Therapists in San Antonio, TX
Mary A Dom
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78213 (Online Only)
I am very experienced in working with mood disorders, especially Bipolar Disorder.
Talking about your concerns can help clarify what you want and need in your life. Finding choices helps us to grow and change personally and emotionally. I am here to give you the knowledge, perspective and experience gained through working with people in therapy for over 30 years. As a licensed professional counselor with experience in providing preteen, teen, couples, and individual counseling, let me offer you a warm and accepting environment where being non-judgmental is necessary to make you feel comfortable. Please note I work by telehealth only and my hours are Sunday through Friday from 7am to 3pm.
I am very experienced in working with mood disorders, especially Bipolar Disorder.
Talking about your concerns can help clarify what you want and need in your life. Finding choices helps us to grow and change personally and emotionally. I am here to give you the knowledge, perspective and experience gained through working with people in therapy for over 30 years. As a licensed professional counselor with experience in providing preteen, teen, couples, and individual counseling, let me offer you a warm and accepting environment where being non-judgmental is necessary to make you feel comfortable. Please note I work by telehealth only and my hours are Sunday through Friday from 7am to 3pm.
Taofeeq Awesu
Counselor, LPC
Verified Verified
San Antonio, TX 78252 (Online Only)
I counsel and develop treatment plan for individuals, couples and group for the treatment of various mental health disorders like Major Depressive Disorder, Anxiety, Bipolar disorder, Stress and Anger management, PTSD, Grief counseling and host of others.
I'm an empathic licensed professional mental health counselor with proven ability to work independently and collaboratively to at risk diverse population. My unique and diverse backgrounds couples with my multicultural experience helping in crisis intervention, suicide risk evaluation, diagnostic evaluation, psychometric testing, case documentation and biopsychosocial assessment. I work with my population using proven and evidenced based approaches. I am trauma-informed cognitive behavioral therapist with an advanced integrated therapies tailored to meet each client strengths and abilities.
I counsel and develop treatment plan for individuals, couples and group for the treatment of various mental health disorders like Major Depressive Disorder, Anxiety, Bipolar disorder, Stress and Anger management, PTSD, Grief counseling and host of others.
I'm an empathic licensed professional mental health counselor with proven ability to work independently and collaboratively to at risk diverse population. My unique and diverse backgrounds couples with my multicultural experience helping in crisis intervention, suicide risk evaluation, diagnostic evaluation, psychometric testing, case documentation and biopsychosocial assessment. I work with my population using proven and evidenced based approaches. I am trauma-informed cognitive behavioral therapist with an advanced integrated therapies tailored to meet each client strengths and abilities.
Tiffany Juarez
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78209
Tiffany treats conditions like post-traumatic stress disorder, anxiety, depression, addiction, bipolar, and many other conditions.
Tiffany Juarez is a Licensed Clinical Social Worker in Texas with 13 years of experience. She meets people with grace, and empathy and her interpersonal skills allow her to connect and see people where they are. She creates a collaborative space of growth and self-development.
Tiffany treats conditions like post-traumatic stress disorder, anxiety, depression, addiction, bipolar, and many other conditions.
Tiffany Juarez is a Licensed Clinical Social Worker in Texas with 13 years of experience. She meets people with grace, and empathy and her interpersonal skills allow her to connect and see people where they are. She creates a collaborative space of growth and self-development.
Teri Johnson Psychotherapist
Licensed Professional Counselor, MA , LPC-S
Verified Verified
2 Endorsed
San Antonio, TX 78228
Screening and treatment for Bipolar, Borderline Personality, Narcissistic Personality, Anti Social Personality, Histrionic Personality, Anxiety, Depression, Austism, and ADHD for children and adults.
Accepting new clients. With over 13 years of experience, I have a passion for helping others discover their best selves. Fears, anxieties, and difficult circumstances can leave us feeling stuck and hold us back from living the life we truly want. I join with my clients to explore barriers and overcome them to create a sense of peace and wholeness. Therapy is the most beneficial when we engage in meaningful discussion and exploration of your thoughts, feelings, beliefs, and life history. My goal with clients is to help them arrive at a place where they feel comfortable, secure, and empowered to be themselves.
