Therapists in Niagara Falls, ON
![Photo of Laura Bruno - Laura Bruno Psychotherapy, MA, RP, Registered Psychotherapist](https://photos.psychologytoday.com/a53ee0b7-c0bc-4c7a-bd56-b32096ae6dee/4/320x400.jpeg)
Laura Bruno Psychotherapy
Registered Psychotherapist, MA, RP
Verified Verified
Niagara Falls, ON L2E
If you want to stop being bossed around by that nasty voice in your head, deal with trauma or present concerns, feel less stressed, manage your anxiety, and feel grounded in who you truly are, then go ahead and breathe a sigh of relief.... I've got you! My approach to therapy isn't "just talking", and I promise to not just nod and ask you over and over "and how does that make you feel?" I have extensive knowledge in many different types of therapy and I tailor my approach to address your unique needs and goals. I will help you gain new perspectives and skills that will create lasting change and get you to where you want to be.
If you want to stop being bossed around by that nasty voice in your head, deal with trauma or present concerns, feel less stressed, manage your anxiety, and feel grounded in who you truly are, then go ahead and breathe a sigh of relief.... I've got you! My approach to therapy isn't "just talking", and I promise to not just nod and ask you over and over "and how does that make you feel?" I have extensive knowledge in many different types of therapy and I tailor my approach to address your unique needs and goals. I will help you gain new perspectives and skills that will create lasting change and get you to where you want to be.
![Photo of Makela Penaloza - Elements of Wellness, MSW, BSW, RSW, Registered Social Worker](https://photos.psychologytoday.com/47ea8e93-66a1-4175-bcc9-21c8d10e3b64/1/320x400.jpeg)
Elements of Wellness
Registered Social Worker, MSW, BSW, RSW
Verified Verified
Niagara Falls, ON L2E (Online Only)
Now accepting new clients! Makela is a registered clinical social worker currently practicing as a mental health clinician/therapist. She completed her Master of Social Work degree and an Honours Bachelor of Social Work degree at Wilfrid Laurier University. Makela has over 17 years of professional experience working in children's and adult mental health, child welfare, and foster care, as well as, working for the board of education. Makela’s passions include working with women, children, youth, young families,
Now accepting new clients! Makela is a registered clinical social worker currently practicing as a mental health clinician/therapist. She completed her Master of Social Work degree and an Honours Bachelor of Social Work degree at Wilfrid Laurier University. Makela has over 17 years of professional experience working in children's and adult mental health, child welfare, and foster care, as well as, working for the board of education. Makela’s passions include working with women, children, youth, young families,
![Photo of Ian Robertson - Ian Robertson Social Work Professional Corp., BSW, MSW, RSW, Registered Social Worker](https://photos.psychologytoday.com/338c13a9-f9dd-4f22-99f9-cff9d2c6c33e/3/320x400.jpeg)
Ian Robertson Social Work Professional Corp.
Registered Social Worker, BSW, MSW, RSW
Verified Verified
Niagara Falls, ON L2E
I have worked as a clinician for over 30 years. I am an Advanced Clinical Supervisor for therapists and several community agencies. I am a clinical traumatologist with advanced trauma training and expanded clinical experience in providing therapy for many unique issues for families, couples, and individuals. As an instructor at Laurier University in the Professional Development Department in the School of Social Work, I also train professional therapists in advanced trauma, mental health and addiction therapeutic clinical models and approaches. Our agency provides empathetic yet effective therapeutic approaches to self-growth.
I have worked as a clinician for over 30 years. I am an Advanced Clinical Supervisor for therapists and several community agencies. I am a clinical traumatologist with advanced trauma training and expanded clinical experience in providing therapy for many unique issues for families, couples, and individuals. As an instructor at Laurier University in the Professional Development Department in the School of Social Work, I also train professional therapists in advanced trauma, mental health and addiction therapeutic clinical models and approaches. Our agency provides empathetic yet effective therapeutic approaches to self-growth.
