Bipolar Disorder Therapists in Saskatoon, SK
![Photo of Murray Heintz, MC, Psychologist](https://photos.psychologytoday.com/5acfc058-0be7-42fe-a89a-b4e69854a4e2/1/320x400.png)
I work with Adults & Couples with Anger Management, Anxiety, Burnout, Depression, Grief & Loss, Guilt/Shame, PTSD, Self-Care, Self Confidence/Self Esteem, Stress, Suicide Ideation, Trauma, Behavioral Issues, Bipolar Disorder, Men’s Issues, ADHD, Emotional Disturbance, Impulse Control, Transitions, OCD, Personality Disorders, Psychosis, Thinking Disorders.
Feeling alone, overwhelmed, stressed, anxious or that life is unbalanced is more common than you might think. The good news is that you don't have to struggle with any of these feelings. I can help. I'm a Registered Psychologist with thirty years of experience in mental health. I use a variety of counselling approaches, including Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, Strengths Based Therapy as well as the Gottman Approach. I work with Adults and Couples.
I work with Adults & Couples with Anger Management, Anxiety, Burnout, Depression, Grief & Loss, Guilt/Shame, PTSD, Self-Care, Self Confidence/Self Esteem, Stress, Suicide Ideation, Trauma, Behavioral Issues, Bipolar Disorder, Men’s Issues, ADHD, Emotional Disturbance, Impulse Control, Transitions, OCD, Personality Disorders, Psychosis, Thinking Disorders.
Feeling alone, overwhelmed, stressed, anxious or that life is unbalanced is more common than you might think. The good news is that you don't have to struggle with any of these feelings. I can help. I'm a Registered Psychologist with thirty years of experience in mental health. I use a variety of counselling approaches, including Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, Strengths Based Therapy as well as the Gottman Approach. I work with Adults and Couples.
![Photo of Shannon Hurley, MSW, RSW, Registered Social Worker](https://photos.psychologytoday.com/47b9b1cf-deb4-45c1-aab0-5dd7f0f14f22/2/320x400.jpeg)
Feeling lost or overwhelmed? Life stressors that seem unmanageable? Dealing with the impacts of trauma or other mental health concerns? Want to focus on your overall wellness and become more present with the self? As a counsellor, I take a trauma-informed care approach with all my clients to insure that you feel safe, comfortable, and have choices on what your wellness journey may look like. I have experience working with, but not limited to, the following: trauma, PTSD, anxiety, depression, borderline personality disorder, suicidal ideation, bipolar disorder, grief, eating disorders, addiction, and concurrent disorders.
Feeling lost or overwhelmed? Life stressors that seem unmanageable? Dealing with the impacts of trauma or other mental health concerns? Want to focus on your overall wellness and become more present with the self? As a counsellor, I take a trauma-informed care approach with all my clients to insure that you feel safe, comfortable, and have choices on what your wellness journey may look like. I have experience working with, but not limited to, the following: trauma, PTSD, anxiety, depression, borderline personality disorder, suicidal ideation, bipolar disorder, grief, eating disorders, addiction, and concurrent disorders.
![Photo of Marla-Rae McMillan, RPN, Psychiatric Nurse](https://photos.psychologytoday.com/85a6ded4-37bb-49d1-923f-9e63d0a65047/2/320x400.jpeg)
Marla-Rae McMillan
Psychiatric Nurse, RPN
Verified Verified
1 Endorsed
Saskatoon, SK S7N
Waitlist for new clients
I have experience working with the following: Depression, anxiety, bipolar disorder, personality disorders, OCD, ADD/ADHD, suicidal ideation, self-harm, addiction, trauma/PTSD, loss/grief/bereavement. I support my client's while they process out their trauma and help them to learn coping for their mental health struggles. I use a holistic approach and incorporate the four quadrants of health: Mental, emotional, physical and spiritual. Being mindful of each client's individual and unique needs. I am approved as a mental health counsellor for both NIHB as well as Victim's Services.
