Therapists in Highland City, FL
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![Photo of Alicia Jaramillo, LMHC, Counselor](https://photos.psychologytoday.com/47d20937-8c01-4a2b-a66e-48efd5042dc9/1/320x400.png)
Alicia Jaramillo, Licensed Mental Health Counselor MH22563. My name is Alicia Jaramillo, and I am a Licensed Mental Health Counselor with 21 years of professional work experience in various settings including K-12 schools, substance abuse treatment residential facilities, and mental health agencies. I have experience in helping clients with stress and anxiety, LGBTQ+-related issues, relationship issues, personality disorders, bipolar disorder, & trauma and abuse. I specialize in Trauma counseling and am also a Certified Mind Body Medicine practitioner.
Alicia Jaramillo, Licensed Mental Health Counselor MH22563. My name is Alicia Jaramillo, and I am a Licensed Mental Health Counselor with 21 years of professional work experience in various settings including K-12 schools, substance abuse treatment residential facilities, and mental health agencies. I have experience in helping clients with stress and anxiety, LGBTQ+-related issues, relationship issues, personality disorders, bipolar disorder, & trauma and abuse. I specialize in Trauma counseling and am also a Certified Mind Body Medicine practitioner.
![Photo of Ansley Adelma Kilgore, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5310f6ba-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Ansley Adelma Kilgore
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lakeland, FL 33803
I primarily work with adults addressing various issues including depression, grief, anxiety, bipolar disorder, life changes, relationship issues, self esteem and memory issues.
There is no better day than today to make positive changes in your life. I feel that the counseling process is a good first step in making those changes. I have provided individual therapy for the past 35 years. My guiding principal in counseling is to help clients identify their issues and custom fit a plan to address their concerns. I use various counseling techniques, including but not limited to cognitive behavioral therapy, to help clients gain a different perspective and outlook.
I primarily work with adults addressing various issues including depression, grief, anxiety, bipolar disorder, life changes, relationship issues, self esteem and memory issues.
There is no better day than today to make positive changes in your life. I feel that the counseling process is a good first step in making those changes. I have provided individual therapy for the past 35 years. My guiding principal in counseling is to help clients identify their issues and custom fit a plan to address their concerns. I use various counseling techniques, including but not limited to cognitive behavioral therapy, to help clients gain a different perspective and outlook.
![Photo of Kenya Coates Charles - Elysian Life Coaching and Counseling Services](https://photos.psychologytoday.com/a1bf97fb-5cfe-493f-afdc-9a8e28b53da3/1/320x400.jpeg)
Elysian Life Coaching and Counseling Services
Registered Clinical Social Worker Intern
Verified Verified
1 Endorsed
Winter Haven, FL 33880
I provide a compassionate, non-judgmental environment for individuals struggling with a range of mental health challenges, including anxiety, depression, trauma, PTSD, and bipolar disorder. My practice integrates a variety of holistic approaches, such as cognitive-behavioral therapy, mindfulness techniques, and trauma-informed care. I believe in the importance of addressing the whole person and tailor my approach to meet your specific needs. Whether you're seeking support for managing symptoms, processing past traumas, or improving overall well-being, I am here to support you on your journey.
I provide a compassionate, non-judgmental environment for individuals struggling with a range of mental health challenges, including anxiety, depression, trauma, PTSD, and bipolar disorder. My practice integrates a variety of holistic approaches, such as cognitive-behavioral therapy, mindfulness techniques, and trauma-informed care. I believe in the importance of addressing the whole person and tailor my approach to meet your specific needs. Whether you're seeking support for managing symptoms, processing past traumas, or improving overall well-being, I am here to support you on your journey.
![Photo of Jennifer Goodson, LMHC, MA, Counselor](https://photos.psychologytoday.com/b733ff7a-2cf6-4766-923d-30007b293c67/1/320x400.jpeg)
With 16 years of experience in pastoral counseling, women’s leadership and mentorship, motivational speaking, and advocating for mental health to providing therapy to individuals, couples, and families, working in inpatient/outpatient settings treating diagnoses that range from PTSD, OCD, General Anxiety Disorder, Bipolar, Schizophrenia mood disorders, etc.
Are you struggling with anxiety, depression, grief, trauma, or major life changes? Maybe you're experiencing a lack of healthy boundaries in relationships or aren't living the life you were meant to lead. Whatever your needs, I am an experienced licensed mental health counselor who works with those struggling with relationship issues, grief, trauma, mood disorders, boundaries, anxiety, depression, and daily life struggles. Therapy is a process of growth and self-discovery. Transformation and healing are obtained by developing a positive outlook and the adoption of new attitudes and response
With 16 years of experience in pastoral counseling, women’s leadership and mentorship, motivational speaking, and advocating for mental health to providing therapy to individuals, couples, and families, working in inpatient/outpatient settings treating diagnoses that range from PTSD, OCD, General Anxiety Disorder, Bipolar, Schizophrenia mood disorders, etc.
