Bipolar Disorder Therapists in Richmond Heights, MO

Photo of Joy Hathaway, LPC, Licensed Professional Counselor
Joy Hathaway
Licensed Professional Counselor, LPC
Verified Verified
Richmond Heights, MO 63117
She has experience with substance use and behavioral addictions, as well as anxiety, depression, bipolar, relationship issues, and many other conditions that bring people to therapy.
Joy Hathaway, LPC Joy Hathaway is a Licensed Professional Counselor in Missouri who has been practicing since 2014. She has a Master of Education in Counseling from the University of Missouri, St. Louis, and a Bachelor of Arts in Psychology from University of Missouri, St. Louis. Joy enjoys working with people to find the best path for them, personally, to help them move their lives forward. Her approach is based mostly on Cognitive Behavioral Therapy, incorporating elements from ACT, DBT, strengths-based, person-centered, and trauma-informed.
She has experience with substance use and behavioral addictions, as well as anxiety, depression, bipolar, relationship issues, and many other conditions that bring people to therapy.
Joy Hathaway, LPC Joy Hathaway is a Licensed Professional Counselor in Missouri who has been practicing since 2014. She has a Master of Education in Counseling from the University of Missouri, St. Louis, and a Bachelor of Arts in Psychology from University of Missouri, St. Louis. Joy enjoys working with people to find the best path for them, personally, to help them move their lives forward. Her approach is based mostly on Cognitive Behavioral Therapy, incorporating elements from ACT, DBT, strengths-based, person-centered, and trauma-informed.
(314) 907-0880 View (314) 907-0880
Photo of Joni Neuharth, MEd,  LPC, Licensed Professional Counselor
Joni Neuharth
Licensed Professional Counselor, MEd, LPC
Verified Verified
Richmond Heights, MO 63117
Specializing in treating alcohol and drug use, anxiety, bipolar disorder, depression, and psychosis/schizophrenia, Jo is passionate about helping clients navigate their mental health challenges. Her approach includes Cognitive Behavioral Therapy (CBT) and Exposure Therapy, which are evidence-based interventions known for their effectiveness in addressing various mental health issues. Jo is dedicated to providing individualized care that empowers her clients to make positive changes in their lives. Jo serves a diverse range of populations, including LGBTQ+ individuals, military personnel and veterans, and both women and men.
Specializing in treating alcohol and drug use, anxiety, bipolar disorder, depression, and psychosis/schizophrenia, Jo is passionate about helping clients navigate their mental health challenges. Her approach includes Cognitive Behavioral Therapy (CBT) and Exposure Therapy, which are evidence-based interventions known for their effectiveness in addressing various mental health issues. Jo is dedicated to providing individualized care that empowers her clients to make positive changes in their lives. Jo serves a diverse range of populations, including LGBTQ+ individuals, military personnel and veterans, and both women and men.
(314) 947-6219 View (314) 947-6219
Photo of Laura Ranalletta, LCSW, Clinical Social Work/Therapist
Laura Ranalletta
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Richmond Heights, MO 63117
Accepting New Clients Summer '22 - I believe that we're all doing the best we can, and also: we can all be doing better! Whether you're dealing with anxiety, depression, relationship issues, or a life circumstance which is difficult to navigate, I'm here to help. Chances are you are feeling alone, confused, or dissatisfied with your life at this moment. Maybe you're ready for deep healing from the past. Maybe you're looking for ways to cope with the present. Maybe you want to better understand yourself and your emotions. Maybe you're just looking to talk with a neutral third party about daily stressors. Wherever you're at, welcome!
Accepting New Clients Summer '22 - I believe that we're all doing the best we can, and also: we can all be doing better! Whether you're dealing with anxiety, depression, relationship issues, or a life circumstance which is difficult to navigate, I'm here to help. Chances are you are feeling alone, confused, or dissatisfied with your life at this moment. Maybe you're ready for deep healing from the past. Maybe you're looking for ways to cope with the present. Maybe you want to better understand yourself and your emotions. Maybe you're just looking to talk with a neutral third party about daily stressors. Wherever you're at, welcome!
(636) 278-9585 View (636) 278-9585
Photo of Carol Dyer, PhD, Psychologist
Carol Dyer
Psychologist, PhD
Verified Verified
2 Endorsed
Richmond Heights, MO 63117
I work with clients who are struggling to cope with issues related to life transitions, addictions, eating disorders, body image, trauma, caregiving and other life demands. Psychotherapy is a deeply personal experience that can be alternately challenging, rewarding and hopeful. As a therapist, my goal is to provide a nonjudgmental atmosphere for those who wish to find balance in their lives through and beyond times of crisis or transition.
