Bipolar Disorder Therapists in Bloomfield, MI
![Photo of Jessica Dubey, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/83870907-dee4-4eaf-97a5-938e32efcc7c/1/320x400.png)
Jessica Dubey
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Bloomfield, MI 48302 (Online Only)
Waitlist for new clients
Do you experience moods that you have trouble understanding and / or controlling? Do your thoughts or emotions make it challenging to thrive in relationships, work, home, or just life in general? I understand that it can be difficult to cope and enjoy life with these symptoms, and can often be challenging to navigate the healing journey alone. I am a passionate therapist with a specialization in Anxiety, BPD, and mood disorders.
Do you experience moods that you have trouble understanding and / or controlling? Do your thoughts or emotions make it challenging to thrive in relationships, work, home, or just life in general? I understand that it can be difficult to cope and enjoy life with these symptoms, and can often be challenging to navigate the healing journey alone. I am a passionate therapist with a specialization in Anxiety, BPD, and mood disorders.
![Photo of Ann Weeks Moye, PhD, Psychologist](https://photos.psychologytoday.com/42a1356b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As the senior member of the staff at DMBA, I have many years of clinical experience which will help us define your issues and agree on a treatment.
As the senior member of the staff at DMBA, I have many years of clinical experience which will help us define your issues and agree on a treatment.
![Photo of Anahid Lisa Derbabian, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/3f5ee853-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Anahid Lisa Derbabian
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Bloomfield, MI 48302
Welcome. You can create the life that you are meant to live. My name is Anahid (pronounced Ah-nah-heed), and I desire to help you connect more deeply with yourself... shift unhealthy patterns of thoughts and behaviors that keep you stuck... heal from the past and unleash its holds... and free you up to beautifully move forward with purpose and passion. If you dream of a meaningful life and are ready to no longer merely exist, I invite you to take a powerful step and call me... and enjoy your exciting journey ahead.
Welcome. You can create the life that you are meant to live. My name is Anahid (pronounced Ah-nah-heed), and I desire to help you connect more deeply with yourself... shift unhealthy patterns of thoughts and behaviors that keep you stuck... heal from the past and unleash its holds... and free you up to beautifully move forward with purpose and passion. If you dream of a meaningful life and are ready to no longer merely exist, I invite you to take a powerful step and call me... and enjoy your exciting journey ahead.
![Photo of Kristen Nicole Husted, PhD, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e4ae2f5-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Kristen Nicole Husted
Clinical Social Work/Therapist, PhD, LMSW
Verified Verified
Bloomfield, MI 48304
Dr. Husted has been working in the mental health field since 1995. She specializes in Traumatic Brain Injury, Neuropsychological Evaluations, Psychological Testing, substance abuse, PTSD and mental health disorders. She received her doctoral degree in 2008 in clinical psychology. She has hospital privileges at St. Joseph Mercy Oakland and private practice services at Oakland Psychiatric Association located in Pontiac, MI.
Dr. Husted has been working in the mental health field since 1995. She specializes in Traumatic Brain Injury, Neuropsychological Evaluations, Psychological Testing, substance abuse, PTSD and mental health disorders. She received her doctoral degree in 2008 in clinical psychology. She has hospital privileges at St. Joseph Mercy Oakland and private practice services at Oakland Psychiatric Association located in Pontiac, MI.
![Photo of Jessica Contreras-Janette, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/0ec99d57-ab0b-4f62-ac7d-e05b21b9ccf4/2/320x400.jpeg)
Jessica Contreras-Janette
Licensed Professional Counselor, MA, LPC
Verified Verified
Bloomfield, MI 48301
I chose this profession from a profound desire to help and a strong belief that we all deserve help and healing. Deciding to seek help is the first brave step towards wellness. Taking positive strides and making healthy changes is what I am here to help with. Developing a warm, trusting, and calm environment is what I strive to provide each and every session. The most important aspect of therapy is developing a healthy therapeutic relationship where you feel safe to share your feelings, thoughts and experiences.
I chose this profession from a profound desire to help and a strong belief that we all deserve help and healing. Deciding to seek help is the first brave step towards wellness. Taking positive strides and making healthy changes is what I am here to help with. Developing a warm, trusting, and calm environment is what I strive to provide each and every session. The most important aspect of therapy is developing a healthy therapeutic relationship where you feel safe to share your feelings, thoughts and experiences.
