Bipolar Disorder Therapists in La Grange, KY

Photo of Dan Guy, Psychologist in La Grange, KY
Dan Guy
Psychologist, PsyD
Verified Verified
1 Endorsed
La Grange, KY 40031
As a Clinical Psychologist with over 30 years of experience, I use Cognitive Behavioral Therapy (CBT) and Solution Focused Therapy to help you face challenges with Depression and Suicidal Thoughts, Anxiety and Panic, Bipolar Disorder and other Mood Disorders, and Addictive behaviors like problems with Alcohol, Marijuana, and Pornography.
Maybe you are experiencing a deep depression that you are too embarrassed to talk about with others for fear that you will be judged as having “weak character.” Maybe anxiety is immobilizing you and you don’t think you can do anything about it, so you do nothing and hope it passes, and it never does. Maybe your problem with anger has damaged relationships with people that you love deeply. Your challenge could be a repeated pattern of behavior like spending money, or viewing pornography, and while these activities make you feel better for a moment, they lead to significant problems in other areas of your life.
As a Clinical Psychologist with over 30 years of experience, I use Cognitive Behavioral Therapy (CBT) and Solution Focused Therapy to help you face challenges with Depression and Suicidal Thoughts, Anxiety and Panic, Bipolar Disorder and other Mood Disorders, and Addictive behaviors like problems with Alcohol, Marijuana, and Pornography.
Maybe you are experiencing a deep depression that you are too embarrassed to talk about with others for fear that you will be judged as having “weak character.” Maybe anxiety is immobilizing you and you don’t think you can do anything about it, so you do nothing and hope it passes, and it never does. Maybe your problem with anger has damaged relationships with people that you love deeply. Your challenge could be a repeated pattern of behavior like spending money, or viewing pornography, and while these activities make you feel better for a moment, they lead to significant problems in other areas of your life.
(502) 339-2442 View (502) 339-2442
Photo of Tony L Sheppard, Psychologist in La Grange, KY
Tony L Sheppard
Psychologist, PsyD, CGP, FAGPA
Verified Verified
10 Endorsed
La Grange, KY 40031
I have expertise in mood disorders such as depression and bipolar disorder.
I believe that relationships are a potential source of great happiness in life. It is through our relationships past, present and future that we define ourselves. I work with clients to build healthy and rewarding relationships.
I have expertise in mood disorders such as depression and bipolar disorder.
I believe that relationships are a potential source of great happiness in life. It is through our relationships past, present and future that we define ourselves. I work with clients to build healthy and rewarding relationships.
(502) 237-8836 View (502) 237-8836
Photo of Christina Edwards, Licensed Professional Clinical Counselor in La Grange, KY
Christina Edwards
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
1 Endorsed
La Grange, KY 40031
Are you struggling with not feeling good enough? Feeling too anxious to leave home or easily overwhelmed by daily life? Is your child struggling with maintaining behaviors at home or experienced significant trauma from home or school? If you're wanting to generally feel brighter so that you can live your best life now, then I can be there to help you heal. People often only think of trauma as a major disaster but it can be much less obvious like: negative self talk, negative sibling interactions, bad teachers, abusive relationships, parental overreactions and bullying. All leave scars and need some help to heal.
Are you struggling with not feeling good enough? Feeling too anxious to leave home or easily overwhelmed by daily life? Is your child struggling with maintaining behaviors at home or experienced significant trauma from home or school? If you're wanting to generally feel brighter so that you can live your best life now, then I can be there to help you heal. People often only think of trauma as a major disaster but it can be much less obvious like: negative self talk, negative sibling interactions, bad teachers, abusive relationships, parental overreactions and bullying. All leave scars and need some help to heal.
