Bipolar Disorder Therapists in Sandy, OR

Photo of Michelle Whitney, LCSW, Clinical Social Work/Therapist
Michelle Whitney
Clinical Social Work/Therapist, LCSW
Verified Verified
Sandy, OR 97055  (Online Only)
Hello! I am a licensed clinical social worker in Oregon. I obtained my graduate degree in social work from Portland State University in 2007. I specialize in working with clients who struggle with anxiety, depression, bipolar disorder, trauma, substance use, grief and loss, chronic illness, interpersonal relationships and life transitions. I am interested in helping those that are struggling with situational stressors or long-standing concerns.
Hello! I am a licensed clinical social worker in Oregon. I obtained my graduate degree in social work from Portland State University in 2007. I specialize in working with clients who struggle with anxiety, depression, bipolar disorder, trauma, substance use, grief and loss, chronic illness, interpersonal relationships and life transitions. I am interested in helping those that are struggling with situational stressors or long-standing concerns.
(503) 406-8989 View (503) 406-8989
Photo of Alicia M Krawczyk, LCSW, CCM, PMH-C, Clinical Social Work/Therapist
Alicia M Krawczyk
Clinical Social Work/Therapist, LCSW, CCM, PMH-C
Verified Verified
1 Endorsed
Sandy, OR 97055  (Online Only)
Do you struggle with a loss sense of self that is impacting your daily life & relationships? Do you feel overwhelmed or frustrated by just getting through every day task? Do you notice your relationships, parenting, and other areas of your day to day being impacted by your sense of feeling disconnected? Woman, including moms, are feeling overwhelmed and defeated about how they are supposed to manage their relationships, children, careers & their own needs. The pressure can become crippling without the proper tools or support. It’s your time to choose yourself!
Do you struggle with a loss sense of self that is impacting your daily life & relationships? Do you feel overwhelmed or frustrated by just getting through every day task? Do you notice your relationships, parenting, and other areas of your day to day being impacted by your sense of feeling disconnected? Woman, including moms, are feeling overwhelmed and defeated about how they are supposed to manage their relationships, children, careers & their own needs. The pressure can become crippling without the proper tools or support. It’s your time to choose yourself!
(541) 834-8617 View (541) 834-8617
Photo of Ana Reichelt, MA, LPC, CADC, I, Licensed Professional Counselor
Ana Reichelt
Licensed Professional Counselor, MA, LPC, CADC, I
Verified Verified
1 Endorsed
Sandy, OR 97055  (Online Only)
It's my privilege to work as a Mental Health Counselor. I offer a safe, non judgmental, place where people can explore their thoughts, feelings, and concerns. I have expertise addressing relationship conflicts, child/parent struggles, separation/divorce, substance abuse, and codependency issues. When we are suffering and in need of counseling we sometimes endure a great deal before we recognize there is a problem that needs to be addressed. If you find yourself struggling in any one of these areas call me to help you find the joy in everyday life.
It's my privilege to work as a Mental Health Counselor. I offer a safe, non judgmental, place where people can explore their thoughts, feelings, and concerns. I have expertise addressing relationship conflicts, child/parent struggles, separation/divorce, substance abuse, and codependency issues. When we are suffering and in need of counseling we sometimes endure a great deal before we recognize there is a problem that needs to be addressed. If you find yourself struggling in any one of these areas call me to help you find the joy in everyday life.
(503) 926-6359 View (503) 926-6359
Photo of Bri Dittlinger, MSW, LCSW, Clinical Social Work/Therapist
Bri Dittlinger
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Sandy, OR 97055  (Online Only)
Waitlist for new clients
Social Work, Advocacy, Therapy. I specialize in systems work, CBT, Narrative therapy, mindfulness and somatic interventions, IFS, Polyvagal theory, and trauma work. I enjoy helping clients reach their goals and make lasting changes. I am a clinical social worker specializing in work with adolescents, young adults, and families; my comfortable age range is ages 14-40.
Social Work, Advocacy, Therapy. I specialize in systems work, CBT, Narrative therapy, mindfulness and somatic interventions, IFS, Polyvagal theory, and trauma work. I enjoy helping clients reach their goals and make lasting changes. I am a clinical social worker specializing in work with adolescents, young adults, and families; my comfortable age range is ages 14-40.