I have experience working with the following: Depression, anxiety, bipolar disorder, personality disorders, OCD, ADD/ADHD, suicidal ideation, self-harm, addiction, trauma/PTSD, loss/grief/bereavement. I support my client's while they process out their trauma and help them to learn coping for their mental health struggles. I use a holistic approach and incorporate the four quadrants of health: Mental, emotional, physical and spiritual. Being mindful of each client's individual and unique needs. I am approved as a mental health counsellor for both NIHB as well as Victim's Services.
![Photo of Lisa V. Kusch - Conspire Health, M Sc , B Ed, CBBA, SBT, Counsellor](https://photos.psychologytoday.com/5ecb5816-617f-4e80-a67a-44d972a40ff3/2/320x400.jpeg)
Pause. Exhale. Are you tired of talking but still feel stuck? Have you hit a dead end and still experience unresolved or unexplained thoughts, feelings, pain or other symptoms? I help people improve mental and physical health and performance through the application of behavioral learning principles to breathing physiology. This is not yoga. This is not meditation. This is applied psychophysiology. Breath Behavioral Analysis with biofeedback assisted breathing retraining, combined with Somatic Breath Therapy give you the tools to completely shift your breath and life. What if it could be as easy as adjusting your exhale?
Pause. Exhale. Are you tired of talking but still feel stuck? Have you hit a dead end and still experience unresolved or unexplained thoughts, feelings, pain or other symptoms? I help people improve mental and physical health and performance through the application of behavioral learning principles to breathing physiology. This is not yoga. This is not meditation. This is applied psychophysiology. Breath Behavioral Analysis with biofeedback assisted breathing retraining, combined with Somatic Breath Therapy give you the tools to completely shift your breath and life. What if it could be as easy as adjusting your exhale?
![Photo of Cindie L Neudorf - Cindie Neudorf, BA, MACP, CCC-S, Counsellor](https://photos.psychologytoday.com/98aefb0a-290f-4e1b-af37-62a4aa581741/1/320x400.jpeg)
I have a Masters degree in Counselling Psychology with a wealth of experience in counselling as well as violence and abuse prevention programming. I am a Certified Canadian Counsellor and supervisor. I work with anxiety, depression, trauma, grief and loss, intimate partner violence, relationship issues, parenting issues, or life transitions. I am welcoming to all faith backgrounds and gender identities, and believe in creating a culturally safe space for clients. I work from a trauma informed perspective as you process your experience. I am passionate about empowering individuals to find strength and hope in their lives.
I have a Masters degree in Counselling Psychology with a wealth of experience in counselling as well as violence and abuse prevention programming. I am a Certified Canadian Counsellor and supervisor. I work with anxiety, depression, trauma, grief and loss, intimate partner violence, relationship issues, parenting issues, or life transitions. I am welcoming to all faith backgrounds and gender identities, and believe in creating a culturally safe space for clients. I work from a trauma informed perspective as you process your experience. I am passionate about empowering individuals to find strength and hope in their lives.
![Photo of Katarina Schmidt, MSW, RSW, Registered Social Worker](https://photos.psychologytoday.com/2b228ccb-0d7c-46f3-b661-e8cc894afbd4/1/320x400.jpeg)
Welcome, I'm glad you're here. Does life feel heavy lately? Are you experiencing grief or loss? Have you been recently diagnosed with a mental or physical health condition/diagnosis that you want to process or learn more about? Do you ever feel overwhelmed with life? Are you experiencing conflict within your relationships (romantic, friendships or family)? Have you experienced trauma in your lifetime? Are you going through a major life transition (career change, "empty nest", etc.)? Are you struggling with your sexual or gender identity? Those questions and their answers are just some of reasons people seek out counselling with me.
