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Online Therapists

Photo of Melissa Klein, LMSW, Clinical Social Work/Therapist
Melissa Klein
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Austin, TX 78745
I also specialize in case management for families with adult children experiencing debilitating mental health conditions such as schizophrenia and bipolar disorder.
I am supervised by Michelle Zadrozny, LCSW-S. Feeling out of touch with your center, or plagued by worry and regrets? Dizzy from the fast pace of life and all of its stressors? Let me be a gentle guide to assist you in finding well being. Together we will create a treatment plan with tangible steps to help you gain real relief, healing and positive momentum in your life. In a safe and affirming environment, I will help you get to the root of your symptoms, develop coping skills, process stressors, gain insight and self knowledge, and identify actions you can take in your day to day to solidify lasting change.
I also specialize in case management for families with adult children experiencing debilitating mental health conditions such as schizophrenia and bipolar disorder.
I am supervised by Michelle Zadrozny, LCSW-S. Feeling out of touch with your center, or plagued by worry and regrets? Dizzy from the fast pace of life and all of its stressors? Let me be a gentle guide to assist you in finding well being. Together we will create a treatment plan with tangible steps to help you gain real relief, healing and positive momentum in your life. In a safe and affirming environment, I will help you get to the root of your symptoms, develop coping skills, process stressors, gain insight and self knowledge, and identify actions you can take in your day to day to solidify lasting change.
(512) 559-1866 View (512) 559-1866
Photo of undefined - Laura McDowell-Salcedo, LCSW, LCSW, Clinical Social Work/Therapist
Laura McDowell-Salcedo, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78731
I provide counseling services to adults with a variety of issues including depression, anxiety, bipolar disorder, relationship problems, addictions and ADHD. I offer individual and couples psychotherapy services. My style is interactive and supportive, yet direct in working with clients and I view psychotherapy as a collaborative effort between therapist and client.I use a combination of therapy techniques suited to your individual needs which may include: Cognitive-Behavioral (CBT), Eye Movement Desensitization & Reprocessing (EMDR), Family Systems, Humanistic and Relational.
I provide counseling services to adults with a variety of issues including depression, anxiety, bipolar disorder, relationship problems, addictions and ADHD. I offer individual and couples psychotherapy services. My style is interactive and supportive, yet direct in working with clients and I view psychotherapy as a collaborative effort between therapist and client.I use a combination of therapy techniques suited to your individual needs which may include: Cognitive-Behavioral (CBT), Eye Movement Desensitization & Reprocessing (EMDR), Family Systems, Humanistic and Relational.
(512) 598-4711 View (512) 598-4711
Photo of Gina Antonia Nepa, LCSW, LICSW, LMSW, CTP, Clinical Social Work/Therapist
Gina Antonia Nepa
Clinical Social Work/Therapist, LCSW, LICSW, LMSW, CTP
Verified Verified
Austin, TX 78705  (Online Only)
I'm honored to get to hold space with you. I am primarily offering ADHD assessments at this time. I’m passionate about working with clients to confirm or rule out ADHD, and offer subsequent treatment to support in ADHD management and/or the presence of anxiety, depression, bipolar disorder, substance misuse, and trauma impact. I'm particularly passionate about working with LGBTQIA+ folks, and believe that liberation of shame is imperative in a strong therapeutic partnership. I fundamentally believe that each of us is doing our best with the tools that we have.
I'm honored to get to hold space with you. I am primarily offering ADHD assessments at this time. I’m passionate about working with clients to confirm or rule out ADHD, and offer subsequent treatment to support in ADHD management and/or the presence of anxiety, depression, bipolar disorder, substance misuse, and trauma impact. I'm particularly passionate about working with LGBTQIA+ folks, and believe that liberation of shame is imperative in a strong therapeutic partnership. I fundamentally believe that each of us is doing our best with the tools that we have.
(206) 558-5483 View (206) 558-5483
Photo of Katherine Kainer, PsyD, Psychologist
Katherine Kainer
Psychologist, PsyD
Verified Verified
San Antonio, TX 78212
Hello! My name is Dr. Katherine (Katie) Kainer and I am a licensed psychologist based in San Antonio, TX. I am the owner of ReNew Psychological Services, PLLC, and provide virtual therapy to clients all over Texas. I work with adults who experience various difficulties, including depression, anxiety, social anxiety, bipolar, ADHD, PTSD, trauma, anger, stress, body image, relational, communication, life transition/adjustment, grief/loss, burnout, work stress, perfectionism, self-esteem, family conflict, chronic pain, neurocognitive, military/veteran-related, and college mental health concerns.