(503) 461-8510 View (503) 461-8510
Photo of Natalie (Nat) Day, LCSW, Clinical Social Work/Therapist
Natalie (Nat) Day
Clinical Social Work/Therapist, LCSW
Verified Verified
Sandy, OR 97055  (Online Only)
Waitlist for new clients
Natalie (Nat) Day, LCSW graduated from Boise State University with a Masters in Social Work in 2018. Over the last decade she's worked in residential treatment, on-campus college counseling, substance abuse treatment, inpatient psychiatric care, and community mental health. Specializing in the treatment of trauma, addictions, couples counseling, and sexuality (kink/BDSM/sex work), her approach to therapy is eclectic, drawing on a variety of evidenced based practices. Nat serves the othered/isolated; supports self acceptance, connection, and community; and believes in individuals' innate power and resilience.
Natalie (Nat) Day, LCSW graduated from Boise State University with a Masters in Social Work in 2018. Over the last decade she's worked in residential treatment, on-campus college counseling, substance abuse treatment, inpatient psychiatric care, and community mental health. Specializing in the treatment of trauma, addictions, couples counseling, and sexuality (kink/BDSM/sex work), her approach to therapy is eclectic, drawing on a variety of evidenced based practices. Nat serves the othered/isolated; supports self acceptance, connection, and community; and believes in individuals' innate power and resilience.
(256) 813-9497 View (256) 813-9497
Photo of Christa Ann Loveland - Secret Room Therapy Center LLC, MSW, LCSW, CADC, Clinical Social Work/Therapist
Secret Room Therapy Center LLC
Clinical Social Work/Therapist, MSW, LCSW, CADC
Verified Verified
Sandy, OR 97055
The Secret Room is the ancient word for chrysalis.Its within the walls of the chrysalis "the safe and protected space" that total transformation takes place. It is the secrets that are within our family systems the secrets that we keep from ourselves and the secrets that others keep that we need to be freed from. Within the safety of The Secret Room you will be able to transform to your highest potential and unveil the secrets that hold you back from the life you truly want and deserve!
The Secret Room is the ancient word for chrysalis.Its within the walls of the chrysalis "the safe and protected space" that total transformation takes place. It is the secrets that are within our family systems the secrets that we keep from ourselves and the secrets that others keep that we need to be freed from. Within the safety of The Secret Room you will be able to transform to your highest potential and unveil the secrets that hold you back from the life you truly want and deserve!
(503) 212-9518 View (503) 212-9518
Photo of Theresa Graham, MA, LPC, LMHC, Licensed Professional Counselor
Theresa Graham
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
1 Endorsed
Sandy, OR 97055  (Online Only)
I am currently Accepting New Clients, including OHP. I offer a collaborative compassionate mind-body approach to healing and to reaching personal goals. I specialize in EMDR and Somatic Psychotherapy, mixed with Cognitive Behavioral interventions. I believe healing involves both mind and body as many symptoms of stress, anxiety, trauma and more are experienced in Both mind and body.
I am currently Accepting New Clients, including OHP. I offer a collaborative compassionate mind-body approach to healing and to reaching personal goals. I specialize in EMDR and Somatic Psychotherapy, mixed with Cognitive Behavioral interventions. I believe healing involves both mind and body as many symptoms of stress, anxiety, trauma and more are experienced in Both mind and body.
(503) 213-6748 View (503) 213-6748
Photo of Melissa Fox, MA, MFT, LPC, LMHC, Licensed Professional Counselor
Melissa Fox
Licensed Professional Counselor, MA, MFT, LPC, LMHC
Verified Verified
Sandy, OR 97055
Not accepting new clients
Effective communication is the cornerstone to building and maintaining successful relationships. Together we will cut to the core of your anxieties and disagreements, identifying your emotional triggers, and allowing you to process these in a safe and validating atmosphere. Moving you past the hurt, blame and defensiveness and onto growth.
Effective communication is the cornerstone to building and maintaining successful relationships. Together we will cut to the core of your anxieties and disagreements, identifying your emotional triggers, and allowing you to process these in a safe and validating atmosphere. Moving you past the hurt, blame and defensiveness and onto growth.
(503) 822-6175 View (503) 822-6175

Online Therapists

Photo of Charmaine Read, LCSW, Clinical Social Work/Therapist
Charmaine Read
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97212  (Online Only)
NOW Accepting new clients! I believe that a good fit and feeling confident with your therapist is the first step in reaching your therapeutic goals. Since 2011, I have worked with a wide array of clients and I have specific experience working with people who experience depression, anxiety, Bipolar, life transitions, stress, self-esteem challenges, women’s issues, trauma, and more. Since everyone is different, I utilize a variety of approaches to help people attain the life they desire and deserve. These include but are not limited to CBT, DBT, EMDR, mindfulness, and solution focused therapy.