Welcome, I'm glad you're here. Does life feel heavy lately? Are you experiencing grief or loss? Have you been recently diagnosed with a mental or physical health condition/diagnosis that you want to process or learn more about? Do you ever feel overwhelmed with life? Are you experiencing conflict within your relationships (romantic, friendships or family)? Have you experienced trauma in your lifetime? Are you going through a major life transition (career change, "empty nest", etc.)? Are you struggling with your sexual or gender identity? Those questions and their answers are just some of reasons people seek out counselling with me.
![Photo of Adam Masood, BSc, BSW, MSW, Reg SK, Registered Social Worker](https://photos.psychologytoday.com/005a4e8d-cd6f-4ee2-9d00-038487f4ac72/2/320x400.jpeg)
Adam Masood
Registered Social Worker, BSc, BSW, MSW, Reg SK
Verified Verified
1 Endorsed
Saskatoon, SK S7H
I use a holistic approach to comprehensively understand and address the many factors which can undermine mental health, and have particular interest in the mind-body connection. I have experience in a vast array of clinical settings which include work within mental health & addictions practice, brain injuries rehabilitation and other hospital settings. I am experienced in providing effective treatment strategies for a range of mental health conditions including anxiety, depression, Indigenous trauma, PTSD, low self-esteem, drug and alcohol challenges, chronic pain, relationship issues and disability management.
I use a holistic approach to comprehensively understand and address the many factors which can undermine mental health, and have particular interest in the mind-body connection. I have experience in a vast array of clinical settings which include work within mental health & addictions practice, brain injuries rehabilitation and other hospital settings. I am experienced in providing effective treatment strategies for a range of mental health conditions including anxiety, depression, Indigenous trauma, PTSD, low self-esteem, drug and alcohol challenges, chronic pain, relationship issues and disability management.
![Photo of Amanda Johnson, MSW, RSW, BA, Registered Social Worker](https://photos.psychologytoday.com/087a2532-6b13-4e63-919f-c72c52f63a0d/1/320x400.jpeg)
Amanda Johnson
Registered Social Worker, MSW, RSW, BA
Verified Verified
5 Endorsed
Saskatoon, SK S7J (Online Only)
Work-life balance can be difficult to manage on your own, especially if you are struggling with mental health; whether that be from a recent traumatic event or historical trauma. Layered in this can be undiagnosed learning conditions and/or caregiving responsibility, which can lead to heightened emotional stress or crisis. It is helpful to have a support network; either in your personal life, in the community, or even medically. Creating boundaries for ones self is a big step and I can help through this by providing solution-focused, goal oriented strategies, hopefully creating more balance and getting back to your 'normal self'.
Work-life balance can be difficult to manage on your own, especially if you are struggling with mental health; whether that be from a recent traumatic event or historical trauma. Layered in this can be undiagnosed learning conditions and/or caregiving responsibility, which can lead to heightened emotional stress or crisis. It is helpful to have a support network; either in your personal life, in the community, or even medically. Creating boundaries for ones self is a big step and I can help through this by providing solution-focused, goal oriented strategies, hopefully creating more balance and getting back to your 'normal self'.
![Photo of Dr. Dawn Phillips, PhD, Psychologist](https://photos.psychologytoday.com/5405e545-000a-4fb8-ab69-00d0d82d3e8b/2/320x400.jpeg)
I’m a Registered Doctoral Psychologist with over 20 years of experience providing treatment and training. It is important to know that all therapy is not created equal. Strategies, checklists, and skill building are helpful to relieve symptoms. Some want or need in-depth psychotherapy to address longstanding issues underlying their symptoms. I have extensive experience in assessing and providing the most efficient and cost effective treatment for each person’s needs and goals, and the highly specialized skills to provide in-depth treatment for those wishing to explore intensive insight-oriented treatment.