![Photo of Dr. Dawn Del Rio, PhD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6e5d78b7-31d4-4a43-96f9-c2391977774d/1/320x400.jpeg)
Dr. Dawn Del Rio
Clinical Social Work/Therapist, PhD
Verified Verified
6 Endorsed
Bloomfield, MI 48302 (Online Only)
Dr. Del Rio is a fully licensed psychotherapist. After receiving undergraduate and graduate degrees in psychology and clinical social work from MSU, she attended ULM and received her Ph.D. in Marriage and Family Therapy. Post her doctorate, she obtained her Sex Therapy certificate from the University of Michigan. Her educational path has provided a unique recipe of both micro and macro perspectives and has informed her clinical interpretations. She specializes in anxiety, OCD, trauma, and relationships. She utilizes evidence-based techniques such as Cognitive Behavioral and Solution Focused Therapies.
Dr. Del Rio is a fully licensed psychotherapist. After receiving undergraduate and graduate degrees in psychology and clinical social work from MSU, she attended ULM and received her Ph.D. in Marriage and Family Therapy. Post her doctorate, she obtained her Sex Therapy certificate from the University of Michigan. Her educational path has provided a unique recipe of both micro and macro perspectives and has informed her clinical interpretations. She specializes in anxiety, OCD, trauma, and relationships. She utilizes evidence-based techniques such as Cognitive Behavioral and Solution Focused Therapies.
![Photo of John P Quarton - Clinical Psychologist Accepting Michigan Residents, PhD, Psychologist](https://photos.psychologytoday.com/3f46a3a0-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Clinical Psychologist Accepting Michigan Residents
Psychologist, PhD
Verified Verified
Bloomfield, MI 48301 (Online Only)
What took you so long? If you are a chronic procrastinator, then you might be dealing with concerns such as marital problems, gambling disorder, work performance and/or substance abuse. People come to me seeking relief from the 'outcomes' of untreated procrastination. At age 32, I self-diagnosed my ADHD. I wrote my doctoral dissertation on chronic procrastination. I concur with current research linking chronic procrastination and gambling disorder in individuals with undiagnosed ADHD. Help is available!
What took you so long? If you are a chronic procrastinator, then you might be dealing with concerns such as marital problems, gambling disorder, work performance and/or substance abuse. People come to me seeking relief from the 'outcomes' of untreated procrastination. At age 32, I self-diagnosed my ADHD. I wrote my doctoral dissertation on chronic procrastination. I concur with current research linking chronic procrastination and gambling disorder in individuals with undiagnosed ADHD. Help is available!
![Photo of Jennifer Small, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fe9a940d-cbea-4ab4-8b66-fc09d274b494/2/320x400.jpeg)
Jennifer Small is a Licensed Master Social Worker providing online psychotherapy for adults all throughout Michigan. Jennifer graduated from Michigan State University in 2014 with a Masters of Social Work. Over the years, she's worked with individuals suffering from depression, anxiety, addiction(s), PTSD, chronic pain, chronic/terminal illnesses among other issues. Jennifer provides Internal Family Systems (IFS) therapy which is a non- pathologizing approach to mental health. All of your parts are welcome. Incredible healing can take place when you get to know your parts and the role they play in your system.
Jennifer Small is a Licensed Master Social Worker providing online psychotherapy for adults all throughout Michigan. Jennifer graduated from Michigan State University in 2014 with a Masters of Social Work. Over the years, she's worked with individuals suffering from depression, anxiety, addiction(s), PTSD, chronic pain, chronic/terminal illnesses among other issues. Jennifer provides Internal Family Systems (IFS) therapy which is a non- pathologizing approach to mental health. All of your parts are welcome. Incredible healing can take place when you get to know your parts and the role they play in your system.
More Therapists Nearby
![Photo of Meredith Fenton, MA-CMHC, LLC, NCC, Counselor](https://photos.psychologytoday.com/1e8bf762-6efc-4897-9992-b2723f68feaf/2/320x400.jpeg)
Meredith Fenton
Counselor, MA-CMHC, LLC, NCC
Verified Verified
2 Endorsed
Bloomfield Hills, MI 48302 (Online Only)
Compassionate, attentive, and knowledgeable. I am a Clinical Mental Health Counselor practicing in Birmingham, Michigan. I also have my Limited Licensed Counselor and National Certified Counselor Credentials. I have a B.A. in Psychology from Michigan State, and my Master’s in Clinical Mental Health Counseling from Northwestern University, where I focused my research on both the misdiagnosis of bipolar disorder, as well as the treatment for caregivers of loved ones with Alzheimer's dementia.