Are you struggling with anxiety, depression, grief, trauma, or major life changes? Maybe you're experiencing a lack of healthy boundaries in relationships or aren't living the life you were meant to lead. Whatever your needs, I am an experienced licensed mental health counselor who works with those struggling with relationship issues, grief, trauma, mood disorders, boundaries, anxiety, depression, and daily life struggles. Therapy is a process of growth and self-discovery. Transformation and healing are obtained by developing a positive outlook and the adoption of new attitudes and response
![Photo of Shane Michael McDonald, MS, LMHC, CPC, Counselor](https://photos.psychologytoday.com/b9b15caf-d8bf-4cd2-92c8-5c532dafb083/2/320x400.jpeg)
Shane is well versed in a variety of issues such as anxiety, depression, anger management, grief, trauma, addictions, self-esteem issues, premarital counseling, and marriage and family counseling to include blended-families, divorce recovery, infidelity, and parenting issues. Shane is also a certified professional coach with a focus in leadership coaching, emotional IQ coaching, and career/ministry coaching.
Shane is well versed in a variety of issues such as anxiety, depression, anger management, grief, trauma, addictions, self-esteem issues, premarital counseling, and marriage and family counseling to include blended-families, divorce recovery, infidelity, and parenting issues. Shane is also a certified professional coach with a focus in leadership coaching, emotional IQ coaching, and career/ministry coaching.
![Photo of Jeanene Robinson-Kyles - Robinson-Kyles Counseling and Testing Services, PhD, MHC-sup, Psychologist](https://photos.psychologytoday.com/4cd2a47c-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Robinson-Kyles Counseling and Testing Services
Psychologist, PhD, MHC-sup
Verified Verified
Lakeland, FL 33801
**Weekend and Evening appointments are now available!! Offering Services in Spanish, Creole and in English!! ** As a supervising clinical psychologist, Dr. Kyles has over 10 years of experience. At the center, children, adolescents, adults and the elderly from a variety of backgrounds gain the insight and strength to overcome a wide range of challenges. The persons that have sought assistance at the center have gained relief from depression, anxiety, conduct disorders, relationship conflict, career uncertainty, adjustments to change, major life events as well as other mental health concerns.
**Weekend and Evening appointments are now available!! Offering Services in Spanish, Creole and in English!! ** As a supervising clinical psychologist, Dr. Kyles has over 10 years of experience. At the center, children, adolescents, adults and the elderly from a variety of backgrounds gain the insight and strength to overcome a wide range of challenges. The persons that have sought assistance at the center have gained relief from depression, anxiety, conduct disorders, relationship conflict, career uncertainty, adjustments to change, major life events as well as other mental health concerns.
![Photo of Ruthie A Kimmons, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/52902997-8ced-4685-8185-2269f26d09e3/1/320x400.jpeg)
Weekend and Evening Appointments Available. Feeling overwhelmed or undefeated in your current situation? Is the backpack on your back overflowing? Let me provide you a safe place, where you can unwind and talk about your fears, heartaches, and stressors. Sitting on my couch, things will become uncomfortable, because change does not happen without discomfort. It does not matter what stage you are in, in your life (children, teens, adults or seniors) your feelings are important, and I want to help you understand how your life experiences have shaped the behaviors and feelings you're struggling with today.
Weekend and Evening Appointments Available. Feeling overwhelmed or undefeated in your current situation? Is the backpack on your back overflowing? Let me provide you a safe place, where you can unwind and talk about your fears, heartaches, and stressors. Sitting on my couch, things will become uncomfortable, because change does not happen without discomfort. It does not matter what stage you are in, in your life (children, teens, adults or seniors) your feelings are important, and I want to help you understand how your life experiences have shaped the behaviors and feelings you're struggling with today.
