Bipolar Disorder Therapists in Goochland, VA

Photo of Shannon Fowler, LCP, Psychologist
Shannon Fowler
Psychologist, LCP
Verified Verified
Goochland, VA 23063
I am Shannon Fowler. I have a PhD in clinical psychology. I try to approach therapy as a collaborative process with each person. I also try to create an environment that is safe and respectful. I have experience entreating many different types of mental health concerns like depression, anxiety, trauma, and eating disorders. I also have experience helping with behavior change around medical issues like diabetes, obesity, chronic pain, etc.
I am Shannon Fowler. I have a PhD in clinical psychology. I try to approach therapy as a collaborative process with each person. I also try to create an environment that is safe and respectful. I have experience entreating many different types of mental health concerns like depression, anxiety, trauma, and eating disorders. I also have experience helping with behavior change around medical issues like diabetes, obesity, chronic pain, etc.
(804) 676-6480 View (804) 676-6480
Photo of Lara Sharp Finnie, LPC, MA, NCC, Licensed Professional Counselor
Lara Sharp Finnie
Licensed Professional Counselor, LPC, MA, NCC
Verified Verified
2 Endorsed
Goochland, VA 23063
"Worried Well" describes those who are dealing with life the best they can in spite of anxious thoughts, depressed moods, overwhelming stress, or grieving. Juggling demands of work and home, struggling with relationships or divorce or a loved one's addiction, or experiencing significant losses can make anyone doubt life will get better. Some feel guilty or selfish for experiencing these thoughts and feelings. Many question God or harbor anger and resentment toward others. Some are simply numb and can no longer find joy in the journey. You are not alone!
"Worried Well" describes those who are dealing with life the best they can in spite of anxious thoughts, depressed moods, overwhelming stress, or grieving. Juggling demands of work and home, struggling with relationships or divorce or a loved one's addiction, or experiencing significant losses can make anyone doubt life will get better. Some feel guilty or selfish for experiencing these thoughts and feelings. Many question God or harbor anger and resentment toward others. Some are simply numb and can no longer find joy in the journey. You are not alone!
(804) 552-1524 View (804) 552-1524
Photo of Emily Webb Olsen, LPC, Licensed Professional Counselor
Emily Webb Olsen
Licensed Professional Counselor, LPC
Verified Verified
Goochland, VA 23063
Are you ready to embark on a journey of self-discovery, resilience, and deep level healing? I utilize somatic therapy and trauma therapy approaches that helps you recognize our deep connection between the body and mind, offering you a holistic path to emotional well-being. I am committed to creating a safe and empathetic space where you can explore your experiences, uncover your strengths, and build a foundation for lasting transformation. I enjoy working with other mental health professionals and teachers, and I offer sliding scale for those who are just starting their profession.
Are you ready to embark on a journey of self-discovery, resilience, and deep level healing? I utilize somatic therapy and trauma therapy approaches that helps you recognize our deep connection between the body and mind, offering you a holistic path to emotional well-being. I am committed to creating a safe and empathetic space where you can explore your experiences, uncover your strengths, and build a foundation for lasting transformation. I enjoy working with other mental health professionals and teachers, and I offer sliding scale for those who are just starting their profession.
(540) 235-5664 View (540) 235-5664
Photo of Sarah Knoll, MEd, LPC, Licensed Professional Counselor
Sarah Knoll
Licensed Professional Counselor, MEd, LPC
Verified Verified
Goochland, VA 23063  (Online Only)
Sarah Knoll Counseling provides virtual mental health therapy focusing on individuals and couples navigating pregnancy, parenting, and life after children. Sarah is trained in Perinatal Mental Health, which includes conception through the first years postpartum. Sarah is in-training with EMDR (Eye movement Desensitization and Reprocessing) through the Touchstone Institute which focused on the perinatal population. Other focuses include life transitions, relationship issues, depression, anxiety.
Sarah Knoll Counseling provides virtual mental health therapy focusing on individuals and couples navigating pregnancy, parenting, and life after children. Sarah is trained in Perinatal Mental Health, which includes conception through the first years postpartum. Sarah is in-training with EMDR (Eye movement Desensitization and Reprocessing) through the Touchstone Institute which focused on the perinatal population. Other focuses include life transitions, relationship issues, depression, anxiety.
