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Photo of Danielle Matias, Counselor in Hopewell, NY
Danielle Matias
Counselor, LMHC
Verified Verified
Poughkeepsie, NY 12601
We work with depression, anxiety, bipolar, PTSD, eating disorders, bereavement, borderline, autism, ADHD, addiction, sexual abuse, DV, medical illnesses, relationship problems, LGTBQ+, adjustment disorders and forensic cases.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
We work with depression, anxiety, bipolar, PTSD, eating disorders, bereavement, borderline, autism, ADHD, addiction, sexual abuse, DV, medical illnesses, relationship problems, LGTBQ+, adjustment disorders and forensic cases.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
(646) 204-2295 View (646) 204-2295
Photo of Alison Sandra Nydick Haller, Clinical Social Work/Therapist in Hopewell, NY
Alison Sandra Nydick Haller
Clinical Social Work/Therapist, LCSWR, -
Verified Verified
Fishkill, NY 12524
i work with clients ages 10and over but primarily adults with a widevarietyof mood,anxiety,obsessive compulsive.grief,chronic pain and illness,personality disorders.anger and stressmanagement,grief issues,bipolar disorder,ADHD.couples therapy.With all of my clients I focus on identifying their distressing dysfunctional symptoms,their negative thoughts that lead to debilitating emotions and behaviors,and teaching my clients positive coping skills such as emotional deregulation,interpersonal effectiveness,staying in the present,and learning distress tolerance skills,I perform family,individal,and couples therapy focusing on the treatment of adolescents as well as adult clients to maximize their potential.
i work with clients ages 10and over but primarily adults with a widevarietyof mood,anxiety,obsessive compulsive.grief,chronic pain and illness,personality disorders.anger and stressmanagement,grief issues,bipolar disorder,ADHD.couples therapy.With all of my clients I focus on identifying their distressing dysfunctional symptoms,their negative thoughts that lead to debilitating emotions and behaviors,and teaching my clients positive coping skills such as emotional deregulation,interpersonal effectiveness,staying in the present,and learning distress tolerance skills,I perform family,individal,and couples therapy focusing on the treatment of adolescents as well as adult clients to maximize their potential.
(845) 262-2561 View (845) 262-2561
Photo of Pierrette T Farber, Counselor in Hopewell, NY
Pierrette T Farber
Counselor, LMHC
Verified Verified
Beacon, NY 12508
Waitlist for new clients
I work with clients who are struggling with a wide variety of issues. I utilize a solution focused approach to help you idenfity your goal & create a plan to reach it- individually, as a couple or as a family. I am known for my expertise with both children and adults who are struggling with Bipolar, Depression and Anxiety, Addictions and co-occurring disorders. I work with family members whose lives are affected by thier loved ones mental health/substance use struggles. Whenever possible and appropriate I use a family systems approach. I have extensive training in trauma , co÷occurring dosorders and women in life transition.
I work with clients who are struggling with a wide variety of issues. I utilize a solution focused approach to help you idenfity your goal & create a plan to reach it- individually, as a couple or as a family. I am known for my expertise with both children and adults who are struggling with Bipolar, Depression and Anxiety, Addictions and co-occurring disorders. I work with family members whose lives are affected by thier loved ones mental health/substance use struggles. Whenever possible and appropriate I use a family systems approach. I have extensive training in trauma , co÷occurring dosorders and women in life transition.
(845) 384-1108 View (845) 384-1108
Photo of Kathleen Wyand, Counselor in Hopewell, NY
Kathleen Wyand
Counselor, LMHC, MS, Ed
Verified Verified
1 Endorsed
Beacon, NY 12508
Including but not limited to, trauma, grief counseling, eating disorder,depression, ADD/ADHD, anxiety,OCD, learning disabilities, bipolar,relationship and gender issues, school issues, domestic abuse/violence,stress and anger management PTSD and group work.
I understand that life has many challenges, and can be difficult to maneuver. Are you feeling out of control frustrated or sad, I can help you work through your problems. I am a Licensed Mental Health Counselor with many years of experience working with a diverse population and diverse complications. Every individual that I counsel is treated with dignity and respect and free to express his or her feelings without judgment. In my practice, I counsel children, adolescents, adults and the elderly who are in need of help.I am here to assist every individual in reaching a peaceful state of mind.
Including but not limited to, trauma, grief counseling, eating disorder,depression, ADD/ADHD, anxiety,OCD, learning disabilities, bipolar,relationship and gender issues, school issues, domestic abuse/violence,stress and anger management PTSD and group work.