![Photo of Deanna Khes-Grabiec, MSW, RSW, Registered Social Worker](https://photos.psychologytoday.com/318d3b9c-5f89-4a2b-a3b0-9e8df96114cb/2/320x400.jpeg)
Deanna Khes-Grabiec
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Niagara Falls, ON L2E
I focus on children, teenagers and young adults struggling with eating disorders/disordered eating, body image, anxiety, and perfectionism. I promote wellness beyond weight and address related social justice issues by approaching care from a Health at Every Size theoretical lens. Intrusive thoughts related to food, weight, and self-image can be overwhelming and by using a collaborative approach to discover self-compassion, food freedom, body acceptance, and self-confidence, patients can feel empowered.
I focus on children, teenagers and young adults struggling with eating disorders/disordered eating, body image, anxiety, and perfectionism. I promote wellness beyond weight and address related social justice issues by approaching care from a Health at Every Size theoretical lens. Intrusive thoughts related to food, weight, and self-image can be overwhelming and by using a collaborative approach to discover self-compassion, food freedom, body acceptance, and self-confidence, patients can feel empowered.
![Photo of Meghan Maynard - Family Kinnections, MA, BCW, CYW, RP, Registered Psychotherapist](https://photos.psychologytoday.com/3c06b7a4-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
Family Kinnections
Registered Psychotherapist, MA, BCW, CYW, RP
Verified Verified
2 Endorsed
Niagara Falls, ON L2E
Is your child's behaviour driving you crazy? Is your child or teen suffering from Depression, anxiety, or other problems? Do you want your child or teen to feel healthy, happy, and get along with you?
I specialize in the treatment of child, youth and family mental health concerns, including: ADHD, Anxiety, Depression, self-harm, OCD, anger, Autism/aspergers, separation/divorce, and behaviour problems (defiance, aggression, hostility). I have over 15 years of experience in child and youth mental health, including work in community counselling centers, hospital psychiatric treatment, and residential treatment centers.
Is your child's behaviour driving you crazy? Is your child or teen suffering from Depression, anxiety, or other problems? Do you want your child or teen to feel healthy, happy, and get along with you?
I specialize in the treatment of child, youth and family mental health concerns, including: ADHD, Anxiety, Depression, self-harm, OCD, anger, Autism/aspergers, separation/divorce, and behaviour problems (defiance, aggression, hostility). I have over 15 years of experience in child and youth mental health, including work in community counselling centers, hospital psychiatric treatment, and residential treatment centers.
![Photo of Amanda Katherine Fidler - Checking In Counselling & Consulting, MA, RP, CHyp, Registered Psychotherapist](https://photos.psychologytoday.com/e4dd08ea-8365-49e9-a7b7-05a76543f0aa/1/320x400.jpeg)
Checking In Counselling & Consulting
Registered Psychotherapist, MA, RP, CHyp
Verified Verified
1 Endorsed
Niagara Falls, ON L2E
Checking In Counselling & Consulting provides a range of therapeutic services designed to help clients engage in a process of self-discovery and improvement. Our therapeutic approach encourages clients to 'check in' with themselves, meaning to become more aware of their thoughts, emotions, and behaviours as a pathway to healing and growth. The services offered by Checking In include individual, couples, and family therapy for clients of all ages. For clients who cannot attend in person, Checking In also offers remote services through video or phone sessions, ensuring accessibility and convenience. www.checkingintherapy.ca
Checking In Counselling & Consulting provides a range of therapeutic services designed to help clients engage in a process of self-discovery and improvement. Our therapeutic approach encourages clients to 'check in' with themselves, meaning to become more aware of their thoughts, emotions, and behaviours as a pathway to healing and growth. The services offered by Checking In include individual, couples, and family therapy for clients of all ages. For clients who cannot attend in person, Checking In also offers remote services through video or phone sessions, ensuring accessibility and convenience. www.checkingintherapy.ca
![Photo of Stacey Stemplowski - Grounding Balance Wellness & Psychotherapy, Registered Psychotherapist](https://photos.psychologytoday.com/5119f96e-0996-43d3-964b-caabe48990d1/1/320x400.jpeg)
Grounding Balance Wellness & Psychotherapy
Registered Psychotherapist
Verified Verified
1 Endorsed
Niagara Falls, ON L2E
We are accepting new Clients! Supporting individuals, family, parents, mentors in their journey. This experience is about you. We can provide tools, suggestions, feedback and guidance in working towards your goals and making healthy changes.