(502) 443-9313 View (502) 443-9313
Photo of Lynne B Cundiff, Art Therapist in La Grange, KY
Lynne B Cundiff
Art Therapist, MAAT, LPAT
Verified Verified
La Grange, KY 40031
I am a Child and Family Mental Health Therapist "I believe that each of us has the desire and ability to be happy." I work well with all ages but especially enjoy working with children and their families. I have extensive training and experience in children's issues such as: abuse, depression, ADHD, grief, behavioral problems, self-esteem, divorce and parenting skills. I work equally as well with adults on issues such as depression, anxiety, relationship problems and chronic pain.
I am a Child and Family Mental Health Therapist "I believe that each of us has the desire and ability to be happy." I work well with all ages but especially enjoy working with children and their families. I have extensive training and experience in children's issues such as: abuse, depression, ADHD, grief, behavioral problems, self-esteem, divorce and parenting skills. I work equally as well with adults on issues such as depression, anxiety, relationship problems and chronic pain.
(502) 396-8456 View (502) 396-8456
Photo of Joan R. Landes, Counselor in La Grange, KY
Joan R. Landes
Counselor, MA, CMHC
Verified Verified
2 Endorsed
La Grange, KY 40031
Counseling can be an amazing discovery into new ways of creating happiness. My dedication is fired by my clients' "Aha!" moments. It's not unusual for a client say, "This is really amazing-- Can I get my wife (mother-in-law, son, brother) in here?" That means we are doing therapy right! My people enjoy the counseling experience and laugh as often as they experience other emotions. I use a great deal of stories, humor, and building on strengths to inspire progress from one success to another. When clients have small successes as a foundation, they can launch to a lifetime of satisfaction.
Counseling can be an amazing discovery into new ways of creating happiness. My dedication is fired by my clients' "Aha!" moments. It's not unusual for a client say, "This is really amazing-- Can I get my wife (mother-in-law, son, brother) in here?" That means we are doing therapy right! My people enjoy the counseling experience and laugh as often as they experience other emotions. I use a great deal of stories, humor, and building on strengths to inspire progress from one success to another. When clients have small successes as a foundation, they can launch to a lifetime of satisfaction.
(801) 679-4532 View (801) 679-4532
Photo of Renew Counseling, LLC, Counselor in La Grange, KY
Renew Counseling, LLC
Counselor
Verified Verified
3 Endorsed
La Grange, KY 40031
Renew Counseling Services was established in 2014, and quickly grew to become a group practice with more than 30 therapists. Our therapists are not only trained in several therapeutic models but also come from different backgrounds and life experiences. ​ The practice was created with the belief that all people can make great strides towards personal growth when ready for change. We know trauma plays an important role in the difficulties many face. We are a practice of therapists trained extensively in EMDR, Expressive Therapy, Family Therapy, DBT and CBT. We have many years of experience, knowledge and practice.
Renew Counseling Services was established in 2014, and quickly grew to become a group practice with more than 30 therapists. Our therapists are not only trained in several therapeutic models but also come from different backgrounds and life experiences. ​ The practice was created with the belief that all people can make great strides towards personal growth when ready for change. We know trauma plays an important role in the difficulties many face. We are a practice of therapists trained extensively in EMDR, Expressive Therapy, Family Therapy, DBT and CBT. We have many years of experience, knowledge and practice.
(502) 804-5467 View (502) 804-5467
Photo of Chris Davis, Marriage & Family Therapist in La Grange, KY
Chris Davis
Marriage & Family Therapist, MSSW, LMFT
Verified Verified
7 Endorsed
La Grange, KY 40031
Do you ever find yourself wondering: How did I get here? Where am I going? Why am I even doing this? When thinking about your relationship, do you ask yourself: Where did the passion and intimacy go? Is this all there is to love? How will I ever be able to trust again? Has anxiety worn you down? Is frustration and anger constantly causing trouble in your life? Is fear keeping you from living the life you want? Is there something you can’t stop? If you answered yes to any of these, you are likely at a crossroads. Please read on.