NOW Accepting new clients! I believe that a good fit and feeling confident with your therapist is the first step in reaching your therapeutic goals. Since 2011, I have worked with a wide array of clients and I have specific experience working with people who experience depression, anxiety, Bipolar, life transitions, stress, self-esteem challenges, women’s issues, trauma, and more. Since everyone is different, I utilize a variety of approaches to help people attain the life they desire and deserve. These include but are not limited to CBT, DBT, EMDR, mindfulness, and solution focused therapy.
(503) 782-5165 View (503) 782-5165
Photo of Noel Sicat, LCSW, Clinical Social Work/Therapist
Noel Sicat
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97223  (Online Only)
I have years of experience working with clients who struggle with symptoms of Depression, Anxiety, PTSD and Complex PTSD, Bipolar disorder, psychosis, personality disorders and other mood disorders and symptoms.
Hi! My name is Noël, and I am a Licensed Clinical Social Worker with over a decade of experience in a variety of settings. I completed an MSW at Loma Linda University and a Social Work Fellowship at Yale University. Combining the skill work of Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT), with a focus on Existentialism and Narrative Therapy is my preferred approach. Rest assured though, I will choose the evidence-based practice that research recommends, and discuss your options with you. Everyone deserves to be truly heard, and their life journey respected.
I have years of experience working with clients who struggle with symptoms of Depression, Anxiety, PTSD and Complex PTSD, Bipolar disorder, psychosis, personality disorders and other mood disorders and symptoms.
Hi! My name is Noël, and I am a Licensed Clinical Social Worker with over a decade of experience in a variety of settings. I completed an MSW at Loma Linda University and a Social Work Fellowship at Yale University. Combining the skill work of Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT), with a focus on Existentialism and Narrative Therapy is my preferred approach. Rest assured though, I will choose the evidence-based practice that research recommends, and discuss your options with you. Everyone deserves to be truly heard, and their life journey respected.
(971) 545-8015 View (971) 545-8015
Photo of Ghesline Marie DePedro, MA, PCA, QMHP
Ghesline Marie DePedro
Professional Counselor Associate, MA, PCA, QMHP
Verified Verified
Portland, OR 97232  (Online Only)
It is my honor, privilege, and passion to provide therapy to individuals looking to further their journey in wellness. It is key for clients to feel safe and understood in sessions, which is why I prioritized a trauma-informed approach and treat clients as experts on themselves. I cater sessions to the needs of each client. Areas of Focus: anxiety, depression, OCD, borderline personality, trauma, bipolar, obsessional thoughts/behaviors, and intrusive thoughts. I provide evidence-based therapy including Cognitive Behavioral Therapy (CBT), Eye-Movement Desensitization and Reprocessing (EMDR), and Dialectical Behavioral Therapy (DBT).
It is my honor, privilege, and passion to provide therapy to individuals looking to further their journey in wellness. It is key for clients to feel safe and understood in sessions, which is why I prioritized a trauma-informed approach and treat clients as experts on themselves. I cater sessions to the needs of each client. Areas of Focus: anxiety, depression, OCD, borderline personality, trauma, bipolar, obsessional thoughts/behaviors, and intrusive thoughts. I provide evidence-based therapy including Cognitive Behavioral Therapy (CBT), Eye-Movement Desensitization and Reprocessing (EMDR), and Dialectical Behavioral Therapy (DBT).
(503) 727-3782 View (503) 727-3782
Photo of Andrea Floyd, LPC, CADCIII, Licensed Professional Counselor
Andrea Floyd
Licensed Professional Counselor, LPC, CADCIII
Verified Verified
Beaverton, OR 97005
I specialize in working with addictions, life transitions, ADHD, anxiety, depression, PTSD, Bipolar, stress management, women’s issues and grief and loss.
Regardless of whether this is your first attempt at therapy or you are continuing on your therapeutic journey, thank you for choosing you. I believe in a holistic approach to counseling and aim to meet each individual where they are in their own emotional well being. Working collaboratively with clients is a corner stone of my practice and allows for each individual to work towards living and being their authentic self. My clinical work is eclectic and grounded in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Brief Solutions Focused Therapy and Motivational Interviewing.