We are accepting new Clients! Supporting individuals, family, parents, mentors in their journey. This experience is about you. We can provide tools, suggestions, feedback and guidance in working towards your goals and making healthy changes.
![Photo of Julia Sormaz, MA, BA, Registered Psychotherapist (Qualifying)](https://photos.psychologytoday.com/738f17e7-14ee-4a3e-99a3-1335810f594c/1/320x400.jpeg)
Julia Sormaz
Registered Psychotherapist (Qualifying), MA, BA
Verified Verified
1 Endorsed
Niagara Falls, ON L2G
ACCEPTING NEW CLIENTS My name is Julia Sormaz and I have a desire for supporting individuals from a client-centered approach, meeting clients where they're at and working in collaboration to provide effective help. I have a masters degree in counselling Psychology, Bachelor degree in Psychology and Post-Graduate Certificate in addictions and mental health. I have extensive experience working with individuals who have been struggling with substance use, behavioural concerns, life transitions such as loss, becoming a new mom and relationship challenges, family and parenting challenges and mental health.
ACCEPTING NEW CLIENTS My name is Julia Sormaz and I have a desire for supporting individuals from a client-centered approach, meeting clients where they're at and working in collaboration to provide effective help. I have a masters degree in counselling Psychology, Bachelor degree in Psychology and Post-Graduate Certificate in addictions and mental health. I have extensive experience working with individuals who have been struggling with substance use, behavioural concerns, life transitions such as loss, becoming a new mom and relationship challenges, family and parenting challenges and mental health.
![Photo of Dr. Lesley Miller - Brookside Psychologists, PhD, Psychologist](https://photos.psychologytoday.com/453a285c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
It can be a difficult process finding the right therapist, and I am here to help. I'm Dr. Lesley Miller, a Clinical Psychologist licensed by the College of Psychologists of Ontario. At Brookside Psychologists, we have many experienced, licensed psychotherapists and psychologists available to work with you. We're located in St. Catharines and Burlington.
It can be a difficult process finding the right therapist, and I am here to help. I'm Dr. Lesley Miller, a Clinical Psychologist licensed by the College of Psychologists of Ontario. At Brookside Psychologists, we have many experienced, licensed psychotherapists and psychologists available to work with you. We're located in St. Catharines and Burlington.
![Photo of Cindy Rose - Wellness Counselling Centre, MA, RP, OSRP, CCTP, Registered Psychotherapist](https://photos.psychologytoday.com/c062a91b-dc24-4a10-bdab-9dda628a3ef4/1/320x400.png)
Cindy Rose - Wellness Counselling Centre
Registered Psychotherapist, MA, RP, OSRP, CCTP
Verified Verified
3 Endorsed
Niagara Falls, ON L2E
Accepting new clients: Along your life journey you, or your child/adolescent, may have hit unanticipated challenges, transitions, or trauma, impacting your well-being and capacity to move forward. Others may view you as someone who has it all together, but internally you are stressed, anxious, unmotivated, or shut down. Perhaps, this is happening to your child, or adolescent, and as a parent you have exhausted all ideas, and don’t know where to turn. These difficulties are impacting the emotional/mental health of yourself, your relationships, your work, your schooling, and/or your family dynamics, leaving you feeling unfulfilled.