(540) 917-5156 View (540) 917-5156
Photo of Linda E Love - Linda E Love LCSW PC, MSW, LCSW, PhD, Clinical Social Work/Therapist
Linda E Love LCSW PC
Clinical Social Work/Therapist, MSW, LCSW, PhD
Verified Verified
Goochland, VA 23063
Not accepting new clients
I have been in the field of helping for over 30 years. I approach therapy from a client cerntered perspective as I believe we all have the strength inside to heal but may need support and guidance to access and activate that strength to make changes. Trained in EMDR, years as an adjunct faculty with VCU, leading the USMC's behavioral health care, and certified to supervise MSWs going for licensure, provides me with a wide variety of experiences and tools to help you reach your goals. I would like an opportunity to assist you.
I have been in the field of helping for over 30 years. I approach therapy from a client cerntered perspective as I believe we all have the strength inside to heal but may need support and guidance to access and activate that strength to make changes. Trained in EMDR, years as an adjunct faculty with VCU, leading the USMC's behavioral health care, and certified to supervise MSWs going for licensure, provides me with a wide variety of experiences and tools to help you reach your goals. I would like an opportunity to assist you.
(804) 313-9032 View (804) 313-9032

More Therapists Nearby

Photo of Stephanie Craddock, LCSW, Clinical Social Work/Therapist
Stephanie Craddock
Clinical Social Work/Therapist, LCSW
Verified Verified
Gum Spring, VA 23065
My name is Stephanie Craddock, and I am a Clinical Social Worker committed to providing clients with a warm, supportive environment in which they can explore and grow. The clients I typically work with are dealing with stress and anxiety, maybe due to a major life change or having anxiety impact their life for no known reason. I also enjoy working with older adults and the people who care for them, as well as people who are experiencing parenting struggles.
My name is Stephanie Craddock, and I am a Clinical Social Worker committed to providing clients with a warm, supportive environment in which they can explore and grow. The clients I typically work with are dealing with stress and anxiety, maybe due to a major life change or having anxiety impact their life for no known reason. I also enjoy working with older adults and the people who care for them, as well as people who are experiencing parenting struggles.
(571) 506-7397 View (571) 506-7397

Online Therapists

Photo of Ben Thomas, MEd, LPC, CSAC, Licensed Professional Counselor
Ben Thomas
Licensed Professional Counselor, MEd, LPC, CSAC
Verified Verified
Fairfax, VA 22030
I have experience supporting people in recovery, addressing issues related to depression, anxiety, and bipolar disorder.
I am a clinician with over 30 years combined experience in the fields of substance abuse and mental health. I have worked for a number of years assisting adults find recovery in an outpatient substance abuse setting. In more recent years, I have worked with people of all ages experiencing a mental health and/or substance abuse crisis. I use a client centered approach and I am familiar with other treatment modalities such as cognitive behavior therapy.
I have experience supporting people in recovery, addressing issues related to depression, anxiety, and bipolar disorder.
I am a clinician with over 30 years combined experience in the fields of substance abuse and mental health. I have worked for a number of years assisting adults find recovery in an outpatient substance abuse setting. In more recent years, I have worked with people of all ages experiencing a mental health and/or substance abuse crisis. I use a client centered approach and I am familiar with other treatment modalities such as cognitive behavior therapy.
(571) 520-9567 View (571) 520-9567
Photo of Alicia Funes, Clinical Social Work/Therapist
Alicia Funes
Clinical Social Work/Therapist
Verified Verified
Midlothian, VA 23112  (Online Only)
My specialties include the treatment of Bipolar Disorder, Anxiety, Depression, Suicidality, and Post-Traumatic Stress.
My name is Alicia Funes, and I am a bilingual, licensed Clinical Social Worker in Virginia with eighteen years of experience in the mental health field. I fulfilled a Bachelor of Social Work Degree from New Mexico State University and a Master's Degree in Clinical Social Work from Virginia Commonwealth University. My professional career entails treating clients in private practice, hospitals, schools, residential treatment centers, and home-based counseling.
My specialties include the treatment of Bipolar Disorder, Anxiety, Depression, Suicidality, and Post-Traumatic Stress.
My name is Alicia Funes, and I am a bilingual, licensed Clinical Social Worker in Virginia with eighteen years of experience in the mental health field. I fulfilled a Bachelor of Social Work Degree from New Mexico State University and a Master's Degree in Clinical Social Work from Virginia Commonwealth University. My professional career entails treating clients in private practice, hospitals, schools, residential treatment centers, and home-based counseling.