Screening and treatment for Bipolar, Borderline Personality, Narcissistic Personality, Anti Social Personality, Histrionic Personality, Anxiety, Depression, Austism, and ADHD for children and adults.
Accepting new clients. With over 13 years of experience, I have a passion for helping others discover their best selves. Fears, anxieties, and difficult circumstances can leave us feeling stuck and hold us back from living the life we truly want. I join with my clients to explore barriers and overcome them to create a sense of peace and wholeness. Therapy is the most beneficial when we engage in meaningful discussion and exploration of your thoughts, feelings, beliefs, and life history. My goal with clients is to help them arrive at a place where they feel comfortable, secure, and empowered to be themselves.
Kerry Adamek
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78201
Professional experience 10yrs in practice Stress, Anxiety Addictions Family conflicts Bipolar disorder Depression Additional areas of focus: Antisocial Personality, Autism and Asperger Syndrome, Blended Family Issues, Codependency, Dependent Personality, Disruptive Mood Dysregulation Disorder (DMDD), Divorce and Separation, Domestic Violence, Drug and Alco.
I am licensed in Texas with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, family conflicts, & bipolar disorder. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
Professional experience 10yrs in practice Stress, Anxiety Addictions Family conflicts Bipolar disorder Depression Additional areas of focus: Antisocial Personality, Autism and Asperger Syndrome, Blended Family Issues, Codependency, Dependent Personality, Disruptive Mood Dysregulation Disorder (DMDD), Divorce and Separation, Domestic Violence, Drug and Alco.
I am licensed in Texas with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, family conflicts, & bipolar disorder. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
Lisa Wallace
Clinical Social Work/Therapist, LCSW, LCDC
Verified Verified
San Antonio, TX 78258 (Online Only)
I have experience working with a wide variety of populations, specializing in helping adults who struggle with depression, anxiety, bipolar, ADHD, or substance use.
Have you ever looked at your reflection and wondered who you are? Do you ever feel lost or wonder where you are headed? Confession- I have. I realized later in life that my calling was to become a therapist. Long before returning to college, I received on-the-job training through my own experiences as a mother, wife, friend, and as an individual struggling with depression and anxiety. These experiences helped prepare me for my role as a therapist. Just like my clients, I looked for a therapist to talk to, one who would listen and be able to understand where I was coming from.
I have experience working with a wide variety of populations, specializing in helping adults who struggle with depression, anxiety, bipolar, ADHD, or substance use.
Have you ever looked at your reflection and wondered who you are? Do you ever feel lost or wonder where you are headed? Confession- I have. I realized later in life that my calling was to become a therapist. Long before returning to college, I received on-the-job training through my own experiences as a mother, wife, friend, and as an individual struggling with depression and anxiety. These experiences helped prepare me for my role as a therapist. Just like my clients, I looked for a therapist to talk to, one who would listen and be able to understand where I was coming from.
Nancy Recalde
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78249
My specialty is mood disorders, depression, anxiety, bipolar and trauma.
I believe that we are created with potential for balance and harmony, however, life is not always easy, we may struggle at times to reach this balance. When we get "stuck" or face difficult challenges, we must first identify which areas of life need adjusting or strengthening, and then, we set out to make the necessary changes. Whether it is physical, emotional, spiritual or mental unbalance, we can positively impact our lives by starting to work in one area, and, since they are all connected, the rest will follow. The mind-body connection is undeniable, research and science favor an integrated approach to behavioral health.
My specialty is mood disorders, depression, anxiety, bipolar and trauma.
I believe that we are created with potential for balance and harmony, however, life is not always easy, we may struggle at times to reach this balance. When we get "stuck" or face difficult challenges, we must first identify which areas of life need adjusting or strengthening, and then, we set out to make the necessary changes. Whether it is physical, emotional, spiritual or mental unbalance, we can positively impact our lives by starting to work in one area, and, since they are all connected, the rest will follow. The mind-body connection is undeniable, research and science favor an integrated approach to behavioral health.