Hello! My name is Dr. Katherine (Katie) Kainer and I am a licensed psychologist based in San Antonio, TX. I am the owner of ReNew Psychological Services, PLLC, and provide virtual therapy to clients all over Texas. I work with adults who experience various difficulties, including depression, anxiety, social anxiety, bipolar, ADHD, PTSD, trauma, anger, stress, body image, relational, communication, life transition/adjustment, grief/loss, burnout, work stress, perfectionism, self-esteem, family conflict, chronic pain, neurocognitive, military/veteran-related, and college mental health concerns.
(281) 746-6732 View (281) 746-6732
Photo of Karisha Richards, MA, LPC-S, Licensed Professional Counselor
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 Veronica Turullols-Gonzalez, LMSW
Veronica Turullols-Gonzalez
Licensed Master Social Worker, LMSW
Verified Verified
2 Endorsed
Austin, TX 78745
Over the last 8 years I have worked with teens, families, and adults who have experienced depression, anxiety, grief/loss, anger issues, bipolar, PTSD, thoughts/attempts of suicide, self-harm, panic attacks, existential stress, abuse, trauma, addiction, body dysmorphia, LGBTQIA+ issues, cultural shock, interpersonal conflict, life transitions and much more.
My goal is to provide you with a space to process the difficult things but also empower you so that you leave each session feeling a little more whole than the last. Within this safe space your needs come first, judgment will never be placed on you, you can be your true genuine self, and you get to choose what you want out of your treatment. My approach to therapy is warm, empathetic, and strengths based. I utilize several different modalities to best meet individuals needs but almost always incorporate some form of positive psychology and/or mindfulness to strengthen neuro-connections in the brain that influence positive thinking..
Over the last 8 years I have worked with teens, families, and adults who have experienced depression, anxiety, grief/loss, anger issues, bipolar, PTSD, thoughts/attempts of suicide, self-harm, panic attacks, existential stress, abuse, trauma, addiction, body dysmorphia, LGBTQIA+ issues, cultural shock, interpersonal conflict, life transitions and much more.
My goal is to provide you with a space to process the difficult things but also empower you so that you leave each session feeling a little more whole than the last. Within this safe space your needs come first, judgment will never be placed on you, you can be your true genuine self, and you get to choose what you want out of your treatment. My approach to therapy is warm, empathetic, and strengths based. I utilize several different modalities to best meet individuals needs but almost always incorporate some form of positive psychology and/or mindfulness to strengthen neuro-connections in the brain that influence positive thinking..
(512) 886-7414 View (512) 886-7414
Photo of Elia Ann Guzman, MEd, LPC-A, Pre-Licensed Professional
Elia Ann Guzman
Pre-Licensed Professional, MEd, LPC-A
Verified Verified
1 Endorsed
Hondo, TX 78861
You want to experience more joy and fulfillment in your life, but you struggle with fear of failure or rejection, difficulty focusing on positive thoughts in challenging moments, lack of motivation due to low energy levels, a sense of isolation or loneliness, difficulty seeing self-worth or finding purpose, feeling overwhelmed by the state of your emotions and mental health. If you have anxiety, grief, or chronic pain, life can be hard. I’m here to help you make it easier. Even though it may feel like happiness is unattainable right now. Together, we can explore the roots of your struggles and find ways to create lasting change.
You want to experience more joy and fulfillment in your life, but you struggle with fear of failure or rejection, difficulty focusing on positive thoughts in challenging moments, lack of motivation due to low energy levels, a sense of isolation or loneliness, difficulty seeing self-worth or finding purpose, feeling overwhelmed by the state of your emotions and mental health. If you have anxiety, grief, or chronic pain, life can be hard. I’m here to help you make it easier. Even though it may feel like happiness is unattainable right now. Together, we can explore the roots of your struggles and find ways to create lasting change.
(830) 460-5630 View (830) 460-5630
Photo of Jayme Nichols, MA, LPC, Licensed Professional Counselor
Jayme Nichols
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Austin, TX 78750  (Online Only)
Welcome! I am honored that you are here and no matter what brought you to this place, you belong here and will find safe, gentle, accepting support. Life is full of things that can be heavy, confusing, painful, and overwhelming. I’m here to encourage and remind you that hope is real, and growth and healing are possible! The path there can be hard, messy, and scary, but you will not be alone. I am here to walk with you through it all.