Compassionate, attentive, and knowledgeable. I am a Clinical Mental Health Counselor practicing in Birmingham, Michigan. I also have my Limited Licensed Counselor and National Certified Counselor Credentials. I have a B.A. in Psychology from Michigan State, and my Master’s in Clinical Mental Health Counseling from Northwestern University, where I focused my research on both the misdiagnosis of bipolar disorder, as well as the treatment for caregivers of loved ones with Alzheimer's dementia.
![Photo of Melissa Porembiak, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/037bba0f-ab7b-4c70-8441-745d5a3423e7/2/320x400.jpeg)
Melissa Porembiak
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Bloomfield Hills, MI 48302
I strive to work alongside clients, and understand them in all aspects of their lives, to help achieve their goals. I have experience working with children, adolescents, and adults with anxiety, depression, bipolar disorder, trauma, ADHD, autism, and developmental delays. I believe that each client should receive an individualized approach to therapy, and I will work as a team with each client to develop personalized goals that lead to a healthier, more positive lifestyle.
I strive to work alongside clients, and understand them in all aspects of their lives, to help achieve their goals. I have experience working with children, adolescents, and adults with anxiety, depression, bipolar disorder, trauma, ADHD, autism, and developmental delays. I believe that each client should receive an individualized approach to therapy, and I will work as a team with each client to develop personalized goals that lead to a healthier, more positive lifestyle.
![Photo of Patricia Fridman, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c93b8ce-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Patricia Fridman
Clinical Social Work/Therapist, LMSW
Verified Verified
Bloomfield Township, MI 48301 (Online Only)
Areas of interest and clinical experience include the treatment of mood disorders (such as anxiety, depression, bipolar disorder), anger management, grief counseling, coping with illnesses, immigration and acculturation issues.
I am a psychotherapist with over 20 years of clinical experience and Certified in Family and Couples therapy. My work experience includes outpatient mental health and substance abuse treatment, hospital social work, with expertise in maternal and child healthcare, general medicine and psychiatry.
Areas of interest and clinical experience include the treatment of mood disorders (such as anxiety, depression, bipolar disorder), anger management, grief counseling, coping with illnesses, immigration and acculturation issues.
I am a psychotherapist with over 20 years of clinical experience and Certified in Family and Couples therapy. My work experience includes outpatient mental health and substance abuse treatment, hospital social work, with expertise in maternal and child healthcare, general medicine and psychiatry.
![Photo of Lee Kelly, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/8f360a01-0327-4c4f-ad96-0ad2e43db5a1/2/320x400.jpeg)
My experience includes working with individuals that are struggling with addictions, anxiety, bipolar, depression, divorce and family counseling, mood disorders, trauma and PTSD.
I believe in providing a nonjudgmental, safe space to explore the issues that may be creating problems in an individual's life. I incorporate a person-centered, holistic approach recognizing the specialness of every individual, while addressing life's concerns that we all share. My goal through therapy is to help a person live a more fulfilling life and to help them work through whatever is hindering them from achieving their full potential.
My experience includes working with individuals that are struggling with addictions, anxiety, bipolar, depression, divorce and family counseling, mood disorders, trauma and PTSD.
I believe in providing a nonjudgmental, safe space to explore the issues that may be creating problems in an individual's life. I incorporate a person-centered, holistic approach recognizing the specialness of every individual, while addressing life's concerns that we all share. My goal through therapy is to help a person live a more fulfilling life and to help them work through whatever is hindering them from achieving their full potential.
![Photo of Patricia Magas, LMSW, SSW](https://photos.psychologytoday.com/508984f7-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Patricia Magas
Masters Social Worker, LMSW, SSW
Verified Verified
2 Endorsed
Bloomfield Hills, MI 48301
Are you looking for resolution to problems you are experiencing in your life? Perhaps you are struggling with anxiety, depression, relationship conflicts or are feeling overwhelmed by current life challenges. I am here to provide you with a safe, trusting, non-judgmental space to assist you in addressing patterns of behavior that may not be working for you. Together we will find solutions that help you to get "unstuck" and on the road to positive change. I use a warm, empathetic approach in treating people who struggle with trauma, PTSD, grief/loss, anger issues, learning difficulties, depression, anxiety and bipolar disorder.