I’m a Registered Doctoral Psychologist with over 20 years of experience providing treatment and training. It is important to know that all therapy is not created equal. Strategies, checklists, and skill building are helpful to relieve symptoms. Some want or need in-depth psychotherapy to address longstanding issues underlying their symptoms. I have extensive experience in assessing and providing the most efficient and cost effective treatment for each person’s needs and goals, and the highly specialized skills to provide in-depth treatment for those wishing to explore intensive insight-oriented treatment.
![Photo of Aroha Pride Counselling - Aroha Counselling & Consulting, BSW, MSW, RSW, Registered Social Worker](https://photos.psychologytoday.com/4f743a84-340e-4119-9437-448acc524d38/1/320x400.png)
Aroha Counselling & Consulting
Registered Social Worker, BSW, MSW, RSW
Verified Verified
1 Endorsed
Saskatoon, SK S7K (Online Only)
Everyone needs some extra support sometimes. With Aroha Counselling, our mental health professionals support people who are coping with a range of experiences. Our practices are framed within an anti-oppressive, queer affirming, anti-racist, sex positive, trauma informed, and harm reduction lens. Clients can expect a welcoming and stigma free counselling environment. We provide services to anyone in need of support from all walks of life and have additional specialization in providing informed services to the 2SLGBTQ+ community. Please note that all of our services are virtual.
Everyone needs some extra support sometimes. With Aroha Counselling, our mental health professionals support people who are coping with a range of experiences. Our practices are framed within an anti-oppressive, queer affirming, anti-racist, sex positive, trauma informed, and harm reduction lens. Clients can expect a welcoming and stigma free counselling environment. We provide services to anyone in need of support from all walks of life and have additional specialization in providing informed services to the 2SLGBTQ+ community. Please note that all of our services are virtual.
![Photo of Ariel Brown, BA, MA, CCC, Counsellor](https://photos.psychologytoday.com/aa642a7f-b69a-433a-84b2-89477c63627c/2/320x400.jpeg)
Accepting new clients for in-person (Saturdays and Sundays) and virtual (weekday evenings) counselling. Do you feel burdened by negative thoughts and self-talk? Are you experiencing uneasiness about past events? Are you finding it difficult to navigate life transitions? Have you been struggling in your relationships? Let us work together to help you move forward with greater self-awareness, more self-compassion, and clarity about your future. I offer individual and relationship/couples counselling to adolescents and adults of all identities, partnerships, and relationship units.
Accepting new clients for in-person (Saturdays and Sundays) and virtual (weekday evenings) counselling. Do you feel burdened by negative thoughts and self-talk? Are you experiencing uneasiness about past events? Are you finding it difficult to navigate life transitions? Have you been struggling in your relationships? Let us work together to help you move forward with greater self-awareness, more self-compassion, and clarity about your future. I offer individual and relationship/couples counselling to adolescents and adults of all identities, partnerships, and relationship units.
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Bryce MacEwen
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Synapse Counselling Services
![Photo of Christine Gatzke, MEd, CCPCP-r, RPsych, 2570p, AB, Registered Psychotherapist](https://photos.psychologytoday.com/452d607f-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Christine Gatzke
Registered Psychotherapist, MEd, CCPCP-r, RPsych, 2570p, AB
Verified Verified
Saskatoon, SK S7K
What keeps us feeling like we are in limbo/stuck? Unresolved issues and traumas can keep us feeling and/or thinking that we are not progressing as we'd like, resulting in many feelings of being overwhelmed, burned out, and experiencing physical/emotional pains. Over 18 years of clinical experience, I can help you to discover and identify the core issues/patterns/beliefs, while inspiring hope and courage while you walk a more integrated path living life with more joy and abundance; with feelings of rejuvenation and release; and with an expanded self-awareness, emotional balance, and clearer thinking.
What keeps us feeling like we are in limbo/stuck? Unresolved issues and traumas can keep us feeling and/or thinking that we are not progressing as we'd like, resulting in many feelings of being overwhelmed, burned out, and experiencing physical/emotional pains. Over 18 years of clinical experience, I can help you to discover and identify the core issues/patterns/beliefs, while inspiring hope and courage while you walk a more integrated path living life with more joy and abundance; with feelings of rejuvenation and release; and with an expanded self-awareness, emotional balance, and clearer thinking.