Welcome! I am honored that you are here and no matter what brought you to this place, you belong here and will find safe, gentle, accepting support. Life is full of things that can be heavy, confusing, painful, and overwhelming. I’m here to encourage and remind you that hope is real, and growth and healing are possible! The path there can be hard, messy, and scary, but you will not be alone. I am here to walk with you through it all.
(512) 865-5023 View (512) 865-5023
Photo of Isabel Keogh, MA, LPC-A
Isabel Keogh
LPC Associate, MA, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78753
I strive to provide a comfortable environment to honor your feelings and needs, where you can share challenges, celebrations, and everything in-between. I work with individual adults, couples, and families encountering interpersonal conflict, traumatic events, body image issues, disordered eating habits, and relational issues. I also work with clients facing anxiety, depression, low self-esteem, and life transitions.
I strive to provide a comfortable environment to honor your feelings and needs, where you can share challenges, celebrations, and everything in-between. I work with individual adults, couples, and families encountering interpersonal conflict, traumatic events, body image issues, disordered eating habits, and relational issues. I also work with clients facing anxiety, depression, low self-esteem, and life transitions.
(512) 881-6413 x1012 View (512) 881-6413 x1012
Photo of Michelli E Ramon, LCSW, Clinical Social Work/Therapist
Michelli E Ramon
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78209
I'm about love, self-compassion, radical acceptance, embracing failure, trusting your innate wisdom and starting over. I fundamentally believe in every person's ability to recover from trauma, addiction and life, in general. Experience has taught me that no one is really avoiding anything. When people accuse you of not dealing with something, what they are really saying is you aren't dealing with it the way they want you to. From my perspective, if you wake up every morning and breathe in and out all day long, you're dealing with your stuff. A tiny bit of intention is all it takes to begin healing.
I'm about love, self-compassion, radical acceptance, embracing failure, trusting your innate wisdom and starting over. I fundamentally believe in every person's ability to recover from trauma, addiction and life, in general. Experience has taught me that no one is really avoiding anything. When people accuse you of not dealing with something, what they are really saying is you aren't dealing with it the way they want you to. From my perspective, if you wake up every morning and breathe in and out all day long, you're dealing with your stuff. A tiny bit of intention is all it takes to begin healing.
(210) 881-7814 View (210) 881-7814
Photo of Lisa Willek, MEd, LPC, Licensed Professional Counselor
Lisa Willek
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Georgetown, TX 78628
Waitlist for new clients
My life's passion is helping people to heal. Healing comes in many forms including emotional, spiritual, relational, and physical. My style is a heart centered/spiritual approach that helps guide people to their answers. Heart centered counseling is an effective and compassionate way of being with you. It helps you be able to speak from the heart, truly be yourself and discover the beauty, strength, and wholeness that you already hold inside of you. Together we can build a strong, safe, nurturing relationship that promotes healing and well being.
My life's passion is helping people to heal. Healing comes in many forms including emotional, spiritual, relational, and physical. My style is a heart centered/spiritual approach that helps guide people to their answers. Heart centered counseling is an effective and compassionate way of being with you. It helps you be able to speak from the heart, truly be yourself and discover the beauty, strength, and wholeness that you already hold inside of you. Together we can build a strong, safe, nurturing relationship that promotes healing and well being.
(512) 942-0890 View (512) 942-0890
Photo of Brittany (Neece) Whallen, MA, LPC-S, LMFT-S, Marriage & Family Therapist
Brittany (Neece) Whallen
Marriage & Family Therapist, MA, LPC-S, LMFT-S
Verified Verified
8 Endorsed
Austin, TX 78759
We all go through complicated situations, some of which we don’t feel adequately prepared to handle. Most of us were never taught how to navigate these difficult struggles in healthy, constructive ways. That's why we are here. My clinical team works with a diverse variety of clientele to provide affordable counseling services to individuals, couples, and families. We want to work with you to help you overcome obstacles that you are facing, improve on aspects in your current life situation, and provide a sense of strength and hope during times that you may feel lost. Please call us for a free phone consultation.
We all go through complicated situations, some of which we don’t feel adequately prepared to handle. Most of us were never taught how to navigate these difficult struggles in healthy, constructive ways. That's why we are here. My clinical team works with a diverse variety of clientele to provide affordable counseling services to individuals, couples, and families. We want to work with you to help you overcome obstacles that you are facing, improve on aspects in your current life situation, and provide a sense of strength and hope during times that you may feel lost. Please call us for a free phone consultation.