I understand that life has many challenges, and can be difficult to maneuver. Are you feeling out of control frustrated or sad, I can help you work through your problems. I am a Licensed Mental Health Counselor with many years of experience working with a diverse population and diverse complications. Every individual that I counsel is treated with dignity and respect and free to express his or her feelings without judgment. In my practice, I counsel children, adolescents, adults and the elderly who are in need of help.I am here to assist every individual in reaching a peaceful state of mind.
(845) 262-6672 View (845) 262-6672
Photo of Roots & Resilience Wellness, Mental Health Counselor in Hopewell, NY
Roots & Resilience Wellness
Mental Health Counselor, LMHC
Verified Verified
Marlboro, NY 12542
Let's work together to sort out some of life's challenges. We help teens, and young adults struggling with things like depression, anxiety, trauma, Bipolar Disorder, LGBTQ+ issues and life transitions. R&R offers a safe, therapeutic environment to help individuals find new ways of coping, find their inner resilience, and begin their journey towards peace and healing.
Let's work together to sort out some of life's challenges. We help teens, and young adults struggling with things like depression, anxiety, trauma, Bipolar Disorder, LGBTQ+ issues and life transitions. R&R offers a safe, therapeutic environment to help individuals find new ways of coping, find their inner resilience, and begin their journey towards peace and healing.
(845) 378-4468 View (845) 378-4468
Photo of Alicia Alfred, Clinical Social Work/Therapist in Hopewell, NY
Alicia Alfred
Clinical Social Work/Therapist, LMSW, BS
Verified Verified
Fishkill, NY 12524
*MOBILE THERAPY SERVICE* When traditional 'mental health' services are not meeting your needs-CALL. This could be a result from a medical condition, limitations to transportation, or many other reasons that pose a barrier to meeting your emotional support needs in an office. Mobile Therapy is a way to have the service come to you and allow you the ability to mold the service in a way that would be most convenient for you. I view the therapeutic process as a journey, to achieve goals, improve your life for the better and feel that therapy should be catered to your needs.
*MOBILE THERAPY SERVICE* When traditional 'mental health' services are not meeting your needs-CALL. This could be a result from a medical condition, limitations to transportation, or many other reasons that pose a barrier to meeting your emotional support needs in an office. Mobile Therapy is a way to have the service come to you and allow you the ability to mold the service in a way that would be most convenient for you. I view the therapeutic process as a journey, to achieve goals, improve your life for the better and feel that therapy should be catered to your needs.
(845) 640-5302 View (845) 640-5302
Photo of Tomasina Beckford, Clinical Social Work/Therapist in Hopewell, NY
Tomasina Beckford
Clinical Social Work/Therapist
Verified Verified
Fishkill, NY 12590
Hello, I am a licensed clinical social worker with over 30 years of experience. I work with adults, adolescents, children, families, and couples. I prefer to use an eclectic approach tailored to the unique needs of each client. I have been trained in a variety of modalities, so I can be flexible and use what works best for each individual. I pride myself on providing a warm and compassionate setting where my clients can feel comfortable and welcome. I respect each individual's strengths, beliefs, and support systems, drawing from these to help the client achieve their goals.
Hello, I am a licensed clinical social worker with over 30 years of experience. I work with adults, adolescents, children, families, and couples. I prefer to use an eclectic approach tailored to the unique needs of each client. I have been trained in a variety of modalities, so I can be flexible and use what works best for each individual. I pride myself on providing a warm and compassionate setting where my clients can feel comfortable and welcome. I respect each individual's strengths, beliefs, and support systems, drawing from these to help the client achieve their goals.
(929) 348-2688 View (929) 348-2688
Photo of Christine Kelly, Clinical Social Work/Therapist in Hopewell, NY
Christine Kelly
Clinical Social Work/Therapist, LCSW
Verified Verified
Fishkill, NY 12524  (Online Only)
Life is full of challenges, from high school bullies, through relationships and major milestones, there are so many times it is helpful to have someone to bounce life's oppositions at. I am seasoned in working with people of all walks of life, during so many of life challenges. Open to working with couples, as they face challenges in their relationship; as well as individuals going through challenges in life with family, work, or their own personal relationships. I am an experience provider to support lgbtqia+ clients as they explore their journey of better understanding themselves and cope with the challenges around them.
Life is full of challenges, from high school bullies, through relationships and major milestones, there are so many times it is helpful to have someone to bounce life's oppositions at. I am seasoned in working with people of all walks of life, during so many of life challenges. Open to working with couples, as they face challenges in their relationship; as well as individuals going through challenges in life with family, work, or their own personal relationships. I am an experience provider to support lgbtqia+ clients as they explore their journey of better understanding themselves and cope with the challenges around them.