(804) 391-0713 View (804) 391-0713
Photo of Sundus Ahmed - Sundus Ahmed, MA — Effective trauma-aware therapy, MA, LGPC
Sundus Ahmed, MA — Effective trauma-aware therapy
Resident in Counseling, MA, LGPC
Verified Verified
1 Endorsed
Alexandria, VA 22314
Have you experienced trauma? Are past traumatic events powering anxiety, depression, or other challenges? In therapy, you can get effective help for sustained healing. You can build coping skills to better manage anxiety, depression, PTSD, Post-Traumatic Stress Disorder (PTSD), Adjustment Disorder, Attention-deficit/hyperactivity disorder (ADHD), Autism Spectrum Disorder (ASD), Borderline Personality Disorder, and Bipolar Disorders. You can build better and more meaningful relationships. You can be more focused, more centered, and more balanced. Reach out today for effective help. You can reach your potential.
Have you experienced trauma? Are past traumatic events powering anxiety, depression, or other challenges? In therapy, you can get effective help for sustained healing. You can build coping skills to better manage anxiety, depression, PTSD, Post-Traumatic Stress Disorder (PTSD), Adjustment Disorder, Attention-deficit/hyperactivity disorder (ADHD), Autism Spectrum Disorder (ASD), Borderline Personality Disorder, and Bipolar Disorders. You can build better and more meaningful relationships. You can be more focused, more centered, and more balanced. Reach out today for effective help. You can reach your potential.
(571) 470-6386 View (571) 470-6386
Photo of Andrea Miller, LGPC, MA, NCC
Andrea Miller
Resident in Counseling, LGPC, MA, NCC
Verified Verified
Arlington, VA 22209
Are you in search of support? Are you struggling with symptoms of trauma, anxiety, depression, self-esteem, personal growth, life transitions, relationship conflict, multicultural issues, religion, spirituality, self-harm, suicidal ideation, or bipolar/mood disorders?
Are you in search of support? Are you struggling with symptoms of trauma, anxiety, depression, self-esteem, personal growth, life transitions, relationship conflict, multicultural issues, religion, spirituality, self-harm, suicidal ideation, or bipolar/mood disorders?
(571) 946-6525 View (571) 946-6525
Photo of Marylyn Bowman, Clinical Social Work/Therapist
Marylyn Bowman
Clinical Social Work/Therapist
Verified Verified
Manassas, VA 20110  (Online Only)
I have been working in the field of mental health for many years. I enjoy working with clients with substance use issues, bipolar disorder, anxiety, depression, trauma ,grief and coping with life changes . I have worked with the general public as well as working with our veterans for 12 years. I am a warm, compassionate human being who believes in the healing power of laughter and tears. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
I have been working in the field of mental health for many years. I enjoy working with clients with substance use issues, bipolar disorder, anxiety, depression, trauma ,grief and coping with life changes . I have worked with the general public as well as working with our veterans for 12 years. I am a warm, compassionate human being who believes in the healing power of laughter and tears. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
(571) 487-7602 View (571) 487-7602
Photo of Alicia Margarita Funes, LCSW, Clinical Social Work/Therapist
Alicia Margarita Funes
Clinical Social Work/Therapist, LCSW
Verified Verified
Reston, VA 20190
I specialize in treating Bipolar Disorder, Anxiety, Depression, and Post-Traumatic Stress Disorder (PTSD).
Therapy is a method of improving daily functioning by acquiring self-motivation through gaining insight, establishing boundaries, and embracing positive and challenging emotional states. You will learn to trust yourself, enhance your self-compassion, recognize your strengths, and discover the gifts with which you have been blessed. I have extensive experience working with individuals of all ages, including children, adolescents, adults, couples, and families. I have worked in diverse settings, including inpatient and outpatient care, home-based counseling, residential treatment centers, hospitals, private practice, and schools.
I specialize in treating Bipolar Disorder, Anxiety, Depression, and Post-Traumatic Stress Disorder (PTSD).
Therapy is a method of improving daily functioning by acquiring self-motivation through gaining insight, establishing boundaries, and embracing positive and challenging emotional states. You will learn to trust yourself, enhance your self-compassion, recognize your strengths, and discover the gifts with which you have been blessed. I have extensive experience working with individuals of all ages, including children, adolescents, adults, couples, and families. I have worked in diverse settings, including inpatient and outpatient care, home-based counseling, residential treatment centers, hospitals, private practice, and schools.