(512) 814-6027 View (512) 814-6027
Photo of Jeanne Serra, LMFT, Marriage & Family Therapist
Jeanne Serra
Marriage & Family Therapist, LMFT
Verified Verified
Austin, TX 73301  (Online Only)
You are exhausted. You recognize there is a problem, but don't know how to solve it. You are caught in the cycle of overwhelm. If you continue down this road all you will find is powerlessness and hopelessness. You don't have to stay trapped. My focus is to empower you to take back control of your life & become the best version of yourself. I provide relief to adults in California and Texas experiencing anxiety and overwhelm through a relationally based approach. I use my empathic style to connect to the suffering of my clients and help them move through this to a place of healing.
You are exhausted. You recognize there is a problem, but don't know how to solve it. You are caught in the cycle of overwhelm. If you continue down this road all you will find is powerlessness and hopelessness. You don't have to stay trapped. My focus is to empower you to take back control of your life & become the best version of yourself. I provide relief to adults in California and Texas experiencing anxiety and overwhelm through a relationally based approach. I use my empathic style to connect to the suffering of my clients and help them move through this to a place of healing.
(619) 356-2563 View (619) 356-2563
Photo of Colleen Johnston, MA, LPC, Licensed Professional Counselor
Colleen Johnston
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Round Rock, TX 78664
I’m so glad you’re here. Taking this first step in getting support takes courage and true grit. My clients come from diverse backgrounds and experience anxiety, depression, and trauma. They often struggle with setting boundaries, managing stress, adjusting to a new phase in life, or navigating difficult relationships. Currently, I work with adolescents and adults utilizing a client-centered and attachment-based approach. Other modalities I practice include play and art therapy techniques, sand tray therapy, somatic, trauma focused, Dialectical Behavior (DBT), Internal Family Systems (IFS), and Mindfulness-Based methods.
I’m so glad you’re here. Taking this first step in getting support takes courage and true grit. My clients come from diverse backgrounds and experience anxiety, depression, and trauma. They often struggle with setting boundaries, managing stress, adjusting to a new phase in life, or navigating difficult relationships. Currently, I work with adolescents and adults utilizing a client-centered and attachment-based approach. Other modalities I practice include play and art therapy techniques, sand tray therapy, somatic, trauma focused, Dialectical Behavior (DBT), Internal Family Systems (IFS), and Mindfulness-Based methods.
(512) 641-4431 View (512) 641-4431
Photo of Danielle Elan Brown, LCSW, BC-DMT, Clinical Social Work/Therapist
Danielle Elan Brown
Clinical Social Work/Therapist, LCSW, BC-DMT
Verified Verified
Austin, TX 78704  (Online Only)
Psychotherapy is an opportunity to engage in a supportive, collaborative, and dynamic partnership. Therapy is a creative process of self-exploration, self-discovery and self-understanding. With my clients' goals and needs always leading the work, I draw from my expertise in psychodynamic models of "talk therapy," dance/movement therapy, EMDR Therapy, and experiential mindfulness practices, to help my clients become unstuck and embody health, growth, and change.
Psychotherapy is an opportunity to engage in a supportive, collaborative, and dynamic partnership. Therapy is a creative process of self-exploration, self-discovery and self-understanding. With my clients' goals and needs always leading the work, I draw from my expertise in psychodynamic models of "talk therapy," dance/movement therapy, EMDR Therapy, and experiential mindfulness practices, to help my clients become unstuck and embody health, growth, and change.
(310) 340-6284 View (310) 340-6284
Photo of Anne Tankersley Botter, MA, LPC-A
Anne Tankersley Botter
Licensed Professional Counselor Associate , MA, LPC-A
Verified Verified
Cedar Park, TX 78613
My ideal client may be dealing with different traumas. I work well with clients who have personality disorders or might be facing different anxieties. You might be seeking growth and guidance and looking for someone who will listen with compassion in an interactive setting. I work to provide a safe and comfortable environment.
My ideal client may be dealing with different traumas. I work well with clients who have personality disorders or might be facing different anxieties. You might be seeking growth and guidance and looking for someone who will listen with compassion in an interactive setting. I work to provide a safe and comfortable environment.