![Photo of Rica Walker - Silver Lining Counseling of Lakeland, LLC, MA, LMHC, Counselor](https://photos.psychologytoday.com/44c9a32c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
In over 20 years of work with individuals and couples, and as a supervisor of other therapists, I have gained experience in working with problems including motivation and attention issues, low self-esteem, depression, anxiety, procrastination, addictions and relationship problems. I have an interactive style which draws on cognitive-behavioral theory (CBT), interpersonal and developmental psychology. Together we will gain an understanding of the emotional, mental and behavioral habits which are getting in the way of you realizing your potential and preventing you from meeting your needs. " Do the work, see the progress"
In over 20 years of work with individuals and couples, and as a supervisor of other therapists, I have gained experience in working with problems including motivation and attention issues, low self-esteem, depression, anxiety, procrastination, addictions and relationship problems. I have an interactive style which draws on cognitive-behavioral theory (CBT), interpersonal and developmental psychology. Together we will gain an understanding of the emotional, mental and behavioral habits which are getting in the way of you realizing your potential and preventing you from meeting your needs. " Do the work, see the progress"
![Photo of Valerie Boker, MA, RMHCI, Pre-Licensed Professional](https://photos.psychologytoday.com/4a05034e-c748-48fe-a642-d726a6e8b27e/1/320x400.jpeg)
I know how uncomfortable and nerve-wracking it can be to start therapy. I hope that I can make your experience as comfortable as possible. I have experience working with individuals with depression, anxiety, relationship issues, trauma, and grief. I also have experience working with families, teens and parents. I believe having the “right” therapist can be life changing. I would describe my style as warm, genuine, and non-judgmental. If you are interested in starting counseling, please contact me via email or phone. I would be honored to work alongside you on your healing journey.
I know how uncomfortable and nerve-wracking it can be to start therapy. I hope that I can make your experience as comfortable as possible. I have experience working with individuals with depression, anxiety, relationship issues, trauma, and grief. I also have experience working with families, teens and parents. I believe having the “right” therapist can be life changing. I would describe my style as warm, genuine, and non-judgmental. If you are interested in starting counseling, please contact me via email or phone. I would be honored to work alongside you on your healing journey.
![Photo of Michael Trabulsy, LMHC, AACH, NLP, RRT, Counselor](https://photos.psychologytoday.com/5b546e2c-46d4-4f77-8e90-58c56f2f1c93/1/320x400.jpeg)
I have been fortunate to have the majority of my referrals come through friends or family of prior clients. The passion I felt when entering the field of counseling 20 years ago, seems even greater today. More individuals and couples are genuinely motivated to seek deeper levels of understanding and self-awareness. Most behavior and thought patterns are learned early in our development. Many suffer due to repeated behavior and choices, involving friends, family, and relationships. Change in the choices we make, often results in positively altering the way we feel, perceive, and live life. Authentic change begins within oneself.
I have been fortunate to have the majority of my referrals come through friends or family of prior clients. The passion I felt when entering the field of counseling 20 years ago, seems even greater today. More individuals and couples are genuinely motivated to seek deeper levels of understanding and self-awareness. Most behavior and thought patterns are learned early in our development. Many suffer due to repeated behavior and choices, involving friends, family, and relationships. Change in the choices we make, often results in positively altering the way we feel, perceive, and live life. Authentic change begins within oneself.
![Photo of Yilmaz Taskin - ABC Mental Health & Relationship Counseling, MA, LMHC, MFT, Counselor](https://photos.psychologytoday.com/7d615ec5-53df-4477-8de5-a79525abd94d/1/320x400.jpeg)
ABC Mental Health & Relationship Counseling
Counselor, MA, LMHC, MFT
Verified Verified
Lakeland, FL 33813
As a certified Marriage & Family Therapist and a Licensed Mental Health Counselor, I offer an open-minded, non-judgmental, and empathetic counseling/therapy approach in a safe and supportive environment. Some problems, in our lives, are either self-imposed or imposed on us by other means. What we perceive might be different than reality. Negative beliefs affect us mentally and physically. Misinterpretations and irrational or self-defeating beliefs can create unhappy feelings, self-doubt, stress, depression, anxiety, relationship problems, etc. Problems don’t go away by themselves; we need to resolve them.
As a certified Marriage & Family Therapist and a Licensed Mental Health Counselor, I offer an open-minded, non-judgmental, and empathetic counseling/therapy approach in a safe and supportive environment. Some problems, in our lives, are either self-imposed or imposed on us by other means. What we perceive might be different than reality. Negative beliefs affect us mentally and physically. Misinterpretations and irrational or self-defeating beliefs can create unhappy feelings, self-doubt, stress, depression, anxiety, relationship problems, etc. Problems don’t go away by themselves; we need to resolve them.