![Photo of Elizabeth Smith - Aspire Too Counselling & Professional Services, MSW, RSW, RPsych, CCC, Registered Social Worker](https://photos.psychologytoday.com/026fb0fb-103c-480f-93a8-ab6fab32974f/1/320x400.jpeg)
Aspire Too Counselling & Professional Services
Registered Social Worker, MSW, RSW, RPsych, CCC
Verified Verified
Saskatoon, SK S7M
Aspire Too is a well established firm with highly skilled and experienced therapists in the heart of the prairies. With our large team of therapists in multiple locations across Saskatchewan (Prince Albert, Melfort, Kindersley, Humboldt and Saskatoon), we are able to offer high quality services, both in-person and virtual, across the province and western Canada. We also provide service in several Indigenous communities as well as serve many organizations (private sector and public) and special groups and teams.
Aspire Too is a well established firm with highly skilled and experienced therapists in the heart of the prairies. With our large team of therapists in multiple locations across Saskatchewan (Prince Albert, Melfort, Kindersley, Humboldt and Saskatoon), we are able to offer high quality services, both in-person and virtual, across the province and western Canada. We also provide service in several Indigenous communities as well as serve many organizations (private sector and public) and special groups and teams.
![Photo of Jennifer Mah, BSW, MSW, RSW, Registered Social Worker](https://photos.psychologytoday.com/a1d01146-7ba1-4869-adb1-758c7ecff828/1/320x400.jpeg)
Welcome! I’m Jen. I’m a registered social worker and have been for the past 17 years. If you've landed on my page, chances are you are seeking some extra support. Life can be overwhelming, leaving us feeling stressed, anxious, and disconnected in our relationships. I believe everyone has the capacity to make changes in their life. I am committed to creating a safe, inclusive space where all parts of your story are welcomed. Together we will explore your thoughts, feelings, and experiences. We will work collaboratively to identify the problem and figure out the best strategies to help you live the life you prefer.
Welcome! I’m Jen. I’m a registered social worker and have been for the past 17 years. If you've landed on my page, chances are you are seeking some extra support. Life can be overwhelming, leaving us feeling stressed, anxious, and disconnected in our relationships. I believe everyone has the capacity to make changes in their life. I am committed to creating a safe, inclusive space where all parts of your story are welcomed. Together we will explore your thoughts, feelings, and experiences. We will work collaboratively to identify the problem and figure out the best strategies to help you live the life you prefer.
![Photo of Sonia Ahmad, CCC, MACP, Counsellor](https://photos.psychologytoday.com/ec0c09fe-6e2f-4491-a1fa-fbf7ff70c500/1/320x400.png)
I guide you toward healing through the art of conversation. Many therapists consider themselves to be just that: therapists. For me, therapy is a form of art. I believe healing takes place through feeling real, human connection, which means taking time to build an authentic, trusting relationship with each other. I work with you to explore emotional patterns, thoughts, and feelings, so you can step into the world as your most authentic, peaceful self. I strive to offer a peaceful environment where we can slow down and unpack difficult experiences together.
I guide you toward healing through the art of conversation. Many therapists consider themselves to be just that: therapists. For me, therapy is a form of art. I believe healing takes place through feeling real, human connection, which means taking time to build an authentic, trusting relationship with each other. I work with you to explore emotional patterns, thoughts, and feelings, so you can step into the world as your most authentic, peaceful self. I strive to offer a peaceful environment where we can slow down and unpack difficult experiences together.
![Photo of Bryce MacEwen, BSW, Registered Social Worker](https://photos.psychologytoday.com/97d78931-afa9-448b-b828-0c9df8b781bc/2/320x400.jpeg)
My desire is for every client to experience healing through therapy that remains grounded in real life (which is often very messy). I offer you a judgement-free space to be yourself and let go of whatever stress or pain you’re carrying. You set the goals and the pace, and together we move towards what’s meaningful amidst a history of trauma and hardship.