I specialize in working with addictions, life transitions, ADHD, anxiety, depression, PTSD, Bipolar, stress management, women’s issues and grief and loss.
Regardless of whether this is your first attempt at therapy or you are continuing on your therapeutic journey, thank you for choosing you. I believe in a holistic approach to counseling and aim to meet each individual where they are in their own emotional well being. Working collaboratively with clients is a corner stone of my practice and allows for each individual to work towards living and being their authentic self. My clinical work is eclectic and grounded in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Brief Solutions Focused Therapy and Motivational Interviewing.
(971) 287-5889 View (971) 287-5889
Photo of Lacey Burnett, LCSW, Clinical Social Work/Therapist
Lacey Burnett
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, OR 97219  (Online Only)
I have experience in addressing a wide range of concerns and diagnoses, including anxiety, depression, bipolar disorder, relationship issues, chronic health struggles, self-esteem, stress management, and ADHD. My goal is to empower my clients with tools and insights that can facilitate positive change and enhance their overall quality of life.
I have experience in addressing a wide range of concerns and diagnoses, including anxiety, depression, bipolar disorder, relationship issues, chronic health struggles, self-esteem, stress management, and ADHD. My goal is to empower my clients with tools and insights that can facilitate positive change and enhance their overall quality of life.
(503) 739-9366 View (503) 739-9366
Photo of Dr. Dianna Harris (Accepting New Clients), PsyD, PMHNP, Psychologist
Dr. Dianna Harris (Accepting New Clients)
Psychologist, PsyD, PMHNP
Verified Verified
Portland, OR 97219
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 10/7/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
I have successfully helped people reduce anxiety and depression that has only partially been helped through therapy by adding psychiatric medication that is targeted to treat worry, panic, OCD, depression and bipolar symptoms.
Accepting NEW Clients (ages 18-65) as of 10/7/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
(503) 476-9855 View (503) 476-9855
Photo of Elli Adkins, MS, LPCA
Elli Adkins
Professional Counselor Associate , MS, LPCA
Verified Verified
Portland, OR 97205  (Online Only)
I specialize in trauma processing, depression, and anxiety, but have worked with a variety of issues including bipolar disorder, suicidal ideation, self-harm, difficult relationships, personality disorders, PTSD, life transitions, low self-esteem, grief/loss, substance abuse, psychosis, autism, ADHD, and more.
Our past experiences can impact how we navigate the present. Understanding and processing our experiences can lead to healing and transformation. My priority is creating an open and safe space to explore these experiences through genuine connection, empathy and acceptance. I use a person-centered and trauma-informed approach to therapy that draws on techniques from attachment theory, somatic therapy, EMDR, parts work (internal family systems), emotionally focused therapy, cognitive behavioral therapy and others that align with your unique needs, values and goals.
I specialize in trauma processing, depression, and anxiety, but have worked with a variety of issues including bipolar disorder, suicidal ideation, self-harm, difficult relationships, personality disorders, PTSD, life transitions, low self-esteem, grief/loss, substance abuse, psychosis, autism, ADHD, and more.
Our past experiences can impact how we navigate the present. Understanding and processing our experiences can lead to healing and transformation. My priority is creating an open and safe space to explore these experiences through genuine connection, empathy and acceptance. I use a person-centered and trauma-informed approach to therapy that draws on techniques from attachment theory, somatic therapy, EMDR, parts work (internal family systems), emotionally focused therapy, cognitive behavioral therapy and others that align with your unique needs, values and goals.
(971) 396-1526 View (971) 396-1526
Photo of Tyler Ray Pruitt, MA, NCC, Licensed Professional Counselor
Tyler Ray Pruitt
Licensed Professional Counselor, MA, NCC
Verified Verified
Tualatin, OR 97062  (Online Only)
My work consists of addressing complex issues such as addiction, unhealthy behaviors, identity issues, LGBTQ+ concerns, depression, anxiety, bipolar disorder, life transitions, relational problems, and trauma.
My work consists of addressing complex issues such as addiction, unhealthy behaviors, identity issues, LGBTQ+ concerns, depression, anxiety, bipolar disorder, life transitions, relational problems, and trauma.