Are you looking for resolution to problems you are experiencing in your life? Perhaps you are struggling with anxiety, depression, relationship conflicts or are feeling overwhelmed by current life challenges. I am here to provide you with a safe, trusting, non-judgmental space to assist you in addressing patterns of behavior that may not be working for you. Together we will find solutions that help you to get "unstuck" and on the road to positive change. I use a warm, empathetic approach in treating people who struggle with trauma, PTSD, grief/loss, anger issues, learning difficulties, depression, anxiety and bipolar disorder.
![Photo of Pamela H. Minelli, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f38ea5c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Client needs are my FIRST priority. I am a specialist in evidence-based treatments (EBT), which radically improves my client's success rates, increases effectiveness of treatment, and gets results quickly. The majority of my client's report improvements, within the first session: life-functioning (work- home-school-relationships) and report immediate reduction in symptoms. Reducing anxiety/panic, decreasing depression, developing stronger coping strategies to stress and balancing mood dysregulation are my specialty, as symptoms can result from adjustment challenges to sudden life changes: parenthood/divorce/grief/college. We collaborate on thinking traps, tracking triggers, modifying behavior, successful coping skills and strengthening resiliency.
Client needs are my FIRST priority. I am a specialist in evidence-based treatments (EBT), which radically improves my client's success rates, increases effectiveness of treatment, and gets results quickly. The majority of my client's report improvements, within the first session: life-functioning (work- home-school-relationships) and report immediate reduction in symptoms. Reducing anxiety/panic, decreasing depression, developing stronger coping strategies to stress and balancing mood dysregulation are my specialty, as symptoms can result from adjustment challenges to sudden life changes: parenthood/divorce/grief/college. We collaborate on thinking traps, tracking triggers, modifying behavior, successful coping skills and strengthening resiliency.
![Photo of Amanda Tashjian, PhD, LPC, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/326d4a20-0474-42c5-a139-ae588473fcc0/2/320x400.jpeg)
Amanda Tashjian
Licensed Professional Counselor, PhD, LPC, LCPC
Verified Verified
Bloomfield Hills, MI 48301
Stressors are apart of everyday life, but sometimes we need someone to provide an objective lens and safe space to share our thoughts, feelings, and behaviors. As a clinical professional counselor and counselor educator, I care most about my clients and how I can help support them in managing their stressors. With over 10 years of experience working with children, individuals, and couples with varying levels of mental health related concerns and disorders, I look forward to helping you in a supportive and productive way.
Stressors are apart of everyday life, but sometimes we need someone to provide an objective lens and safe space to share our thoughts, feelings, and behaviors. As a clinical professional counselor and counselor educator, I care most about my clients and how I can help support them in managing their stressors. With over 10 years of experience working with children, individuals, and couples with varying levels of mental health related concerns and disorders, I look forward to helping you in a supportive and productive way.
![Photo of Franka Arcangeli, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c7478b24-5b35-496f-bb55-63975626edc3/3/320x400.jpeg)
I am a board-certified therapist with a Master's Degree in Social Work from the University of Michigan - Ann Arbor. I was clinically trained as a social worker by the Department of Psychiatry at the University of Michigan Health System Depression Center, where I also conducted research on a variety of mental health issues.
I am a board-certified therapist with a Master's Degree in Social Work from the University of Michigan - Ann Arbor. I was clinically trained as a social worker by the Department of Psychiatry at the University of Michigan Health System Depression Center, where I also conducted research on a variety of mental health issues.
![Photo of Rohini Kamakoti, MS, LLP, Limited Licensed Psychologist](https://photos.psychologytoday.com/3c3e9f5d-0651-493e-afa0-1b803596d3fb/2/320x400.jpeg)
Rohini Kamakoti
Limited Licensed Psychologist, MS, LLP
Verified Verified
Bloomfield Hills, MI 48302 (Online Only)
Everyone’s experiences and paths are unique. Every journey is its own struggle. My main goal is to connect with my clients as a person, help them feel understood and support them through their journey. I strive to use the therapeutic techniques most compatible with the client’s characteristics and needs. I have extensive theoretical training and practical experience in psychoanalysis, psychodynamic therapy, humanistic psychotherapy, cognitive-behavioral psychotherapy, and dialectic behavior therapy, and I can work effectively using a short term, more focused approach, as well as an open ended, exploratory approach.