(845) 851-0499 View (845) 851-0499
Photo of Tatiana Taylor, Clinical Social Work/Therapist in Hopewell, NY
Tatiana Taylor
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Wappingers Falls, NY 12590  (Online Only)
Help! What can I do when my thoughts leave me feeling overwhelmed and trapped in my own head? Enhancing your coping skills is a great start! I can help you unpack your negative thoughts, and empower you to create positive, affirming ones. Together, we will get you better acquainted with your emotions, and help you gain a sense of clarity and peace. I support individuals of all ages who need help managing and overcoming Anxiety, Depression, Mood disorders, Bi-polar disorder, and ADHD. I am also LGBTQIA+ and BIPOC aligned.
Help! What can I do when my thoughts leave me feeling overwhelmed and trapped in my own head? Enhancing your coping skills is a great start! I can help you unpack your negative thoughts, and empower you to create positive, affirming ones. Together, we will get you better acquainted with your emotions, and help you gain a sense of clarity and peace. I support individuals of all ages who need help managing and overcoming Anxiety, Depression, Mood disorders, Bi-polar disorder, and ADHD. I am also LGBTQIA+ and BIPOC aligned.
(845) 439-2062 View (845) 439-2062
Photo of Heather Lopez, Clinical Social Work/Therapist in Hopewell, NY
Heather Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
Poughkeepsie, NY 12603  (Online Only)
Are you feeling unhappy or even miserable? Are you struggling with managing or coping with the stressors that are overwhelming your life? Have you tried to feel better on your own and nothing seems to be working? If the answer is yes to any of these questions and you are willing to invest in yourself, I may be able to help. We will work together using evidence-based therapeutic interventions such as Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT). More often than not, I find individuals view change or a transition as uncomfortable and scary.
Are you feeling unhappy or even miserable? Are you struggling with managing or coping with the stressors that are overwhelming your life? Have you tried to feel better on your own and nothing seems to be working? If the answer is yes to any of these questions and you are willing to invest in yourself, I may be able to help. We will work together using evidence-based therapeutic interventions such as Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT). More often than not, I find individuals view change or a transition as uncomfortable and scary.
(845) 393-2741 View (845) 393-2741
Photo of Lorell Berrios, Clinical Social Work/Therapist in Hopewell, NY
Lorell Berrios
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Poughkeepsie, NY 12603  (Online Only)
Are you struggling with anxiety, depression, trauma, or loss? Do you feel stuck in negative thoughts and intense emotions that do not serve your best interest? Are you experiencing problems in your relationship, you do not need to go through it alone. My goal is to meet you where you are in the therapeutic process and provide you with a confidential, non judgmental safe environment. To help you express and process your thoughts and feelings that may be causing distress and difficulties healing from past experiences.
Are you struggling with anxiety, depression, trauma, or loss? Do you feel stuck in negative thoughts and intense emotions that do not serve your best interest? Are you experiencing problems in your relationship, you do not need to go through it alone. My goal is to meet you where you are in the therapeutic process and provide you with a confidential, non judgmental safe environment. To help you express and process your thoughts and feelings that may be causing distress and difficulties healing from past experiences.
(646) 859-0985 View (646) 859-0985
Photo of Carolee E Iltis, Psychologist in Hopewell, NY
Carolee E Iltis
Psychologist, PsyD
Verified Verified
Poughquag, NY 12570  (Online Only)
Do you know what you are looking for in a therapist? You are probably reading this because you are considering talking to someone about your anxiety/depression, work/relationship, life transition, or possibly trauma or bereavement issues. I am a NYS licensed psychologist and treat these and many other issues. I work with highly successful people who have problems, in addition to those who want to do better in their lives, and those with more serious problems. I provide clients a supportive working relationship because I am an excellent listener and like what I do, in addition to benefiting from doctoral training.
Do you know what you are looking for in a therapist? You are probably reading this because you are considering talking to someone about your anxiety/depression, work/relationship, life transition, or possibly trauma or bereavement issues. I am a NYS licensed psychologist and treat these and many other issues. I work with highly successful people who have problems, in addition to those who want to do better in their lives, and those with more serious problems. I provide clients a supportive working relationship because I am an excellent listener and like what I do, in addition to benefiting from doctoral training.