Accepting new clients: Along your life journey you, or your child/adolescent, may have hit unanticipated challenges, transitions, or trauma, impacting your well-being and capacity to move forward. Others may view you as someone who has it all together, but internally you are stressed, anxious, unmotivated, or shut down. Perhaps, this is happening to your child, or adolescent, and as a parent you have exhausted all ideas, and don’t know where to turn. These difficulties are impacting the emotional/mental health of yourself, your relationships, your work, your schooling, and/or your family dynamics, leaving you feeling unfulfilled.
![Photo of George Nicolaidi, MEd, RSW, OAMHP, Registered Social Worker](https://photos.psychologytoday.com/e3225a38-46d6-4097-82f3-8e68fe8a2cbc/3/320x400.jpeg)
Coming to the realization that reaching out for help is necessary, can be both cathartic and scary. Choosing a counsellor also has its challenges of being the right one. A positive therapeutic bond,or fit with a counsellor,can affect the outcome of the experience. It has been my privilege to help thousands of individuals, couples and groups throughout my lengthy career of 33+ years in Child Welfare, private practise and university settings. I have learned that although we share human experiences our uniqueness sets us apart from others. I treat my clients respectfully, with care and unconditional positive regard and advocacy.
Coming to the realization that reaching out for help is necessary, can be both cathartic and scary. Choosing a counsellor also has its challenges of being the right one. A positive therapeutic bond,or fit with a counsellor,can affect the outcome of the experience. It has been my privilege to help thousands of individuals, couples and groups throughout my lengthy career of 33+ years in Child Welfare, private practise and university settings. I have learned that although we share human experiences our uniqueness sets us apart from others. I treat my clients respectfully, with care and unconditional positive regard and advocacy.
15 Second Videos
Elements of Wellness
Grounding Balance Wellness & Psychotherapy
Ari Mastro
![Photo of Jason Brereton, MACP, RP, Registered Psychotherapist](https://photos.psychologytoday.com/bf563bbb-ffc9-41f3-b1b9-f6614c0ec31a/2/320x400.jpeg)
Jason Brereton
Registered Psychotherapist, MACP, RP
Verified Verified
1 Endorsed
Niagara Falls, ON L2E (Online Only)
Need some support navigating the teen years? I specialize in working with teens and parents, providing them a safe space to explore emotions, build resilience, and strengthen family relationships. I help teens thrive and support parents through these stressful times. I work with parents in helping them communicate more effectively with their child and to provide parents with strategies they can use with their child. I help parents reduce their stress and come up with solutions for parenting their teens.
Need some support navigating the teen years? I specialize in working with teens and parents, providing them a safe space to explore emotions, build resilience, and strengthen family relationships. I help teens thrive and support parents through these stressful times. I work with parents in helping them communicate more effectively with their child and to provide parents with strategies they can use with their child. I help parents reduce their stress and come up with solutions for parenting their teens.
![Photo of Sarah Hyndman, MDiv, RP, Registered Psychotherapist](https://photos.psychologytoday.com/4c3d98ec-cc60-4d40-bdd4-3d6ae9d5a854/3/320x400.jpeg)
Sarah Hyndman
Registered Psychotherapist, MDiv, RP
Verified Verified
3 Endorsed
Niagara Falls, ON L2E (Online Only)
Twin Pines Psychotherapy specializes in counselling for children, youth, and families in transition, blended/step-families, and parents. Whether losses, moves, separation/divorce, blending a family, or new mental health or developmental diagnoses – it’s during these times that we can feel most lonely and lost. Life’s journey is rarely a straight path, and we often find ourselves in places we never imagined. Grief and hardship are part of life, and many of us are without a ‘village’ and the support we need to weather these storms and changes.
Twin Pines Psychotherapy specializes in counselling for children, youth, and families in transition, blended/step-families, and parents. Whether losses, moves, separation/divorce, blending a family, or new mental health or developmental diagnoses – it’s during these times that we can feel most lonely and lost. Life’s journey is rarely a straight path, and we often find ourselves in places we never imagined. Grief and hardship are part of life, and many of us are without a ‘village’ and the support we need to weather these storms and changes.