(325) 313-3289 View (325) 313-3289
Photo of Lysette Herrera, MA,  LPC,  LMHC, Counselor
Lysette Herrera
Counselor, MA, LPC, LMHC
Verified Verified
Tualatin, OR 97062
Lysette uses an integrative approach in therapy incorporating cognitivebehavioral techniques, psychodynamic theory, and family systems catered to each individual client. Lysette is strength based and wants to help clients reach their full potential through the healing process of therapy. Main areas of focus are depression, anxiety, trauma, and bipolar disorder. In her spare time, Lysette enjoys going to museums, traveling, spending time with family, and listening to music. She also is currently working on her PhD in International Psychology.
Lysette uses an integrative approach in therapy incorporating cognitivebehavioral techniques, psychodynamic theory, and family systems catered to each individual client. Lysette is strength based and wants to help clients reach their full potential through the healing process of therapy. Main areas of focus are depression, anxiety, trauma, and bipolar disorder. In her spare time, Lysette enjoys going to museums, traveling, spending time with family, and listening to music. She also is currently working on her PhD in International Psychology.
(833) 996-1403 View (833) 996-1403
Photo of Marianne Lopez, LCSW, Clinical Social Work/Therapist
Marianne Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salem, OR 97301  (Online Only)
I specialize in working with individuals dealing with PTSD/trauma, bipolar disorder, anxiety, depression, and personality disorders.
Hello! I’m Marianne, your ally in navigating life’s complexities. As a Gen X woman, I wear many hats—I’m a caring wife, a loving dog mom, a therapist, a self-care advocate, and a fan of Reeses Cups and the ocean. My mission is to help people lead lives that align with their values, dreams, and goals. I work with amazing, strong individuals who want to be heard, set meaningful goals, manage stress, and live their best, authentic lives.
I specialize in working with individuals dealing with PTSD/trauma, bipolar disorder, anxiety, depression, and personality disorders.
Hello! I’m Marianne, your ally in navigating life’s complexities. As a Gen X woman, I wear many hats—I’m a caring wife, a loving dog mom, a therapist, a self-care advocate, and a fan of Reeses Cups and the ocean. My mission is to help people lead lives that align with their values, dreams, and goals. I work with amazing, strong individuals who want to be heard, set meaningful goals, manage stress, and live their best, authentic lives.
(503) 751-3203 View (503) 751-3203
Photo of Frances Stokley, MSW,  QHMA,  QMHP
Frances Stokley
Clinical Social Work Associate, MSW, QHMA, QMHP
Verified Verified
Beaverton, OR 97006
Frances Stokley, a dedicated provider at LifeStance Health, offers compassionate support and expert treatment to individuals in Oregon. With a focus on helping children and adolescents, Frances addresses the unique mental health challenges faced by these age groups. She specializes in treating anxiety, depression, and childhood behavior issues, providing tailored interventions to foster growth and wellbeing in her young patients. Frances is particularly passionate about addressing mental health problems in children, including anxiety, bipolar disorder, PTSD/trauma, and reproductive challenges.
Frances Stokley, a dedicated provider at LifeStance Health, offers compassionate support and expert treatment to individuals in Oregon. With a focus on helping children and adolescents, Frances addresses the unique mental health challenges faced by these age groups. She specializes in treating anxiety, depression, and childhood behavior issues, providing tailored interventions to foster growth and wellbeing in her young patients. Frances is particularly passionate about addressing mental health problems in children, including anxiety, bipolar disorder, PTSD/trauma, and reproductive challenges.
(833) 996-1403 View (833) 996-1403
Photo of Dana Fears, LPC, Licensed Professional Counselor
Dana Fears
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Hillsboro, OR 97006  (Online Only)
Are you on a personal journey to heal from grief and trauma? I am someone to guide you through the chaos and help you encounter hope. I specialize in grief and loss, narcissistic abuse recovery, Bipolar disorder, adult children of alcoholics, and individuals with disabilities and those auto-immune disorders, and individuals who are domestic violence and cancer survivors. Unfortunately, I don't treat suicidal ideation or self-harm at this time.
Are you on a personal journey to heal from grief and trauma? I am someone to guide you through the chaos and help you encounter hope. I specialize in grief and loss, narcissistic abuse recovery, Bipolar disorder, adult children of alcoholics, and individuals with disabilities and those auto-immune disorders, and individuals who are domestic violence and cancer survivors. Unfortunately, I don't treat suicidal ideation or self-harm at this time.
(971) 318-2293 View (971) 318-2293

See more therapy options for Sandy

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.