Ann-Marie Moore
Clinical Social Work/Therapist, MBA, MSW, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78230
I believe in a client-centered approach to therapy. My focus is meeting you where you are in your life's journey, and I specialize in working with couples, adolescents, young adults, and our military; as well as those suffering from PTSD, bipolar, depression, anxiety, and all of life’s stressors. I am an ardent ally of the LGBTQIA+ community and have a passionate affinity for working with transgender youth.
I believe in a client-centered approach to therapy. My focus is meeting you where you are in your life's journey, and I specialize in working with couples, adolescents, young adults, and our military; as well as those suffering from PTSD, bipolar, depression, anxiety, and all of life’s stressors. I am an ardent ally of the LGBTQIA+ community and have a passionate affinity for working with transgender youth.
Edward (Chip) Flatow
Licensed Professional Counselor, MA, LPC, CtH
Verified Verified
San Antonio, TX 78230
I have been working with people experiencing PTSD, Depression/Anxiety. Drug Addiction, Bipolar Disorder, and Family issues... My general position is that our emotions serve a purpose, (like a check engine light on the dashboard of a car). After we check and repair the engine, the light goes out... If the issue remains unchecked and unrepaired, the light gets stronger and more insistent... I will work hand-in-hand with Psychiatrists, Psychologists, and MD's, if needed. However, I believe that the use of meds is only one step on the road to recovery.
I have been working with people experiencing PTSD, Depression/Anxiety. Drug Addiction, Bipolar Disorder, and Family issues... My general position is that our emotions serve a purpose, (like a check engine light on the dashboard of a car). After we check and repair the engine, the light goes out... If the issue remains unchecked and unrepaired, the light gets stronger and more insistent... I will work hand-in-hand with Psychiatrists, Psychologists, and MD's, if needed. However, I believe that the use of meds is only one step on the road to recovery.
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.
Jessica Martin
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78229
I am an LPC Associate, supervised by Miranda Solis, LPC-S. I have worked with teens while they were hospitalized for self-harm or suicidal ideation, teens currently in the child welfare system in the group home setting, and children and families following an outcry of abuse. A big part of working with this population is working with their parents, so I could be a good fit if your child has experienced any of these problems. I also have experience with depression, anxiety, trauma, and bipolar disorder. My age range is from age 8-80.
I am an LPC Associate, supervised by Miranda Solis, LPC-S. I have worked with teens while they were hospitalized for self-harm or suicidal ideation, teens currently in the child welfare system in the group home setting, and children and families following an outcry of abuse. A big part of working with this population is working with their parents, so I could be a good fit if your child has experienced any of these problems. I also have experience with depression, anxiety, trauma, and bipolar disorder. My age range is from age 8-80.
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Carla Neven
Clinical Social Work/Therapist, LPC
Verified Verified
San Antonio, TX 78229
Hi, I'm Carla, an LPC in Texas. I have worked with adolescents, adults, and families for over nine years in non-profit social services agencies. I graduated from Texas Tech University with a Bachelor's of Art in 2012 and my Master's of Art in Professional Counseling from Amberton University in Dallas, Texas, in 2019. My goal as a therapist is to help teach you a set of tools to help you live a fulfilling and independent life. I work primarily with mood disorders (including depression and Bipolar disorders), personality disorders, trauma/PTSD, and stress management.
Hi, I'm Carla, an LPC in Texas. I have worked with adolescents, adults, and families for over nine years in non-profit social services agencies. I graduated from Texas Tech University with a Bachelor's of Art in 2012 and my Master's of Art in Professional Counseling from Amberton University in Dallas, Texas, in 2019. My goal as a therapist is to help teach you a set of tools to help you live a fulfilling and independent life. I work primarily with mood disorders (including depression and Bipolar disorders), personality disorders, trauma/PTSD, and stress management.
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.