(914) 487-3575 View (914) 487-3575
Photo of Dr. Deborah Ann McKee, Psychologist in Hopewell, NY
Dr. Deborah Ann McKee
Psychologist, Deborah, McKee, PhD
Verified Verified
Poughkeepsie, NY 12603
I enjoy helping people who are experiencing a variety of stressors and symptoms. For example, anxiety, depression, addictions, reactions to trauma, relationship struggles, anger, loss, as well as other problems with mood or thinking. Also the every day type of stress, including problems handling school, work, family, or what life throws at us in general. I use my Circle of Life Wellness Coaching to help people get unstuck and move forward with helpful change. Are you ready to make some positive changes in your life?!
I enjoy helping people who are experiencing a variety of stressors and symptoms. For example, anxiety, depression, addictions, reactions to trauma, relationship struggles, anger, loss, as well as other problems with mood or thinking. Also the every day type of stress, including problems handling school, work, family, or what life throws at us in general. I use my Circle of Life Wellness Coaching to help people get unstuck and move forward with helpful change. Are you ready to make some positive changes in your life?!
(845) 637-2068 View (845) 637-2068
Photo of Dina Allen Marquez, Clinical Social Work/Therapist in Hopewell, NY
Dina Allen Marquez
Clinical Social Work/Therapist, LCSW
Verified Verified
Wappingers Falls, NY 12590  (Online Only)
Life can be quite challenging at times, even when things seem calm on the surface. Difficult decisions, finding balance, and crisis are all part of what we go through as we grow and develop. Whether you need to work through something specific that you're going through, working on an area of self-improvement, managing and developing coping skills and techniques for your diagnosis, or just need a sounding board, I can support and help.
Life can be quite challenging at times, even when things seem calm on the surface. Difficult decisions, finding balance, and crisis are all part of what we go through as we grow and develop. Whether you need to work through something specific that you're going through, working on an area of self-improvement, managing and developing coping skills and techniques for your diagnosis, or just need a sounding board, I can support and help.
(646) 687-8316 View (646) 687-8316
Photo of Valerie Smith, Clinical Social Work/Therapist in Hopewell, NY
Valerie Smith
Clinical Social Work/Therapist, LCSW, CFTG, EMDR, TF-CBT
Verified Verified
1 Endorsed
Beacon, NY 12508  (Online Only)
Hi there. If you are seeking support for grief/bereavement, depression, or anxiety, or trauma, are suffering from relationship difficulties, are adjusting to motherhood or other significant changes, or if you simply feel like you need somewhere to unpack your burdens you have carried - let's chat. I accept you openly, all the shadows of yourself you try to hide away. Therapy is beautiful because it allows those parts of ourselves an opportunity to be seen but without judgment. And this in turn helps you to feel recharged again, while working toward healing and planning for the next steps.
Hi there. If you are seeking support for grief/bereavement, depression, or anxiety, or trauma, are suffering from relationship difficulties, are adjusting to motherhood or other significant changes, or if you simply feel like you need somewhere to unpack your burdens you have carried - let's chat. I accept you openly, all the shadows of yourself you try to hide away. Therapy is beautiful because it allows those parts of ourselves an opportunity to be seen but without judgment. And this in turn helps you to feel recharged again, while working toward healing and planning for the next steps.
(631) 430-6351 View (631) 430-6351
Photo of Kim Raffaelli, Counselor in Hopewell, NY
Kim Raffaelli
Counselor, LMHC, NCC, BCN
Verified Verified
Lagrangeville, NY 12540
xx I am currently accepting new clients for morning & early afternoon appointments xx Are you feeling overwhelmed, sad or anxious? Have you ever felt that you couldn’t share your story with anyone because you feel that they just couldn’t possibly understand or that they would somehow judge you? We all have a story, and often we have to just push it aside just to get through our day until one day we realize that our story has taken over and is now interfering with our daily life. I will work to help you find the right tools to rewrite your story while in a calming nonjudgmental space.
xx I am currently accepting new clients for morning & early afternoon appointments xx Are you feeling overwhelmed, sad or anxious? Have you ever felt that you couldn’t share your story with anyone because you feel that they just couldn’t possibly understand or that they would somehow judge you? We all have a story, and often we have to just push it aside just to get through our day until one day we realize that our story has taken over and is now interfering with our daily life. I will work to help you find the right tools to rewrite your story while in a calming nonjudgmental space.