(737) 510-4832 View (737) 510-4832
Photo of Shawn Lee Reagan, MS, LPC, Licensed Professional Counselor
Shawn Lee Reagan
Licensed Professional Counselor, MS, LPC
Verified Verified
Pipe Creek, TX 78063
Asking for help is a sign of strength. People mistake the feeling of vulnerability for weakness, allowing this feeling to surface means we are facing something painful. This takes courage. Learning to experience feelings without judging them is a foundational part of the healing process. Acceptance is a sign of bravery and leads to developing what is called emotional intelligence. When you engage in the development of your emotional intelligence you are increasing self-awareness and personal freedom by creating choice where there was none before.
Asking for help is a sign of strength. People mistake the feeling of vulnerability for weakness, allowing this feeling to surface means we are facing something painful. This takes courage. Learning to experience feelings without judging them is a foundational part of the healing process. Acceptance is a sign of bravery and leads to developing what is called emotional intelligence. When you engage in the development of your emotional intelligence you are increasing self-awareness and personal freedom by creating choice where there was none before.
(830) 541-7360 View (830) 541-7360
Photo of Ashley Harmon, LCSW-S, LCDC, EMDR, Clinical Social Work/Therapist
Ashley Harmon
Clinical Social Work/Therapist, LCSW-S, LCDC, EMDR
Verified Verified
Austin, TX 78701
Progress > Perfection! Life can be overwhelming for people who have experienced a trauma, lost hope in finding happiness from within, or are having difficulties coping with the stressors of everyday life. I believe in strengthening clients to restore healthy lives through self-determination & meeting the client where they are at. My calming & supportive presence allows a safe environment for clients to freely express their thoughts & feelings. Once a therapeutic relationship is established, I believe in teaching clients how to help themselves by listening to their narratives & guiding them in the direction of their individual goals.
Progress > Perfection! Life can be overwhelming for people who have experienced a trauma, lost hope in finding happiness from within, or are having difficulties coping with the stressors of everyday life. I believe in strengthening clients to restore healthy lives through self-determination & meeting the client where they are at. My calming & supportive presence allows a safe environment for clients to freely express their thoughts & feelings. Once a therapeutic relationship is established, I believe in teaching clients how to help themselves by listening to their narratives & guiding them in the direction of their individual goals.
(512) 881-9337 View (512) 881-9337
Photo of Ellen Smithey, ATR-BC, LPC-A, CCTP
Ellen Smithey
Licensed Professional Counselor Associate, ATR-BC, LPC-A, CCTP
Verified Verified
1 Endorsed
Austin, TX 78752  (Online Only)
First and foremost, it takes so much strength to reach out for help and I am glad you are here. It may have taken you a while to get here - maybe your undiagnosed ADHD put it off, or a people-pleasing part of you has put others before yourself, or a perfectionist part that felt bad that you couldn't "fix it" on your own. I believe seeking therapy and inner healing can hold joy and humor as deeply as it can confront and hold pain. My hope is to create a non-judgmental, secure space for you to safely embrace every part of you. Through it all, I will be there alongside you to remind you that you don’t have to carry it all on your own.
First and foremost, it takes so much strength to reach out for help and I am glad you are here. It may have taken you a while to get here - maybe your undiagnosed ADHD put it off, or a people-pleasing part of you has put others before yourself, or a perfectionist part that felt bad that you couldn't "fix it" on your own. I believe seeking therapy and inner healing can hold joy and humor as deeply as it can confront and hold pain. My hope is to create a non-judgmental, secure space for you to safely embrace every part of you. Through it all, I will be there alongside you to remind you that you don’t have to carry it all on your own.
(512) 262-9503 View (512) 262-9503
Photo of Courtney Lougheed, MA, LPC, Licensed Professional Counselor
Courtney Lougheed
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Austin, TX 78739  (Online Only)
I work with individuals as well as couples looking to regain footing in a chaotic world. Specializing in working with childhood complex trauma, I encourage clients to explore emotions from a place of curiosity and agency. I focus on helping clients learn and embody a secure attachment. When working with couples, I like to help each individual soften towards themselves, and in turn, develop vulnerability and trust in each other. Learning to become a team theough all the highs and lows in life is foundational for a healthy relationship.
I work with individuals as well as couples looking to regain footing in a chaotic world. Specializing in working with childhood complex trauma, I encourage clients to explore emotions from a place of curiosity and agency. I focus on helping clients learn and embody a secure attachment. When working with couples, I like to help each individual soften towards themselves, and in turn, develop vulnerability and trust in each other. Learning to become a team theough all the highs and lows in life is foundational for a healthy relationship.
(737) 637-3569 View (737) 637-3569

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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.