Everyone’s experiences and paths are unique. Every journey is its own struggle. My main goal is to connect with my clients as a person, help them feel understood and support them through their journey. I strive to use the therapeutic techniques most compatible with the client’s characteristics and needs. I have extensive theoretical training and practical experience in psychoanalysis, psychodynamic therapy, humanistic psychotherapy, cognitive-behavioral psychotherapy, and dialectic behavior therapy, and I can work effectively using a short term, more focused approach, as well as an open ended, exploratory approach.
![Photo of Monique Smith, PhD, LPC, Psychologist](https://photos.psychologytoday.com/11981b18-75f2-4d25-bf96-584b5e4b3ea6/1/320x400.jpeg)
Dr. Monique Smith is a Licensed Professional Counselor in Michigan who has been practicing since 1996. She has a PhD in Counseling Psychology, a PhD (ABD) in Counseling Sociology, a Master’s degree in Counseling, and a Bachelor’s degree in Psychology. Dr. Smith is passionate and committed, having helped many individuals and groups successfully address difficult life experiences. She supports others by utilizing active listening skills, providing clear communication, validating feelings, displaying professionalism, showing understanding, being patient, and being trustworthy while providing therapeutic sympathy/empathy. Dr.
Dr. Monique Smith is a Licensed Professional Counselor in Michigan who has been practicing since 1996. She has a PhD in Counseling Psychology, a PhD (ABD) in Counseling Sociology, a Master’s degree in Counseling, and a Bachelor’s degree in Psychology. Dr. Smith is passionate and committed, having helped many individuals and groups successfully address difficult life experiences. She supports others by utilizing active listening skills, providing clear communication, validating feelings, displaying professionalism, showing understanding, being patient, and being trustworthy while providing therapeutic sympathy/empathy. Dr.
![Photo of Courtney Johnson, LMSW, CAADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9cb1bb66-82fb-4962-90d0-171d23f9a1fe/4/320x400.jpeg)
Courtney Johnson
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Bloomfield Hills, MI 48301 (Online Only)
I have openings! If you were told you did not matter growing up, through actions or words, this will have an impact on your ability to recognize your worth. Growing up in a home with alcohol abuse, homophobia, emotional abuse, or excessive criticism can lead to feelings of worthlessness, shame, and self hatred. You may seek validation from others and fear their disapproval. This often leads to putting others needs before your own. Not understanding your worth, you may struggle following your dreams or have a career where you feel overworked and under valued. Let's flip the script, heal your wounds, and accept the person you are.
I have openings! If you were told you did not matter growing up, through actions or words, this will have an impact on your ability to recognize your worth. Growing up in a home with alcohol abuse, homophobia, emotional abuse, or excessive criticism can lead to feelings of worthlessness, shame, and self hatred. You may seek validation from others and fear their disapproval. This often leads to putting others needs before your own. Not understanding your worth, you may struggle following your dreams or have a career where you feel overworked and under valued. Let's flip the script, heal your wounds, and accept the person you are.
![Photo of Abby B Segal, MSW, LMSW, LCSW, MJLS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8d9d2366-220c-468b-98dc-351caaedabb7/2/320x400.jpeg)
Abby B Segal
Clinical Social Work/Therapist, MSW, LMSW, LCSW, MJLS
Verified Verified
Bloomfield Hills, MI 48301
Our work together is a collaboration; you are the expert on you and your life experience, while I offer expertise in human behavior and the process of change. I am active and engaging while working to create an atmosphere of safety and trust where you can reveal your concerns at your own pace. Patients tell me that I am direct in gentle ways, allowing them to feel comfortable and safe to open up & share. I also have a practical focus to help you gain insight to translate pain into understandable causes and growth into a clear set of action steps.
Our work together is a collaboration; you are the expert on you and your life experience, while I offer expertise in human behavior and the process of change. I am active and engaging while working to create an atmosphere of safety and trust where you can reveal your concerns at your own pace. Patients tell me that I am direct in gentle ways, allowing them to feel comfortable and safe to open up & share. I also have a practical focus to help you gain insight to translate pain into understandable causes and growth into a clear set of action steps.
See more therapy options for Bloomfield
Nearby Bipolar Disorder Therapists Searches for Bloomfield
- Auburn Hills
- Berkley
- Beverly Hills
- Bingham Farms
- Birmingham
- Bloomfield Hills
- Bloomfield Township
- Franklin
- Keego Harbor
- Pontiac
- Troy
- West Bloomfield
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.