Photo of Angela Horng, PhD, Psychologist
Angela Horng
Psychologist, PhD
Verified Verified
Saratoga, CA 95070  (Online Only)
Are you struggling with your emotions - maybe they are too overwhelming or you have difficulty accessing them? Maybe you are stressed out by your relationships, finding yourself in unhealthy cycles of conflict with a partner, friends, or family. You're feeling motivated to better understand yourself, why these things are happening, and to learn skills to improve your mood and the quality of your relationships. You are hoping to feel more confident and at ease with yourself after putting in the work in therapy. If any of this describes you, I can likely be of help.
Are you struggling with your emotions - maybe they are too overwhelming or you have difficulty accessing them? Maybe you are stressed out by your relationships, finding yourself in unhealthy cycles of conflict with a partner, friends, or family. You're feeling motivated to better understand yourself, why these things are happening, and to learn skills to improve your mood and the quality of your relationships. You are hoping to feel more confident and at ease with yourself after putting in the work in therapy. If any of this describes you, I can likely be of help.
(332) 241-5908 View (332) 241-5908
Photo of Marilee G. Ruebsamen, PhD, Psychologist
Marilee G. Ruebsamen
Psychologist, PhD
Verified Verified
Saratoga, CA 95070
Promoting healing & trustworthy engagement for children, youth, their families, adults who come seeking shelter, emotional safety and refuge (see abbeypsychservices.com). Even the youngest demonstrate remarkable strengths with precise, attuned, attention to their levels of awareness, given new experiences to help transform distorted cognitive appraisals of themselves, others, relationships, the world. Working together, we cultivate more accurate appraisals of internal/external experience, shift into clearer, more realistic thinking, enhanced empathy, healthier, more effective coping styles. We co-create new, hopeful, cooperative stories to replace hopeless, repetitive, "traumatic reliving" within the safety of a predictable, nurturing, skillfully maintained therapeutic environment.
Promoting healing & trustworthy engagement for children, youth, their families, adults who come seeking shelter, emotional safety and refuge (see abbeypsychservices.com). Even the youngest demonstrate remarkable strengths with precise, attuned, attention to their levels of awareness, given new experiences to help transform distorted cognitive appraisals of themselves, others, relationships, the world. Working together, we cultivate more accurate appraisals of internal/external experience, shift into clearer, more realistic thinking, enhanced empathy, healthier, more effective coping styles. We co-create new, hopeful, cooperative stories to replace hopeless, repetitive, "traumatic reliving" within the safety of a predictable, nurturing, skillfully maintained therapeutic environment.
(408) 455-7347 View (408) 455-7347
Photo of Aimen Bukhari, LMFT, Marriage & Family Therapist
Aimen Bukhari
Marriage & Family Therapist, LMFT
Verified Verified
Saratoga, CA 95070  (Online Only)
Discover the transformative power of prioritizing mental health and embracing self-compassion with me. With over five years of experience, I specialize in guiding clients who carry emotional burdens, feel overwhelmed by their feelings, and struggle to prioritize their well-being. Step into a nurturing space where you can unravel the roots of discomfort and confront intrusive thoughts supported by acceptance and understanding.
Discover the transformative power of prioritizing mental health and embracing self-compassion with me. With over five years of experience, I specialize in guiding clients who carry emotional burdens, feel overwhelmed by their feelings, and struggle to prioritize their well-being. Step into a nurturing space where you can unravel the roots of discomfort and confront intrusive thoughts supported by acceptance and understanding.
(510) 216-1517 View (510) 216-1517
Photo of Haig Barsegian, LMFT, Marriage & Family Therapist
Haig Barsegian
Marriage & Family Therapist, LMFT
Verified Verified
Saratoga, CA 95070
I grew up in the state of Michigan and moved to California in the 60s. I decided to become a therapist in my 20's and received my B.A. in Psychology. However, I was single, working in the airline industry, and was enjoying the travel and postings in other countries. I lived and worked in Japan for 2 years and in Singapore for 2 years. I finally decided to pursue my lifelong interest and obtained my Masters's degree in Clinical Psychology and my license as a Marriage and Family Therapist in California.
I grew up in the state of Michigan and moved to California in the 60s. I decided to become a therapist in my 20's and received my B.A. in Psychology. However, I was single, working in the airline industry, and was enjoying the travel and postings in other countries. I lived and worked in Japan for 2 years and in Singapore for 2 years. I finally decided to pursue my lifelong interest and obtained my Masters's degree in Clinical Psychology and my license as a Marriage and Family Therapist in California.