![Photo of Ari Mastro, MSW, RSW, Registered Social Worker](https://photos.psychologytoday.com/45dd91e8-9c58-4ea1-abfc-4e73fb31d0fd/1/320x400.jpeg)
Ari Mastro
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
Niagara Falls, ON L2E (Online Only)
Accepting new clients virtually in ON and BC - You deserve to feel heard in a safe, respectful & non-judgemental space. I believe in a compassionate, integrative, whole-person centred approach to therapy and draw upon multiple therapeutic frameworks to help you live the life you truly want.
Accepting new clients virtually in ON and BC - You deserve to feel heard in a safe, respectful & non-judgemental space. I believe in a compassionate, integrative, whole-person centred approach to therapy and draw upon multiple therapeutic frameworks to help you live the life you truly want.
![Photo of Dawn Shickluna And Associates At Human Connections, PhD, MA, MEd, RP, CCC, Registered Psychotherapist](https://photos.psychologytoday.com/da32df84-8c38-4376-b8f0-51170a8eb527/3/320x400.jpeg)
Dawn Shickluna And Associates At Human Connections
Registered Psychotherapist, PhD, MA, MEd, RP, CCC
Verified Verified
Niagara Falls, ON L2J
Are you feeling burdened with anxiety, stress, or depression, repeating old patterns, or struggling in relationships? We offer a safe, inclusive, compassionate space to help you through life's stressors & challenges, to heal traumas and childhood wounds, and find peace within yourself and your relationships. If you are struggling with past difficulties, current stressors or ongoing mental health concerns, we are here to support you. For more information on our team, visit our website: www.humanconnectionscounselling.com.
Are you feeling burdened with anxiety, stress, or depression, repeating old patterns, or struggling in relationships? We offer a safe, inclusive, compassionate space to help you through life's stressors & challenges, to heal traumas and childhood wounds, and find peace within yourself and your relationships. If you are struggling with past difficulties, current stressors or ongoing mental health concerns, we are here to support you. For more information on our team, visit our website: www.humanconnectionscounselling.com.
More Therapists Nearby
![Photo of Amy Wilson, MACP, Registered Psychotherapist](https://photos.psychologytoday.com/1198cee0-b809-4d84-89cb-22671714b05c/2/320x400.jpeg)
Amy Wilson
Registered Psychotherapist, MACP
Verified Verified
2 Endorsed
Saint Catharines, ON L2R (Online Only)
Feeling “defeated,” “overwhelmed,” “stuck,” or even empty? Life throws challenges our way, especially during teenage years and early adulthood. This stage is packed with changes and the pressure to balance school, family, friends, and work, while also feeling the need to meet certain expectations. It can feel really lonely and confusing to navigate all of this, especially if you don’t feel supported. I'm here to help.
Feeling “defeated,” “overwhelmed,” “stuck,” or even empty? Life throws challenges our way, especially during teenage years and early adulthood. This stage is packed with changes and the pressure to balance school, family, friends, and work, while also feeling the need to meet certain expectations. It can feel really lonely and confusing to navigate all of this, especially if you don’t feel supported. I'm here to help.
![Photo of Melissa Rossi- Individual And Couples Therapy, BA, MA, RP, Registered Psychotherapist](https://photos.psychologytoday.com/d4a9dbb9-a0db-45e2-b767-d5a7eb89accf/1/320x400.jpeg)
Melissa Rossi- Individual And Couples Therapy
Registered Psychotherapist, BA, MA, RP
Verified Verified
3 Endorsed
Saint Catharines, ON L2N
I am a Registered Psychotherapist of Ontario and in good standing with the College of Registered Psychotherapists of Ontario (CRPO). My educational background includes a Master's degree in Clinical Mental Health Counselling from Medialle College in Buffalo, NY. As a person-centered therapist, I craft appropriate approaches to treatment by drawing from evidence-based practices. I value rapport building and lead my sessions with authenticity and a laid back approach.