(571) 520-4674 View (571) 520-4674
Photo of Nicole Fogel, LCSW, Clinical Social Work/Therapist
Nicole Fogel
Clinical Social Work/Therapist, LCSW
Verified Verified
Lansdowne, VA 20176  (Online Only)
After graduating from NYU with a BSW and then an MSW, I continued on to work with individuals & families throughout my career. I received my license in clinical social work in 2009. I also have my certification to do supervision. My areas of expertise include anxiety, depression, couples & family therapy, ADHD, BPD, Bipolar Disorder, ASD & ODD. I use techniques from CBT, psychotherapy, mindfulness based cognitive therapy, behavior therapy & client centered therapy. During the past six years a lot of my practice has been focused on couples counseling. It has been a wonderful experience helping couples work on communication & love.
After graduating from NYU with a BSW and then an MSW, I continued on to work with individuals & families throughout my career. I received my license in clinical social work in 2009. I also have my certification to do supervision. My areas of expertise include anxiety, depression, couples & family therapy, ADHD, BPD, Bipolar Disorder, ASD & ODD. I use techniques from CBT, psychotherapy, mindfulness based cognitive therapy, behavior therapy & client centered therapy. During the past six years a lot of my practice has been focused on couples counseling. It has been a wonderful experience helping couples work on communication & love.
(571) 496-8996 View (571) 496-8996
Photo of Poppy Regina Bilbra-Jacobs - Poppy R. Bilbra-Jacobs, LPC, MS, LPC, Licensed Professional Counselor
Poppy R. Bilbra-Jacobs, LPC
Licensed Professional Counselor, MS, LPC
Verified Verified
Arlington, VA 22206  (Online Only)
Waitlist for new clients
Hello! I am a Licensed Professional Counselor in Virginia with over 20 years' experience working with children, adolescents, and adults. Are you struggling to manage your emotions or adjust to changes? Do you want to improve your relationships? We all have times in our lives when we need extra support to cope and succeed. I have worked extensively with a spectrum of people and problems such as depression, bipolar depression, anxiety, trauma including PTSD, bereavement, autism spectrum, and parenting.
Hello! I am a Licensed Professional Counselor in Virginia with over 20 years' experience working with children, adolescents, and adults. Are you struggling to manage your emotions or adjust to changes? Do you want to improve your relationships? We all have times in our lives when we need extra support to cope and succeed. I have worked extensively with a spectrum of people and problems such as depression, bipolar depression, anxiety, trauma including PTSD, bereavement, autism spectrum, and parenting.
(571) 931-2316 View (571) 931-2316
Photo of Michael Tinsley, MSW, LCSW, Clinical Social Work/Therapist
Michael Tinsley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
I have several years of experience in working with children, adults, and families, on a broad array of issues ranging from depression, anxiety, bipolar, ADHD, schizophrenia, substance abuse and trauma.
I am a Graduate of Howard University and UNC Charlotte, I have a BA in Psychology and a Masters in Social Work. I have a passion for working with individuals, couples and families who seek change to become happier, healthier and gain control over obstacles that are weighing them down.
I have several years of experience in working with children, adults, and families, on a broad array of issues ranging from depression, anxiety, bipolar, ADHD, schizophrenia, substance abuse and trauma.
I am a Graduate of Howard University and UNC Charlotte, I have a BA in Psychology and a Masters in Social Work. I have a passion for working with individuals, couples and families who seek change to become happier, healthier and gain control over obstacles that are weighing them down.
(757) 801-3428 View (757) 801-3428
Photo of Lynn Lemon, Licensed Professional Counselor
Lynn Lemon
Licensed Professional Counselor
Verified Verified
1 Endorsed
Lynchburg, VA 24504  (Online Only)
Lynn Lemon is a Licensed Professional Counselor with over 5 years of clinical experience working with adults in the mental health field. Lynn has experience with individuals diagnosed with anxiety, depression, OCD, PTSD, substance abuse disorder, bipolar disorder, and schizophrenia. She received a Bachelor’s degree in Psychology and a Master’s degree in Professional Counseling from Liberty University. She is on her way to becoming certified in eye movement desensitization and reprocessing (EMDR). Lynn’s therapeutic approach, although eclectic, is greatly influenced by Psychodynamic theory.
Lynn Lemon is a Licensed Professional Counselor with over 5 years of clinical experience working with adults in the mental health field. Lynn has experience with individuals diagnosed with anxiety, depression, OCD, PTSD, substance abuse disorder, bipolar disorder, and schizophrenia. She received a Bachelor’s degree in Psychology and a Master’s degree in Professional Counseling from Liberty University. She is on her way to becoming certified in eye movement desensitization and reprocessing (EMDR). Lynn’s therapeutic approach, although eclectic, is greatly influenced by Psychodynamic theory.