Do you ever find yourself wondering: How did I get here? Where am I going? Why am I even doing this? When thinking about your relationship, do you ask yourself: Where did the passion and intimacy go? Is this all there is to love? How will I ever be able to trust again? Has anxiety worn you down? Is frustration and anger constantly causing trouble in your life? Is fear keeping you from living the life you want? Is there something you can’t stop? If you answered yes to any of these, you are likely at a crossroads. Please read on.
(502) 215-5946 View (502) 215-5946
Photo of Jessica Gibo, Marriage & Family Therapist in La Grange, KY
Jessica Gibo
Marriage & Family Therapist, MFTA
Verified Verified
2 Endorsed
La Grange, KY 40031  (Online Only)
Life is complicated. Stress is inevitable. And, if you find yourself feeling overwhelmed by life or stressors I can help you get your feet back on the ground and move forward. Therapy is a great resource help individuals, couples, and families to journey through life by making small changes which can have a big positive impact on how you approach and balance the many complex systems of life. As a therapist I will work with you to discover and restore your inner peace, improve communication, and provide feedback to discover what the next right step will before you.
Life is complicated. Stress is inevitable. And, if you find yourself feeling overwhelmed by life or stressors I can help you get your feet back on the ground and move forward. Therapy is a great resource help individuals, couples, and families to journey through life by making small changes which can have a big positive impact on how you approach and balance the many complex systems of life. As a therapist I will work with you to discover and restore your inner peace, improve communication, and provide feedback to discover what the next right step will before you.
(502) 586-4096 View (502) 586-4096
Photo of Christina Ligibel, Art Therapist in La Grange, KY
Christina Ligibel
Art Therapist, MEd, LPATA
Verified Verified
La Grange, KY 40031
Not accepting new clients
I believe one of the bravest things a person can do is take the first step to find healing. Therapy can be intimidating to a lot of people, but I strive to create a safe and nonjudgmental environment where you can be your authentic self. Not only do I want you to find healing, but I want you to enjoy the process as much as possible and experience yourself on a deeper level. You are strong and worthy of living a life you love. Different traumas and emotions can make this difficult. I want you to learn how to manage your emotions, build confidence, and feel capable of handling whatever life throws at you.
I believe one of the bravest things a person can do is take the first step to find healing. Therapy can be intimidating to a lot of people, but I strive to create a safe and nonjudgmental environment where you can be your authentic self. Not only do I want you to find healing, but I want you to enjoy the process as much as possible and experience yourself on a deeper level. You are strong and worthy of living a life you love. Different traumas and emotions can make this difficult. I want you to learn how to manage your emotions, build confidence, and feel capable of handling whatever life throws at you.
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More Therapists Nearby

Photo of Derek Stegner, Licensed Professional Clinical Counselor in La Grange, KY
Derek Stegner
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Crestwood, KY 40014  (Online Only)
I have many years of experience working with early childhood trauma and severe, persistent mental illness, varying from ages of 5 years to 70+. My goal is to empower and advocate for positive change within you, as the individual, and the system as a whole. The place that we will create together is a safe and judgement free space. I work through an Existential foundation, to help those I work with seek meaning and purpose, with skills built from experience with Dialectical Behavior Therapy, Solution-Focused Brief Therapy, and Cognitive Behavior Therapy, all within the context of a trauma-informed approach.
I have many years of experience working with early childhood trauma and severe, persistent mental illness, varying from ages of 5 years to 70+. My goal is to empower and advocate for positive change within you, as the individual, and the system as a whole. The place that we will create together is a safe and judgement free space. I work through an Existential foundation, to help those I work with seek meaning and purpose, with skills built from experience with Dialectical Behavior Therapy, Solution-Focused Brief Therapy, and Cognitive Behavior Therapy, all within the context of a trauma-informed approach.