Mindful Therapy with Lydia
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257 (Online Only)
Lydia Friese is a Licensed Professional Counselor , 86941. Lydia earned her M.S. in Clinical Psychology with a specialization in Clinical Counseling. She specializes in relationship issues, Substance Abuse Disorders, ADHD, Borderline Personality Disorder, Bipolar Disorder, PTSD, Anxiety and Depression. She has 3 years of experience in working with children, adolescents, teens, couples, adults and families. Lydia’s goal is to provide clients a safe space for clients to move into awareness and gain self-trust. In turn seeing life's challenges as manageable.
Lydia Friese is a Licensed Professional Counselor , 86941. Lydia earned her M.S. in Clinical Psychology with a specialization in Clinical Counseling. She specializes in relationship issues, Substance Abuse Disorders, ADHD, Borderline Personality Disorder, Bipolar Disorder, PTSD, Anxiety and Depression. She has 3 years of experience in working with children, adolescents, teens, couples, adults and families. Lydia’s goal is to provide clients a safe space for clients to move into awareness and gain self-trust. In turn seeing life's challenges as manageable.
Alexcis Grushinski
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78252 (Online Only)
I am licensed in Minnesota and California. Currently taking private pay clients in both states. I can take Aetna and Optum in Minnesota. I can also take Aetna, Optum, and Cigna in California. Hello, I am Alexcis a Licensed Clinical Social Worker who helps people who long to feel stable and secure. Through my years of work, I have found that people want to live a well-rounded, healthy life. Unfortunately, barriers, keep them from moving forward and accomplishing their goals. Using supportive therapy and evidence-based practices I help people work through Anxiety, Bipolar Disorder, Depression, Grief, and Trauma.
I am licensed in Minnesota and California. Currently taking private pay clients in both states. I can take Aetna and Optum in Minnesota. I can also take Aetna, Optum, and Cigna in California. Hello, I am Alexcis a Licensed Clinical Social Worker who helps people who long to feel stable and secure. Through my years of work, I have found that people want to live a well-rounded, healthy life. Unfortunately, barriers, keep them from moving forward and accomplishing their goals. Using supportive therapy and evidence-based practices I help people work through Anxiety, Bipolar Disorder, Depression, Grief, and Trauma.
Kelly Clarke
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
San Antonio, TX 78230
I also have experience with those struggling with anger management, self-esteem, LGBTQIA issues, PTSD and other mental health diagnoses such as Schizophrenia and Bipolar Disorder.
Hello, I am Kelly Clarke, a Licensed Marriage and Family Therapist (LMFT). I have a passion for helping adolescents and young adults. I also have experience working with adults, children, families and couples in residential and outpatient settings.
I also have experience with those struggling with anger management, self-esteem, LGBTQIA issues, PTSD and other mental health diagnoses such as Schizophrenia and Bipolar Disorder.
Hello, I am Kelly Clarke, a Licensed Marriage and Family Therapist (LMFT). I have a passion for helping adolescents and young adults. I also have experience working with adults, children, families and couples in residential and outpatient settings.
Jackie Hodges
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78240 (Online Only)
I work specifically with anxiety, depression, stress, trauma, anger management, bipolar disorder, grief and loss, anomalous experiences, religious trauma, pregnancy loss, infant loss, infertility, relationship struggles, active duty military, veterans, chronic illness, medical trauma, navigating divorce, and other areas of life that are overwhelming.
I’m a licensed counselor providing teletherapy to anyone looking for support from the comfort of their own home. We can work together to help make life feel a little better. I work with clients who may live in rural Texas, or clients who benefits from telehealth thearpy/virtual therapy. I have many years working with grief, loss, medical trauma, PTSD, anxiety, and depression. I like to get to know my clients and how they navigate their world so we can find practical skills to move through tough emotions. I look forward to meeting you!
I work specifically with anxiety, depression, stress, trauma, anger management, bipolar disorder, grief and loss, anomalous experiences, religious trauma, pregnancy loss, infant loss, infertility, relationship struggles, active duty military, veterans, chronic illness, medical trauma, navigating divorce, and other areas of life that are overwhelming.