My desire is for every client to experience healing through therapy that remains grounded in real life (which is often very messy). I offer you a judgement-free space to be yourself and let go of whatever stress or pain you’re carrying. You set the goals and the pace, and together we move towards what’s meaningful amidst a history of trauma and hardship.
![Photo of Brenda McCarty, BSW, MA Psyc, MBA, Registered Social Worker](https://photos.psychologytoday.com/ef7cd8e4-7614-4be6-88f8-af2d9e0baabd/2/320x400.jpeg)
It's never an easy venture to find the "right" counsellor. Look through my website www.mccartycounseling.com or call me to see if we might be the right "fit" for you. I strive to provide quality and effective services within a caring and supportive environment that is relaxing and comfortable.
It's never an easy venture to find the "right" counsellor. Look through my website www.mccartycounseling.com or call me to see if we might be the right "fit" for you. I strive to provide quality and effective services within a caring and supportive environment that is relaxing and comfortable.
![Photo of Christa Shepherd Hills, BSW, MSW, RSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/22659426-12fe-4e40-b13f-9dc18492aaca/1/320x400.jpeg)
Christa Shepherd Hills
Clinical Social Work/Therapist, BSW, MSW, RSW
Verified Verified
Saskatoon, SK S7J
I work with people who feel stuck or overwhelmed. My clients want freedom from patterns in behaviour, emotions and relationships that keep them suffering and drain their energy. This can show up as anxiety or depression symptoms, relationship struggles, addictive behaviours (like overworking, compulsive eating or exercise), or physical symptoms (from chronic fatigue or pain to autoimmune conditions).
I work with people who feel stuck or overwhelmed. My clients want freedom from patterns in behaviour, emotions and relationships that keep them suffering and drain their energy. This can show up as anxiety or depression symptoms, relationship struggles, addictive behaviours (like overworking, compulsive eating or exercise), or physical symptoms (from chronic fatigue or pain to autoimmune conditions).
![Photo of Clint Moroz, BEd, SpecEd, MC, Registered Psychotherapist](https://photos.psychologytoday.com/5238be6d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As a helper, I am honoured to walk and support you as you move towards wellness and well-being.
As a helper, I am honoured to walk and support you as you move towards wellness and well-being.
![Photo of Erica Kovach, MEd, Psychologist](https://photos.psychologytoday.com/cde0bc24-53ba-4831-8b05-be7f31513a9f/2/320x400.jpeg)
Erica Kovach
Psychologist, MEd
Verified Verified
2 Endorsed
Saskatoon, SK S7K
Waitlist for new clients
Hi! Thanks for joining me. I'm a Registered Psychologist, and am one of the co-owners of the new City Psychology clinic in Saskatoon. Many of the clients I work with are looking for support with challenges like: anxiety and panic attacks, stress, depression, existential concerns, sexuality, gender, trauma, anger, relationships, and life transitions. I offer a 2SLGBTQ+ safe practice, am sex positive, knowledgeable on traditional and non-traditional relationships, and am open to working with clients from all walks of life and lifestyles. My general work is with adults but I also do some work with emotionally mature adolescents (16+)
Hi! Thanks for joining me. I'm a Registered Psychologist, and am one of the co-owners of the new City Psychology clinic in Saskatoon. Many of the clients I work with are looking for support with challenges like: anxiety and panic attacks, stress, depression, existential concerns, sexuality, gender, trauma, anger, relationships, and life transitions. I offer a 2SLGBTQ+ safe practice, am sex positive, knowledgeable on traditional and non-traditional relationships, and am open to working with clients from all walks of life and lifestyles. My general work is with adults but I also do some work with emotionally mature adolescents (16+)
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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.