I work with clients who are struggling to cope with issues related to life transitions, addictions, eating disorders, body image, trauma, caregiving and other life demands. Psychotherapy is a deeply personal experience that can be alternately challenging, rewarding and hopeful. As a therapist, my goal is to provide a nonjudgmental atmosphere for those who wish to find balance in their lives through and beyond times of crisis or transition.
(314) 888-5196 View (314) 888-5196
Photo of Kaitlyn Burns, LCSW, Clinical Social Work/Therapist
Kaitlyn Burns
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond Heights, MO 63117
Kaitlyn LeMasters, LCSW Kaitlyn LeMasters is a Licensed Clinical Social Worker in Missouri who has been practicing since 2022. She earned a Master of Social Work degree from Southern Illinois University of Edwardsville. Kaitlyn believes in creating a safe space to explore emotions, developing new insights, and building new skills to improve overall mental health and quality of life. In her spare time, Kaitlyn enjoys exercise, reading, and spending time with loved ones.
Kaitlyn LeMasters, LCSW Kaitlyn LeMasters is a Licensed Clinical Social Worker in Missouri who has been practicing since 2022. She earned a Master of Social Work degree from Southern Illinois University of Edwardsville. Kaitlyn believes in creating a safe space to explore emotions, developing new insights, and building new skills to improve overall mental health and quality of life. In her spare time, Kaitlyn enjoys exercise, reading, and spending time with loved ones.
(314) 742-9671 View (314) 742-9671
Photo of Ronya Williams, LCSW, Clinical Social Work/Therapist
Ronya Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond Heights, MO 63117
Ronya is a Licensed Clinical Social Worker with fifteen years of experience providing therapy services. Ronya was born and raised in St. Louis, MO. She received her bachelor's degree in Social Work from the University of Missouri in 2006. She also received her master's degree in Clinical Social Work from the University of Missouri in 2007. Ronya believes in a therapeutic style that is genuine and honest. She provides an atmosphere in which clients can communicate feelings with an awareness that they are being understood rather than judged.
Ronya is a Licensed Clinical Social Worker with fifteen years of experience providing therapy services. Ronya was born and raised in St. Louis, MO. She received her bachelor's degree in Social Work from the University of Missouri in 2006. She also received her master's degree in Clinical Social Work from the University of Missouri in 2007. Ronya believes in a therapeutic style that is genuine and honest. She provides an atmosphere in which clients can communicate feelings with an awareness that they are being understood rather than judged.
(314) 742-9243 View (314) 742-9243
Photo of Catherine L Benoist, PsyD, Psychologist
Catherine L Benoist
Psychologist, PsyD
Verified Verified
1 Endorsed
Richmond Heights, MO 63117
When a clinician is asked what their specialty is, they often focus on specific diagnoses. Although helpful, I believe you are so much more than a diagnosis or collection of symptoms. I think it's important to respect the complicated nature of who we are and the lives we lead. It's about understanding why you are struggling and changing what is not working for you. I think that issues or problems need to be handled with curiosity and not judgement. Only then can we focus on what feels right for you and help you have those things in your life. I believe that, in choosing psychotherapy, one gives oneself a great gift.
When a clinician is asked what their specialty is, they often focus on specific diagnoses. Although helpful, I believe you are so much more than a diagnosis or collection of symptoms. I think it's important to respect the complicated nature of who we are and the lives we lead. It's about understanding why you are struggling and changing what is not working for you. I think that issues or problems need to be handled with curiosity and not judgement. Only then can we focus on what feels right for you and help you have those things in your life. I believe that, in choosing psychotherapy, one gives oneself a great gift.
(314) 310-6812 View (314) 310-6812
Photo of Steven M. Portnoy, MA, LPC, Licensed Professional Counselor
Steven M. Portnoy
Licensed Professional Counselor, MA, LPC
Verified Verified
Richmond Heights, MO 63117
Put most simply, my approach to psychotherapy is centered around helping you come to know yourself as fully as possible. Many people come to me in search of a more depth-oriented approach to therapy. Many approaches out there right now, in the interest of attempting to reduce symptoms as quickly as possible, may miss the mark in terms of understanding the “why” of it all, the more nuanced understanding of why our difficulties and symptoms are there to begin with, how they actually may have been serving us in some way, and their connection to our relational patterns and our past developmental experiences.