![Photo of Sean Alexander - Rev. Dr. Sean Alexander, PhD, LCPC, CCC, Pastoral Counselor](https://photos.psychologytoday.com/7c011af6-9a0d-4cd7-b553-71850d07888a/2/320x400.jpeg)
I specialize in biblically-based support for various concerns: 1) Enhancing communication 2) Managing finances 3) Navigating intimacy and relationships 4) Rebuilding trust after infidelity 5) Resolving marital conflicts 6) Blended family and in-law dynamics 7) Tackling career challenges, control issues, and avoidance 8) Addressing Parental Alienation Syndrome 9) Overcoming addictions - alcohol, drugs, and sex-related 10) Transforming self-righteous attitudes. Many clients face significant marriage challenges, some considering divorce. If you're stuck in conflict cycles, I'm here to guide your way out.
I specialize in biblically-based support for various concerns: 1) Enhancing communication 2) Managing finances 3) Navigating intimacy and relationships 4) Rebuilding trust after infidelity 5) Resolving marital conflicts 6) Blended family and in-law dynamics 7) Tackling career challenges, control issues, and avoidance 8) Addressing Parental Alienation Syndrome 9) Overcoming addictions - alcohol, drugs, and sex-related 10) Transforming self-righteous attitudes. Many clients face significant marriage challenges, some considering divorce. If you're stuck in conflict cycles, I'm here to guide your way out.
![Photo of Julia M Borum - Borum and Associates LLC, MA, LMHC, Counselor](https://photos.psychologytoday.com/3da7f27e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
If you are on this page and reading this profile chances are that you or someone you love is going through a tough time. Searching for someone to talk with about your concerns can be a daunting task. There are so many choices and all counselors are not created equal. You want someone who will listen to your problems, won't judge you, and can offer some insight and guidance through the difficult times. Our counselors have over fifty years of experience in the helping fields and are here to help and guide you. Let's get started.
If you are on this page and reading this profile chances are that you or someone you love is going through a tough time. Searching for someone to talk with about your concerns can be a daunting task. There are so many choices and all counselors are not created equal. You want someone who will listen to your problems, won't judge you, and can offer some insight and guidance through the difficult times. Our counselors have over fifty years of experience in the helping fields and are here to help and guide you. Let's get started.
![Photo of Yilmaz Taskin - ABC Mental Health & Relationship Counseling, MA, LMHC, MFT, Counselor](https://photos.psychologytoday.com/3dd29c0d-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
ABC Mental Health & Relationship Counseling
Counselor, MA, LMHC, MFT
Verified Verified
Lakeland, FL 33813
As a certified Marriage & Family Therapist and a Licensed Mental Health Counselor, I offer an open-minded, non-judgmental, and empathetic counseling/therapy approach in a safe and supportive environment. Some problems, in our lives, are either self-imposed or imposed on us by other means. What we perceive might be different than reality. Negative beliefs affect us mentally and physically. Misinterpretations and irrational or self-defeating beliefs can create unhappy feelings, self-doubt, stress, depression, anxiety, relationship problems, etc. Problems don’t go away by themselves, we need to resolve them.
As a certified Marriage & Family Therapist and a Licensed Mental Health Counselor, I offer an open-minded, non-judgmental, and empathetic counseling/therapy approach in a safe and supportive environment. Some problems, in our lives, are either self-imposed or imposed on us by other means. What we perceive might be different than reality. Negative beliefs affect us mentally and physically. Misinterpretations and irrational or self-defeating beliefs can create unhappy feelings, self-doubt, stress, depression, anxiety, relationship problems, etc. Problems don’t go away by themselves, we need to resolve them.
![Photo of Lynn Throtman - Divine Mental Health Care, LCMHC](https://photos.psychologytoday.com/c5cc1fc1-140b-48ce-a1c2-0ae3f314af3a/2/320x400.jpeg)
If you are suffering from anxiety, depression, trauma, grief or any life changing event you may need help to find answers and hope. Asking for help takes bravery. As a trauma focused counselor, I listen attentively to you and help you to explore and find options, so you make the best decisions for your life. I work often with anxiety and trauma issues and am a Certified Clinical Trauma Professional.
If you are suffering from anxiety, depression, trauma, grief or any life changing event you may need help to find answers and hope. Asking for help takes bravery. As a trauma focused counselor, I listen attentively to you and help you to explore and find options, so you make the best decisions for your life. I work often with anxiety and trauma issues and am a Certified Clinical Trauma Professional.
![Photo of Dorothy Louise Hopkins - Dorothy Hopkins LLC, LMHC, MCAP, MAC, Counselor](https://photos.psychologytoday.com/4c2181a7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Whether you're dealing with issues like anxiety, depression, bi polar disorder, panic attacks, OCD, marital and family problems, addictions and other disorders, hope is available. We believe in solution based counseling to improve your quality of life and pride ourselves on providing a comforting and healing atmosphere. With flexible hours including evenings and weekends, we can fit almost every schedule and we accept most major insurances (Aetna, Blue Cross/Blue Shield, Cigna, Humana, United etc.) as well as many Employee Assistance Plans (EAPS).