(502) 829-7564 View (502) 829-7564
Photo of Emily Burbank, Clinical Social Work/Therapist in La Grange, KY
Emily Burbank
Clinical Social Work/Therapist, LCADC, LCSW, MSSW
Verified Verified
Crestwood, KY 40014
Accepting New Clients! I specialize in working with complex trauma, all forms of addictions, and learning to navigate difficult relationships. I understand what it feels like to feel lost and alone in the world with your struggles. I approach my therapy sessions as being a guide to your own healing. I believe we are all capable of healing ourselves by tapping into resources just beneath the surface. I assist in helping you find your strength to living a happy and productive life.
Accepting New Clients! I specialize in working with complex trauma, all forms of addictions, and learning to navigate difficult relationships. I understand what it feels like to feel lost and alone in the world with your struggles. I approach my therapy sessions as being a guide to your own healing. I believe we are all capable of healing ourselves by tapping into resources just beneath the surface. I assist in helping you find your strength to living a happy and productive life.
(502) 625-5265 View (502) 625-5265
Photo of Andrea Williams, Counselor in La Grange, KY
Andrea Williams
Counselor, MEd, LPCC, LCADC
Verified Verified
Crestwood, KY 40014
Do you feel like your partner is more like a roommate? Has your partner had an emotional/ physical affair? Are addictive behaviors ruining your relationships (alcohol, drugs, porn, sex)? If you said yes to any of these, please schedule an appointment at https://andrea-williams5206. clientsecure.me
Do you feel like your partner is more like a roommate? Has your partner had an emotional/ physical affair? Are addictive behaviors ruining your relationships (alcohol, drugs, porn, sex)? If you said yes to any of these, please schedule an appointment at https://andrea-williams5206. clientsecure.me
(502) 873-3190 View (502) 873-3190
Photo of Liz Harris, M.A.M.F.T , Marriage & Family Therapist Associate in La Grange, KY
Liz Harris, M.A.M.F.T
Marriage & Family Therapist Associate, MAMFT
Verified Verified
1 Endorsed
Pewee Valley, KY 40056
Often, seeking guidance from an unbiased and outside source can be a vital key to personal progression. As a therapist, I want to maintain an open and honest dialogue with my clients that assists them in creating positive change in their marriages, families and individual lives. Having someone hold you accountable, as you take the necessary steps to correct unhealthy patterns, can be crucial to success. Too often, individuals choose to remain victims of their circumstances, rather than proactively changing their mindset, and becoming victors. I seek to empower clients through uncovering what may be hindering their growth.
Often, seeking guidance from an unbiased and outside source can be a vital key to personal progression. As a therapist, I want to maintain an open and honest dialogue with my clients that assists them in creating positive change in their marriages, families and individual lives. Having someone hold you accountable, as you take the necessary steps to correct unhealthy patterns, can be crucial to success. Too often, individuals choose to remain victims of their circumstances, rather than proactively changing their mindset, and becoming victors. I seek to empower clients through uncovering what may be hindering their growth.
(502) 237-9255 View (502) 237-9255
Photo of Theresa Lynn Adamchik, Licensed Professional Clinical Counselor in La Grange, KY
Theresa Lynn Adamchik
Licensed Professional Clinical Counselor, ATR-BC, LPCC-S, LPAT-S
Verified Verified
1 Endorsed
Buckner, KY 40010
Waitlist for new clients
Theresa is a Licensed Professional Art Therapist, Licensed Professional Clinical Counselor, and an approved LPAT/LPCC supervisor. She received her Masters of Education with a concentration in Art Therapy and Counseling from the University of Louisville in 2006 and a Bachelors of Fine Arts, Cum Laude, from the University of Louisville in 2002. She has over 15 years of experience working in the mental health field. She is one of the co-founders of Louisville Expressive Therapies.
Theresa is a Licensed Professional Art Therapist, Licensed Professional Clinical Counselor, and an approved LPAT/LPCC supervisor. She received her Masters of Education with a concentration in Art Therapy and Counseling from the University of Louisville in 2006 and a Bachelors of Fine Arts, Cum Laude, from the University of Louisville in 2002. She has over 15 years of experience working in the mental health field. She is one of the co-founders of Louisville Expressive Therapies.