Put most simply, my approach to psychotherapy is centered around helping you come to know yourself as fully as possible. Many people come to me in search of a more depth-oriented approach to therapy. Many approaches out there right now, in the interest of attempting to reduce symptoms as quickly as possible, may miss the mark in terms of understanding the “why” of it all, the more nuanced understanding of why our difficulties and symptoms are there to begin with, how they actually may have been serving us in some way, and their connection to our relational patterns and our past developmental experiences.
(314) 451-5939 View (314) 451-5939
Photo of Sean Bradley, MSW, LCSW, Clinical Social Work/Therapist
Sean Bradley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Richmond Heights, MO 63117
Welcome, I'm here to help. I am experienced in assisting children and families who have been affected by trauma and are dealing with its effects, including anxiety, anger issues, post-traumatic stress, depression, and other symptoms. Additionally, I am experienced in working with children who display severe behavioral issues in response to their trauma. I have provided individual and family therapy for children in a Residential Treatment Facility and I'm well-versed in the Foster and Adoptive systems. I also help families struggling with communication issues and children experiencing attachment difficulties with their parents.
Welcome, I'm here to help. I am experienced in assisting children and families who have been affected by trauma and are dealing with its effects, including anxiety, anger issues, post-traumatic stress, depression, and other symptoms. Additionally, I am experienced in working with children who display severe behavioral issues in response to their trauma. I have provided individual and family therapy for children in a Residential Treatment Facility and I'm well-versed in the Foster and Adoptive systems. I also help families struggling with communication issues and children experiencing attachment difficulties with their parents.
(314) 310-7893 View (314) 310-7893
Photo of Matt Shatzman, MA, LPC, Licensed Professional Counselor
Matt Shatzman
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Richmond Heights, MO 63117
Therapy is an experience where human beings learn to live differently. Differently is the key word. Different can look like less depression, more spontaneity, or deeper and more mutual relationships. Different can be learning to say "yes," "no," or "maybe." Different can be improved physical health, less anxiety, or sustained sobriety. When one begins treatment there's usually a percolating idea of what needs to be different. Helping you clarify the ways you'd like to live differently, what has gotten in your way up to this point, and how those changes can be made is psychotherapy.
Therapy is an experience where human beings learn to live differently. Differently is the key word. Different can look like less depression, more spontaneity, or deeper and more mutual relationships. Different can be learning to say "yes," "no," or "maybe." Different can be improved physical health, less anxiety, or sustained sobriety. When one begins treatment there's usually a percolating idea of what needs to be different. Helping you clarify the ways you'd like to live differently, what has gotten in your way up to this point, and how those changes can be made is psychotherapy.
(314) 480-3895 View (314) 480-3895
Photo of Meg Jennings, LCSW, Clinical Social Work/Therapist
Meg Jennings
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond Heights, MO 63117
Are you feeling stuck, alone, and overwhelmed? Looking for a safe space to share about your struggles and receive support? I would love to work with you towards your goals and towards building a life worth living. I greatly value creating a caring, collaborative, and non-judgmental space. I specialize in helping clients with depression, anxiety, trauma, grief/loss, out-of-control feelings, and relationship difficulties. I love working with older children (9+), adolescents and adults.
Are you feeling stuck, alone, and overwhelmed? Looking for a safe space to share about your struggles and receive support? I would love to work with you towards your goals and towards building a life worth living. I greatly value creating a caring, collaborative, and non-judgmental space. I specialize in helping clients with depression, anxiety, trauma, grief/loss, out-of-control feelings, and relationship difficulties. I love working with older children (9+), adolescents and adults.
(314) 804-3149 View (314) 804-3149
Photo of Austin E Wilmot, MSW, LCSW, Clinical Social Work/Therapist
Austin E Wilmot
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Richmond Heights, MO 63117
I have experience treating all ages with an in-depth approach, beginning with meeting you and working to understand the difficulties you are facing. I offer a space that fosters fuller experiencing and understanding of your inner emotional life, including feelings, thoughts, dreams and fantasies. In connection with me, your symptoms and problematic patterns can become understood in new ways, leading to emotional growth and a greater capacity to make meaningful changes in your life. I provide dynamic therapy in-office and by videoconference to people whose location or commitments make it difficult to attend in-person meetings.
I have experience treating all ages with an in-depth approach, beginning with meeting you and working to understand the difficulties you are facing. I offer a space that fosters fuller experiencing and understanding of your inner emotional life, including feelings, thoughts, dreams and fantasies. In connection with me, your symptoms and problematic patterns can become understood in new ways, leading to emotional growth and a greater capacity to make meaningful changes in your life. I provide dynamic therapy in-office and by videoconference to people whose location or commitments make it difficult to attend in-person meetings.