(858) 422-3751 View (858) 422-3751
Photo of Stacey Neil, MA, LMFT, PT, Marriage & Family Therapist
Stacey Neil
Marriage & Family Therapist, MA, LMFT, PT
Verified Verified
1 Endorsed
Saratoga, CA 95070  (Online Only)
I am a Psychotherapist, Personal Trainer and Wellness Coach who specializes in mind/body work with individuals, teenagers, couples and families. I promote transformational change that encourages healthy balances in work, life, and growth. I bring a unique integrative approach to overcoming issues such as depression, poor motivation, low self esteem, negative body image, anxiety, and feeling out of control and disempowered in your own life. In addition I help my clients understand underlying issues that lead to depression, anxiety, poor lifestyle choices, and codependent relationships. My work is my passion.
I am a Psychotherapist, Personal Trainer and Wellness Coach who specializes in mind/body work with individuals, teenagers, couples and families. I promote transformational change that encourages healthy balances in work, life, and growth. I bring a unique integrative approach to overcoming issues such as depression, poor motivation, low self esteem, negative body image, anxiety, and feeling out of control and disempowered in your own life. In addition I help my clients understand underlying issues that lead to depression, anxiety, poor lifestyle choices, and codependent relationships. My work is my passion.
(408) 637-4752 View (408) 637-4752
Photo of Natasha Najmi-Kazmi - Natasha Kazmi, Trust Mental Health, LMFT, Marriage & Family Therapist
Natasha Kazmi, Trust Mental Health
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Saratoga, CA 95070
We are able to meet our clients via video as well as phone, this way making it easier for them to have access to therapy. We offer a non-judgmental, safe space for our clients to express themselves freely and grow from the experience.
We are able to meet our clients via video as well as phone, this way making it easier for them to have access to therapy. We offer a non-judgmental, safe space for our clients to express themselves freely and grow from the experience.
(408) 583-5692 View (408) 583-5692
Photo of Roger Karlsson, PhD, ABPP, QME, Psychologist
Roger Karlsson
Psychologist, PhD, ABPP, QME
Verified Verified
4 Endorsed
Saratoga, CA 95070
I am trained as a psychologist and psychotherapist in both California and Sweden. I am an appointed Adjunct Clinical Associate Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, and I have over 30-years of experience in providing mental health treatment. I am a board certified specialist (ABPP) in both forensic psychology and psychoanalysis and a certified Qualified Medical Evaluator (QME). I provide treatment as well as psychological and forensic evaluations. I know how to help you effectively without judgement or blame. You have the right to feel better about yourself and your life.
I am trained as a psychologist and psychotherapist in both California and Sweden. I am an appointed Adjunct Clinical Associate Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, and I have over 30-years of experience in providing mental health treatment. I am a board certified specialist (ABPP) in both forensic psychology and psychoanalysis and a certified Qualified Medical Evaluator (QME). I provide treatment as well as psychological and forensic evaluations. I know how to help you effectively without judgement or blame. You have the right to feel better about yourself and your life.
(510) 878-3780 View (510) 878-3780
Photo of Desiree Hedberg, MA, LMFT, Marriage & Family Therapist
Desiree Hedberg
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Saratoga, CA 95071
Affirming Relationship Therapy provides a judgement-free space to work on helping people create more balance and calm in their lives and within their relationships. We help you connect with your authentic self and guide you on that journey. Together, we will work through changes, anxieties, or other stressors in a way that focuses on emotional well-being and growth. We'll use mindfulness, person-centered therapy, coupled with an attachment approach and emotionally focused therapy that fits your style - let us help you to get to where you envision yourself and your relationships at their best.
Affirming Relationship Therapy provides a judgement-free space to work on helping people create more balance and calm in their lives and within their relationships. We help you connect with your authentic self and guide you on that journey. Together, we will work through changes, anxieties, or other stressors in a way that focuses on emotional well-being and growth. We'll use mindfulness, person-centered therapy, coupled with an attachment approach and emotionally focused therapy that fits your style - let us help you to get to where you envision yourself and your relationships at their best.
(408) 409-8257 View (408) 409-8257
Photo of Alison Silvius Casanova, MA, LMFT, Marriage & Family Therapist
Alison Silvius Casanova
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Saratoga, CA 95070
Finding a therapist is hard! It doesn't help that there are so many to choose from. I think the most important part is actually liking the person you are talking to. Take a look at my page (and website), and if you think we may be a good fit, I encourage you to call me for a free 15 minute consultation. If we end up working together, I will do my best to find which methods align with you so that I can help you get to the place you want to be.
Finding a therapist is hard! It doesn't help that there are so many to choose from. I think the most important part is actually liking the person you are talking to. Take a look at my page (and website), and if you think we may be a good fit, I encourage you to call me for a free 15 minute consultation. If we end up working together, I will do my best to find which methods align with you so that I can help you get to the place you want to be.
(408) 214-6656 View (408) 214-6656
1
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.