(845) 203-6280 View (845) 203-6280
Photo of Tabisam Shamas, Counselor in Hopewell, NY
Tabisam Shamas
Counselor, MS, LMHC, LPC
Verified Verified
Chelsea, NY 12512  (Online Only)
As a mental health professional, i am always guiding clients to make improvements, and it isn’t always easy. I have many clients with different mental health issues. The most ideal situation with my client was when he required assistance with depressed mood and adjustment to new relationship. Assisting my client with adjustment, positive reinforcement, problem-solving skills, communication skills and relaxation techniques was rewarding. I Use that momentum and some carefully chosen resolutions and goals to help my client go into with more hope and lasting, positive changes.
As a mental health professional, i am always guiding clients to make improvements, and it isn’t always easy. I have many clients with different mental health issues. The most ideal situation with my client was when he required assistance with depressed mood and adjustment to new relationship. Assisting my client with adjustment, positive reinforcement, problem-solving skills, communication skills and relaxation techniques was rewarding. I Use that momentum and some carefully chosen resolutions and goals to help my client go into with more hope and lasting, positive changes.
(929) 207-7430 View (929) 207-7430
Photo of Integrating the Self - Mental Health & Wellness, Creative Arts Therapist in Hopewell, NY
Integrating the Self - Mental Health & Wellness
Creative Arts Therapist, LCAT
Verified Verified
1 Endorsed
Beacon, NY 12508
With an outside the box approach, our therapists use creative means to bring healing, growth, and change in addition to traditional talk therapy. We work with anxiety, depression, grief/loss, OCD, managing major life changes, anger management, codependency, relationship struggles, trauma, invisible illness (MS, etc), insomnia, and many different stressors and situations from childhood all through adult life. We’re a group of 6 therapists offering a wide range of therapy services, aligned practices, and wellness workshops, so we most likely have something that you are looking for.
With an outside the box approach, our therapists use creative means to bring healing, growth, and change in addition to traditional talk therapy. We work with anxiety, depression, grief/loss, OCD, managing major life changes, anger management, codependency, relationship struggles, trauma, invisible illness (MS, etc), insomnia, and many different stressors and situations from childhood all through adult life. We’re a group of 6 therapists offering a wide range of therapy services, aligned practices, and wellness workshops, so we most likely have something that you are looking for.
(845) 209-0748 View (845) 209-0748
Photo of Marisa Ferro, Pre-Licensed Professional in Hopewell, NY
Marisa Ferro
Pre-Licensed Professional, MHC, MS
Verified Verified
Poughquag, NY 12570  (Online Only)
Marisa MHC-LP - I'm the co-founder of Davine Counseling. I'm a Mental Health Counselor who specializes in direct services and interventions focused on helping clients of all ages with a variety of different goals and approaches for therapy. A session with me will start with a consultation and an initial assessment. Here you will expect me to ask you questions about yourself to give me a better understanding of you! Here we will also start to discuss therapy goals and expectations as well as a plan for what our session schedule will look like. These sessions are unique to you and I want you to feel comfortable and safe at all times!
Marisa MHC-LP - I'm the co-founder of Davine Counseling. I'm a Mental Health Counselor who specializes in direct services and interventions focused on helping clients of all ages with a variety of different goals and approaches for therapy. A session with me will start with a consultation and an initial assessment. Here you will expect me to ask you questions about yourself to give me a better understanding of you! Here we will also start to discuss therapy goals and expectations as well as a plan for what our session schedule will look like. These sessions are unique to you and I want you to feel comfortable and safe at all times!
(845) 413-2531 View (845) 413-2531
Photo of Raina Murphy, Clinical Social Work/Therapist in Hopewell, NY
Raina Murphy
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Beacon, NY 12508  (Online Only)
Waitlist for new clients
Possible reasons why you want to start therapy: You want to learn more about yourself. You are feeling alone, misunderstood, stuck and you may or may not have people around you who support you but you still feel this way. You want to make a change or you're in the middle of a change (wanted or unwanted) and you need support. You are looking for an objective, skilled and compassionate opinion. You are in need of someone to point out your blind spots, with discretion. You feel unable to achieve your dreams or life goals no matter how hard you try. If any of these reasons resonate with you, I can help.
Possible reasons why you want to start therapy: You want to learn more about yourself. You are feeling alone, misunderstood, stuck and you may or may not have people around you who support you but you still feel this way. You want to make a change or you're in the middle of a change (wanted or unwanted) and you need support. You are looking for an objective, skilled and compassionate opinion. You are in need of someone to point out your blind spots, with discretion. You feel unable to achieve your dreams or life goals no matter how hard you try. If any of these reasons resonate with you, I can help.
(914) 600-3557 View (914) 600-3557
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.