(314) 907-3197 View (314) 907-3197
Photo of Yael Kula, LCSW, Clinical Social Work/Therapist
Yael Kula
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond Heights, MO 63117
Oftentimes a therapist needs a therapist, and I specialize in working with therapists. I am intimately familiar with the burnout and fatigue that accompanies a therapists’ job. Every therapist I have worked with is a deeply compassionate, selfless, and idealistic person, who is dedicated to their clients. I work to help therapists care for themselves so that they can continue to feel healthy as they work with their clients. While we can often successfully support our clients, this does not always extend to feeling supported in our own lives.
Oftentimes a therapist needs a therapist, and I specialize in working with therapists. I am intimately familiar with the burnout and fatigue that accompanies a therapists’ job. Every therapist I have worked with is a deeply compassionate, selfless, and idealistic person, who is dedicated to their clients. I work to help therapists care for themselves so that they can continue to feel healthy as they work with their clients. While we can often successfully support our clients, this does not always extend to feeling supported in our own lives.
(314) 328-7432 View (314) 328-7432
Photo of Michelle Salois, LCSW, RN, AAMFT, Clinical Social Work/Therapist
Michelle Salois
Clinical Social Work/Therapist, LCSW, RN, AAMFT
Verified Verified
3 Endorsed
Richmond Heights, MO 63117
Michelle enjoys working with Couples in distress, Individuals who are wanting to resolve problems expressing as depression, anxiety or problematic behaviors and Parent Guidance for children's problems within Family therapy. With past experience in Nursing and an undergraduate degree in Theology; Michelle approaches counseling with a broad understanding of what in a person's life and relationships might need a new kind of balance or understanding so that emotions can be healed, behaviors changed and relationships renewed. Michelle strives to combine a tender supportiveness with confident guidance to help people move actively towards their goals.
Michelle enjoys working with Couples in distress, Individuals who are wanting to resolve problems expressing as depression, anxiety or problematic behaviors and Parent Guidance for children's problems within Family therapy. With past experience in Nursing and an undergraduate degree in Theology; Michelle approaches counseling with a broad understanding of what in a person's life and relationships might need a new kind of balance or understanding so that emotions can be healed, behaviors changed and relationships renewed. Michelle strives to combine a tender supportiveness with confident guidance to help people move actively towards their goals.
(314) 786-3668 View (314) 786-3668
Photo of Keegan Esping - Midwest Trauma Recovery Center, MAC, PLPC, Pre-Licensed Professional
Midwest Trauma Recovery Center
Pre-Licensed Professional, MAC, PLPC
Verified Verified
2 Endorsed
Richmond Heights, MO 63117
Have you experienced life as chaotic and painful? Do you struggle with day to day coping in the midst of memories, strong feelings, or dissociation? Is it difficult to feel like you can live fully after what you have experienced? Does growth, healing, and freedom feel next to impossible? If you answered yes to any of these questions, you may be suffering from unresolved trauma. I know firsthand how intense and challenging a process of finding freedom from trauma can be.
Have you experienced life as chaotic and painful? Do you struggle with day to day coping in the midst of memories, strong feelings, or dissociation? Is it difficult to feel like you can live fully after what you have experienced? Does growth, healing, and freedom feel next to impossible? If you answered yes to any of these questions, you may be suffering from unresolved trauma. I know firsthand how intense and challenging a process of finding freedom from trauma can be.
(314) 310-3477 View (314) 310-3477
Photo of Cindy Haller, MSW, LCSW, Clinical Social Work/Therapist
Cindy Haller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Richmond Heights, MO 63117
Have you noticed yourself feeling anxious, depressed, or overwhelmed, as if some days it’s just too hard to face it all? If you feel stuck in place, it can often be difficult to reach out for help, but you’re here so you’ve made that all important first step. Maybe something new is going on, or something that’s been in the background for a while is making itself known. Whatever it might be, together we will work towards a resolution.
Have you noticed yourself feeling anxious, depressed, or overwhelmed, as if some days it’s just too hard to face it all? If you feel stuck in place, it can often be difficult to reach out for help, but you’re here so you’ve made that all important first step. Maybe something new is going on, or something that’s been in the background for a while is making itself known. Whatever it might be, together we will work towards a resolution.