(502) 335-4181 View (502) 335-4181
Photo of Nick Bach, Psychologist in La Grange, KY
Nick Bach
Psychologist, PsyD
Verified Verified
1 Endorsed
Crestwood, KY 40014
I help couples and individuals create epic marriages, relationships, and God-centered lives. I am a specialist in couples therapy (premarital and marital) and Christian counseling for those who desire it. As a couples therapist, I am dedicated to empowering you to live happier, healthier, and a more authentic life both individually and in your romantic relationship. I am trained in the Gottman Method couples therapy and my specialties include improving communication, infidelity, rebuilding intimacy, and preventing divorce. Let me help you create the relationship/marriage you deserve.
I help couples and individuals create epic marriages, relationships, and God-centered lives. I am a specialist in couples therapy (premarital and marital) and Christian counseling for those who desire it. As a couples therapist, I am dedicated to empowering you to live happier, healthier, and a more authentic life both individually and in your romantic relationship. I am trained in the Gottman Method couples therapy and my specialties include improving communication, infidelity, rebuilding intimacy, and preventing divorce. Let me help you create the relationship/marriage you deserve.
(502) 309-2634 View (502) 309-2634
Photo of Cynthia Rigdon, Clinical Social Work/Therapist in La Grange, KY
Cynthia Rigdon
Clinical Social Work/Therapist, LCSW
Verified Verified
Crestwood, KY 40014
At times, we all feel out of sorts and sometimes completely overwhelmed. I specialize in working with individuals with depression and anxiety. Many of my clients are in the midst of difficult life transitions including struggles in relationships whether marriage, family, friends or at work. Life is full of challenges and navigating changes in personal life or career can be overwhelming. Drawing from over 15 years of experience, I will work with you to identify your goals and build upon your unique strengths to assist you in realizing those goals.
At times, we all feel out of sorts and sometimes completely overwhelmed. I specialize in working with individuals with depression and anxiety. Many of my clients are in the midst of difficult life transitions including struggles in relationships whether marriage, family, friends or at work. Life is full of challenges and navigating changes in personal life or career can be overwhelming. Drawing from over 15 years of experience, I will work with you to identify your goals and build upon your unique strengths to assist you in realizing those goals.
(502) 373-6978 View (502) 373-6978
Photo of Monica L Hurt, Marriage & Family Therapist in La Grange, KY
Monica L Hurt
Marriage & Family Therapist, MSSW, LMFT
Verified Verified
Pewee Valley, KY 40056
In my practice, I specialize in working with adults, adolescents, and couples to help them achieve their goals and bring about positive changes to their lives. My approach is mindfulness based and solution-oriented, emphasizing strengths and guiding clients through emotional barriers. Building a strong therapeutic relationship is based on trust, and is at the core of my practice. With my extensive professional experience, education, and personal life insights, I aim to be a compassionate and effective therapist. My dedication is to guide you in achieving the transformation you seek for yourself, your relationships, and your family.
In my practice, I specialize in working with adults, adolescents, and couples to help them achieve their goals and bring about positive changes to their lives. My approach is mindfulness based and solution-oriented, emphasizing strengths and guiding clients through emotional barriers. Building a strong therapeutic relationship is based on trust, and is at the core of my practice. With my extensive professional experience, education, and personal life insights, I aim to be a compassionate and effective therapist. My dedication is to guide you in achieving the transformation you seek for yourself, your relationships, and your family.
(502) 324-1598 View (502) 324-1598
Photo of Kimberly Maugans, Clinical Social Work/Therapist in La Grange, KY
Kimberly Maugans
Clinical Social Work/Therapist, LCSW
Verified Verified
Prospect, KY 40059
Voted as 1 of the 3 Best marriage counselors in Louisville, KY area ('16 & '19) & ranked by "Kev's Best" as the top marriage counselor in 2022. I enjoy working with adults and couples in a safe, confidential, non-judgmental environment where you can share your thoughts and feelings while giving you helpful, practical skills and information on how you can gain power and happiness in your life as well as peace.