I am a Registered Psychotherapist of Ontario and in good standing with the College of Registered Psychotherapists of Ontario (CRPO). My educational background includes a Master's degree in Clinical Mental Health Counselling from Medialle College in Buffalo, NY. As a person-centered therapist, I craft appropriate approaches to treatment by drawing from evidence-based practices. I value rapport building and lead my sessions with authenticity and a laid back approach.
![Photo of Aksana Kavaliova, RP, MTA, MACP, MMT, Registered Psychotherapist](https://photos.psychologytoday.com/99ff1ee6-43d7-41da-bea3-53c27b9906bd/2/320x400.jpeg)
Aksana Kavaliova
Registered Psychotherapist, RP, MTA, MACP, MMT
Verified Verified
4 Endorsed
Saint Catharines, ON L2M
Do you feel lost, in pain, or just want to work on your growth, self-development and self-esteem? Did you experience trauma (or traumas), grief, and feel stuck? Are you a survivor of violence, abuse, and feel like you will never feel better? Or are you a parent whose child is experiencing mental health issues, or struggling developmentally? Are you a caregiver of a family member with terminal illness or deteriorating condition? Did you try traditional "talk therapies" and feel that you may try something different? I will be happy to meet you and find ways to facilitate changes in your life. I believe Incan help you.
Do you feel lost, in pain, or just want to work on your growth, self-development and self-esteem? Did you experience trauma (or traumas), grief, and feel stuck? Are you a survivor of violence, abuse, and feel like you will never feel better? Or are you a parent whose child is experiencing mental health issues, or struggling developmentally? Are you a caregiver of a family member with terminal illness or deteriorating condition? Did you try traditional "talk therapies" and feel that you may try something different? I will be happy to meet you and find ways to facilitate changes in your life. I believe Incan help you.
![Photo of Jeffrey Sica - Niagara Youth & Family Therapy , MSc , RP, Registered Psychotherapist](https://photos.psychologytoday.com/9bfc1ff2-c422-4a91-910e-c1c3ba3ec2c5/1/320x400.png)
Niagara Youth & Family Therapy
Registered Psychotherapist, MSc , RP
Verified Verified
Saint Catharines, ON L2M
Providing evidence-based therapies, Niagara Youth & Family Therapy offers treatment options for youth (6 - 18 years), emerging adults (19 - 29) as well as family members and loved ones experiencing struggles with mental health, addictions and trauma.
Providing evidence-based therapies, Niagara Youth & Family Therapy offers treatment options for youth (6 - 18 years), emerging adults (19 - 29) as well as family members and loved ones experiencing struggles with mental health, addictions and trauma.
![Photo of Lynn Baxter - Lynn Baxter and Associates Psychotherapy, BAPsych, CCht, ACC, CNLPP, Registered Psychotherapist](https://photos.psychologytoday.com/6a15a147-7393-4a91-8a87-6dc9e543acdb/1/320x400.jpeg)
Lynn Baxter and Associates Psychotherapy
Registered Psychotherapist, BAPsych, CCht, ACC, CNLPP
Verified Verified
Saint Catharines, ON L2R
It is highly unlikely that anyone gets through life without some type of challenge at some time in his or her life. Individuals who seek therapy are serious about addressing these challenges in order to live a more balanced, fulfilling life. We work with our clients to first understand the issue, explore options and to form new understanding of themselves and their experience. We view our work with our clients as highly valuable and of critical importance to the overall health and stability throughout the lifespan.
It is highly unlikely that anyone gets through life without some type of challenge at some time in his or her life. Individuals who seek therapy are serious about addressing these challenges in order to live a more balanced, fulfilling life. We work with our clients to first understand the issue, explore options and to form new understanding of themselves and their experience. We view our work with our clients as highly valuable and of critical importance to the overall health and stability throughout the lifespan.
See more therapy options for Niagara Falls
Bipolar Disorder Counsellors
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.