Whether you're dealing with issues like anxiety, depression, bi polar disorder, panic attacks, OCD, marital and family problems, addictions and other disorders, hope is available. We believe in solution based counseling to improve your quality of life and pride ourselves on providing a comforting and healing atmosphere. With flexible hours including evenings and weekends, we can fit almost every schedule and we accept most major insurances (Aetna, Blue Cross/Blue Shield, Cigna, Humana, United etc.) as well as many Employee Assistance Plans (EAPS).
![Photo of Jalae Gatewood-Alvarez, MSW, RCSWI](https://photos.psychologytoday.com/27645b2b-e9eb-44d8-8f93-c1a2f618a78d/2/320x400.jpeg)
Jalae Gatewood-Alvarez
Registered Clinical Social Worker Intern, MSW, RCSWI
Verified Verified
Lakeland, FL 33803
Are you ready to work through some areas in your life that have been hard to think about? I’m here to support you through a journey of processing difficult life experiences and reaching a place of healing and peace.
Are you ready to work through some areas in your life that have been hard to think about? I’m here to support you through a journey of processing difficult life experiences and reaching a place of healing and peace.
![Photo of Jennifer Targosz, RMHCI](https://photos.psychologytoday.com/8217aec4-18df-45e3-ad53-766ee58bb5d1/1/320x400.jpeg)
Jennifer Targosz
Registered Mental Health Counselor Intern, RMHCI
Verified Verified
Lakeland, FL 33815
Are you experiencing life changes, issues within your relationships, or suffering from anxiety and depression? Life is too short to let trauma control us or be stressed/ angry all the time. I want you to be free of emotional pain, able to deal with life on life’s terms, and find purpose and meaning in work, family, friendships, and all other life areas. We can all overcome challenges and rise above them, but sometimes, we need guidance. Allow me to help you on your journey of healing and self-discovery.
Are you experiencing life changes, issues within your relationships, or suffering from anxiety and depression? Life is too short to let trauma control us or be stressed/ angry all the time. I want you to be free of emotional pain, able to deal with life on life’s terms, and find purpose and meaning in work, family, friendships, and all other life areas. We can all overcome challenges and rise above them, but sometimes, we need guidance. Allow me to help you on your journey of healing and self-discovery.
![Photo of Jodi Rabkin-Turner, LMHC, Counselor](https://photos.psychologytoday.com/1aad0b0d-53e5-492a-86a5-0dc6a2e42ca6/1/320x400.jpeg)
Hi. My name is Jodi Rabkin-Turner, LMHC, LPC. I specialize in trauma, PTSD and the disorders that come from those issues. I typically work with clients that have depression and anxiety, PTSD, sexual abuse, trauma, substance abuse or any symptoms that occur due to past or present life experiences. I am very straight forward and tend not to beat around the bush. It takes some work to change and get past your issues, so I give out some real life assignments that can be used in the "real world" to help clients to get passed their core issues.
Hi. My name is Jodi Rabkin-Turner, LMHC, LPC. I specialize in trauma, PTSD and the disorders that come from those issues. I typically work with clients that have depression and anxiety, PTSD, sexual abuse, trauma, substance abuse or any symptoms that occur due to past or present life experiences. I am very straight forward and tend not to beat around the bush. It takes some work to change and get past your issues, so I give out some real life assignments that can be used in the "real world" to help clients to get passed their core issues.
![Photo of Cyndi Roberts-Morey, LCSW, MCAP, SAP, CCTP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8ee79d5f-d05f-4629-af79-abd768b0c7cc/1/320x400.png)
Cyndi Roberts-Morey
Clinical Social Work/Therapist, LCSW, MCAP, SAP, CCTP
Verified Verified
1 Endorsed
Lakeland, FL 33813
Do you want to change destructive patterns and cycles that have not worked for you? Do you find yourself repeating the same mistakes over and over? Have you suffered from trauma or other issues that have made life difficult? There is help and hope! I have practiced for over 20 years and have the experience to help you learn skills to change unwanted patterns and help you enjoy life.
Do you want to change destructive patterns and cycles that have not worked for you? Do you find yourself repeating the same mistakes over and over? Have you suffered from trauma or other issues that have made life difficult? There is help and hope! I have practiced for over 20 years and have the experience to help you learn skills to change unwanted patterns and help you enjoy life.
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.