Voted as 1 of the 3 Best marriage counselors in Louisville, KY area ('16 & '19) & ranked by "Kev's Best" as the top marriage counselor in 2022. I enjoy working with adults and couples in a safe, confidential, non-judgmental environment where you can share your thoughts and feelings while giving you helpful, practical skills and information on how you can gain power and happiness in your life as well as peace.
(812) 608-3851 View (812) 608-3851

Online Therapists

Photo of Caitlin Pennington, Clinical Social Work/Therapist in La Grange, KY
Caitlin Pennington
Clinical Social Work/Therapist, LCSW
Verified Verified
Frankfort, KY 40601
Caitie is experienced in working with bipolar disorder, trauma, self harm behaviors, anxiety, depression, panic disorder, gender/identity issues, social anxiety, relationship issues, LGBTQ+ issues, mood disorders, workplace stress, chronic illness issues, transitional/life challenges and social/communication skills.
Caitie Pennington is a Licensed Clinical Social Worker who received her Bachelors and Masters degrees from the University of Kentucky. Caitie has worked with adolescents, transitional youth, and adults in intensive in home services and has transitioned to private practice. Caitie utilizes a variety of therapeutic practices including cognitive behavioral therapy, trauma systems therapy, motivational interviewing, and family behavioral therapy to assist adolescents, teens, and adults in achieving their goals. Caitie builds rapport and comfort with patients and encourages their voice to create personal and achievable goals.
Caitie is experienced in working with bipolar disorder, trauma, self harm behaviors, anxiety, depression, panic disorder, gender/identity issues, social anxiety, relationship issues, LGBTQ+ issues, mood disorders, workplace stress, chronic illness issues, transitional/life challenges and social/communication skills.
Caitie Pennington is a Licensed Clinical Social Worker who received her Bachelors and Masters degrees from the University of Kentucky. Caitie has worked with adolescents, transitional youth, and adults in intensive in home services and has transitioned to private practice. Caitie utilizes a variety of therapeutic practices including cognitive behavioral therapy, trauma systems therapy, motivational interviewing, and family behavioral therapy to assist adolescents, teens, and adults in achieving their goals. Caitie builds rapport and comfort with patients and encourages their voice to create personal and achievable goals.
(502) 586-2481 View (502) 586-2481
Photo of Dr. Ekta Rathee in La Grange, KY
Dr. Ekta Rathee
DNP, PMHNP-C, FNP-C
Verified Verified
Louisville, KY 40202  (Online Only)
o Anger Management o Anxiety Disorders o Bipolar Disorder o Depressive Disorders o Insomnia o Panic attacks o Post-Traumatic Stress Disorder o Pre- Menstrual Dysphoric Disorder o Obsessive Compulsive Disorder o Schizophrenia & other Psychotic Disorders.
Hi there, I am Ekta. I specialize in treating psychiatric and mental health conditions primarily through medication management, if indicated. A variety of factors (genetic and/or environmental) may contribute to the development of these conditions. The secret to successful management of a given disease condition lies in identifying and effectively addressing as many potentially contributing factors as possible at the same time. Hence, a holistic approach is my patient care philosophy.
o Anger Management o Anxiety Disorders o Bipolar Disorder o Depressive Disorders o Insomnia o Panic attacks o Post-Traumatic Stress Disorder o Pre- Menstrual Dysphoric Disorder o Obsessive Compulsive Disorder o Schizophrenia & other Psychotic Disorders.
Hi there, I am Ekta. I specialize in treating psychiatric and mental health conditions primarily through medication management, if indicated. A variety of factors (genetic and/or environmental) may contribute to the development of these conditions. The secret to successful management of a given disease condition lies in identifying and effectively addressing as many potentially contributing factors as possible at the same time. Hence, a holistic approach is my patient care philosophy.
(352) 503-0522 View (352) 503-0522
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.