(314) 470-9197 View (314) 470-9197
Photo of Sunyata Kopriva, RYT, MSW, LCSW, Clinical Social Work/Therapist
Sunyata Kopriva
Clinical Social Work/Therapist, RYT, MSW, LCSW
Verified Verified
Richmond Heights, MO 63117  (Online Only)
*ACCEPTING CALIFORNIA, ILLINOIS, AND MISSOURI CLIENTS* Come be seen & be known in a relational space with me, so that you can finally arrive home in yourself. Are you curious if you have experienced trauma, or if trauma may still be affecting you? Have you worked with many healers & still feel stuck in certain places? Have you experienced a spiritual awakening & need to integrate the experience(s)? If you answered 'yes' to any of these questions, then you may be in the right place. Trauma can express itself in PTSD & Complex PTSD symptoms, various types of depression & anxiety, & many other symptoms. Lets get to the root.
*ACCEPTING CALIFORNIA, ILLINOIS, AND MISSOURI CLIENTS* Come be seen & be known in a relational space with me, so that you can finally arrive home in yourself. Are you curious if you have experienced trauma, or if trauma may still be affecting you? Have you worked with many healers & still feel stuck in certain places? Have you experienced a spiritual awakening & need to integrate the experience(s)? If you answered 'yes' to any of these questions, then you may be in the right place. Trauma can express itself in PTSD & Complex PTSD symptoms, various types of depression & anxiety, & many other symptoms. Lets get to the root.
(341) 444-3409 View (341) 444-3409
Photo of Ilia (Eye-Lee-Uh) Silverman Esrig, LCSW, Clinical Social Work/Therapist
Ilia (Eye-Lee-Uh) Silverman Esrig
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond Heights, MO 63117
Not accepting new clients
Examining and shifting age-old patterns can be overwhelming to do alone. I offer folks a compassionate and non-judgmental space to begin this journey in. I support individuals to cultivate joy, ease, and meaning in their lives, even when doing so feels impossible. This might include strengthening executive functioning, exploring gender or sexual identity, processing trauma, or learning self-validation in an often invalidating world. Together, we'll identify effective ways to move through life's most difficult moments - the past can't be changed, but we can shift how it influences our present and future.
Examining and shifting age-old patterns can be overwhelming to do alone. I offer folks a compassionate and non-judgmental space to begin this journey in. I support individuals to cultivate joy, ease, and meaning in their lives, even when doing so feels impossible. This might include strengthening executive functioning, exploring gender or sexual identity, processing trauma, or learning self-validation in an often invalidating world. Together, we'll identify effective ways to move through life's most difficult moments - the past can't be changed, but we can shift how it influences our present and future.
(314) 748-1722 View (314) 748-1722
Photo of Joshua P Beaman-Kogan, PsyD, Psychologist
Joshua P Beaman-Kogan
Psychologist, PsyD
Verified Verified
Richmond Heights, MO 63117
Not accepting new clients
Many of us face challenges that affect all aspects of our lives. If you are worried about your health or the health of a loved one, your financial situation, adjusting to working from home, currently not working or afraid that you will not be able to work, dealing with increased family tensions, feeling the loss of not being able to see your family members, or the grief of having lost someone, you don’t need to face these challenges alone.
Many of us face challenges that affect all aspects of our lives. If you are worried about your health or the health of a loved one, your financial situation, adjusting to working from home, currently not working or afraid that you will not be able to work, dealing with increased family tensions, feeling the loss of not being able to see your family members, or the grief of having lost someone, you don’t need to face these challenges alone.
(314) 310-6287 View (314) 310-6287

More Therapists Nearby

Photo of Stacy Light, MA, LPC, Licensed Professional Counselor
Stacy Light
Licensed Professional Counselor, MA, LPC
Verified Verified
Clayton, MO 63105
I specialize in working with individuals and couples who are coping with depression, bipolar disorder, anxiety, general life and family issues, sexual health, and grief as well as doing wellness coaching.
I provide a safe, comfortable, and supportive enviornment where I guide individuals and couples to help them overcome mental health and emotional issues to bring about a new level of awareness and change. This is done by identifying and understanding the underlying causes, changing destructive thought patterns, and behaviors. I am also a certified Thai Yoga therapist. I keep both practices separate in that I do not do psychotherapy with Thai Yoga clients or vice versa.
I specialize in working with individuals and couples who are coping with depression, bipolar disorder, anxiety, general life and family issues, sexual health, and grief as well as doing wellness coaching.
I provide a safe, comfortable, and supportive enviornment where I guide individuals and couples to help them overcome mental health and emotional issues to bring about a new level of awareness and change. This is done by identifying and understanding the underlying causes, changing destructive thought patterns, and behaviors. I am also a certified Thai Yoga therapist. I keep both practices separate in that I do not do psychotherapy with Thai Yoga clients or vice versa.
(314) 492-5176 View (314) 492-5176

See more therapy options for Richmond Heights

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.