I’m a licensed counselor providing teletherapy to anyone looking for support from the comfort of their own home. We can work together to help make life feel a little better. I work with clients who may live in rural Texas, or clients who benefits from telehealth thearpy/virtual therapy. I have many years working with grief, loss, medical trauma, PTSD, anxiety, and depression. I like to get to know my clients and how they navigate their world so we can find practical skills to move through tough emotions. I look forward to meeting you!
Stephanie A Jasso
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78258
Welcome! As a Clinical Mental Health Counselor with a diverse background, I work with Children, Adolescents, Adults, Veterans, and Couples, specializing in counseling approaches unique to the individual's circumstance. My experience has been assisting clients with difficulties dealing with Anxiety, Bipolar Disorder, Depression, Mood Disorders, Psychosis, Substance Abuse, Trauma, and Grief & Loss to help build essential coping skills. I believe in the positive outcomes of counseling as having the power to heal, strengthen, and support an individual as they gain valuable tools to navigate their lives and relationships.
Welcome! As a Clinical Mental Health Counselor with a diverse background, I work with Children, Adolescents, Adults, Veterans, and Couples, specializing in counseling approaches unique to the individual's circumstance. My experience has been assisting clients with difficulties dealing with Anxiety, Bipolar Disorder, Depression, Mood Disorders, Psychosis, Substance Abuse, Trauma, and Grief & Loss to help build essential coping skills. I believe in the positive outcomes of counseling as having the power to heal, strengthen, and support an individual as they gain valuable tools to navigate their lives and relationships.
Victoria McCool
Licensed Professional Counselor Associate
Verified Verified
2 Endorsed
San Antonio, TX 78230
As a mental health therapist, I have the privilege of working with a diverse range of clients aged 16 and above. I specialize in providing support to individuals who are navigating various challenges, such as ADHD, autism, depression, anxiety, bipolar disorder, and life transitions. My goal is to create a safe and inclusive space where clients can explore their unique experiences and develop strategies to enhance their well-being. It's incredibly rewarding to witness the growth and resilience of my clients as they overcome obstacles and find their path to a fulfilling life.
As a mental health therapist, I have the privilege of working with a diverse range of clients aged 16 and above. I specialize in providing support to individuals who are navigating various challenges, such as ADHD, autism, depression, anxiety, bipolar disorder, and life transitions. My goal is to create a safe and inclusive space where clients can explore their unique experiences and develop strategies to enhance their well-being. It's incredibly rewarding to witness the growth and resilience of my clients as they overcome obstacles and find their path to a fulfilling life.
Stephanie Torres Rojas
Psychologist, PsyD
Verified Verified
San Antonio, TX 78216 (Online Only)
Her focus includes anxiety, depression, stress, trauma, grief, anger management, marital and family conflict, divorce, adjustment disorder, parenting skills, spirituality, coping skills, life transitions, acculturation, LGBTQ, existential concerns, bipolar disorders, racial minorities, chronic pain, and chronic illness.
Telehealth only. Dr. Stephanie Torres is a bilingual (Spanish) licensed psychologist who provides individual, couple, family, and group therapy. Her approach is inclusive, synergetic, and trauma-informed. She strives to create a safe, warm, and non-judgmental environment where everyone is treated with respect, uniqueness, egalitarianism, and anti-racism. She aims to help clients promote personal growth, overcome challenges, transitions, and difficulties in life, and facilitate the emotional and healing process.
Her focus includes anxiety, depression, stress, trauma, grief, anger management, marital and family conflict, divorce, adjustment disorder, parenting skills, spirituality, coping skills, life transitions, acculturation, LGBTQ, existential concerns, bipolar disorders, racial minorities, chronic pain, and chronic illness.
Telehealth only. Dr. Stephanie Torres is a bilingual (Spanish) licensed psychologist who provides individual, couple, family, and group therapy. Her approach is inclusive, synergetic, and trauma-informed. She strives to create a safe, warm, and non-judgmental environment where everyone is treated with respect, uniqueness, egalitarianism, and anti-racism. She aims to help clients promote personal growth, overcome challenges, transitions, and difficulties in life, and facilitate the emotional and healing process.
See more therapy options for San Antonio
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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.