(434) 201-7495 View (434) 201-7495
Photo of Alexandra Mai - Alexandra Mai, LMSW — Anxiety, Addiction, Biplolar, LMSW
Alexandra Mai, LMSW — Anxiety, Addiction, Biplolar
LMSW
Verified Verified
Alexandria, VA 22314
In a warm and supportive atmosphere, you will get the help that you need to recover from anxiety, depression, trauma, addiction, bipolar disorder, and other mental health challenges.
Do you or your teen struggle with anxiety, depression, or substance abuse? Do you need to heal from a recent or past trauma? Are you frequently nervous, or do you have trouble sleeping? In therapy, you can build coping skills that you can start applying right away in everyday life to feel calmer and more in control. We will work to equip you with the internal resources that you need to thrive. Our goal will be resilience and sustained healing. You can gain clarity on what matters to you most. You can open up to your feelings, thoughts, and emotions. Contact me today to learn more about therapy. I am looking forward to helping!
In a warm and supportive atmosphere, you will get the help that you need to recover from anxiety, depression, trauma, addiction, bipolar disorder, and other mental health challenges.
Do you or your teen struggle with anxiety, depression, or substance abuse? Do you need to heal from a recent or past trauma? Are you frequently nervous, or do you have trouble sleeping? In therapy, you can build coping skills that you can start applying right away in everyday life to feel calmer and more in control. We will work to equip you with the internal resources that you need to thrive. Our goal will be resilience and sustained healing. You can gain clarity on what matters to you most. You can open up to your feelings, thoughts, and emotions. Contact me today to learn more about therapy. I am looking forward to helping!
(301) 781-7972 View (301) 781-7972
Photo of Victoria Marszalek, LCSW, MTS, Clinical Social Work/Therapist
Victoria Marszalek
Clinical Social Work/Therapist, LCSW, MTS
Verified Verified
1 Endorsed
Herndon, VA 20170
This is a hard time. Sometimes we get stuck and need someone outside of our circle to help us figure things out. I help people to more deeply understand and change negative or addictive behaviors that are dramatically impacting their lives. Relationships can be so complicated, and trying to find different ways to communicate can feel like a mystery. I work with people struggling with all types of addictions, depression, anxiety, bipolar, and relationship issues. I provide a safe, nonjudgmental, compassionate environment where we will work together to explore areas that are causing pain, and we will find new ways to cope.
This is a hard time. Sometimes we get stuck and need someone outside of our circle to help us figure things out. I help people to more deeply understand and change negative or addictive behaviors that are dramatically impacting their lives. Relationships can be so complicated, and trying to find different ways to communicate can feel like a mystery. I work with people struggling with all types of addictions, depression, anxiety, bipolar, and relationship issues. I provide a safe, nonjudgmental, compassionate environment where we will work together to explore areas that are causing pain, and we will find new ways to cope.
(571) 999-7308 View (571) 999-7308
Photo of Nina Garland
Nina Garland
Resident in Counseling
Verified Verified
1 Endorsed
Fairfax, VA 22031
With experience working with clients of all ages, I have worked with conditions such as anxiety, depression, ADHD, adjustment disorder, and bipolar disorder.
Are you truly ready to know yourself and embrace your emotional well-being? I am dedicated to guiding individuals through the intricate paths of their emotional and mental well-being. With a deep understanding rooted in my own family's experiences with mental illness and my personal journey as a Latina woman, I recognize the importance of creating tailored treatment plans that honor each person's unique needs. I hold honesty, respect, cultural proficiency, and confidentiality in the highest regard.
With experience working with clients of all ages, I have worked with conditions such as anxiety, depression, ADHD, adjustment disorder, and bipolar disorder.
Are you truly ready to know yourself and embrace your emotional well-being? I am dedicated to guiding individuals through the intricate paths of their emotional and mental well-being. With a deep understanding rooted in my own family's experiences with mental illness and my personal journey as a Latina woman, I recognize the importance of creating tailored treatment plans that honor each person's unique needs. I hold honesty, respect, cultural proficiency, and confidentiality in the highest regard.
(571) 458-1516 View (571) 458-1516
Photo of Jan L Barrymore - JPCounseling, MEd, LPC, Licensed Professional Counselor
JPCounseling
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Williamsburg, VA 23188
I am a Licensed Professional Counselor. My experience includes treating mood and anxiety disorders, such as depression, bipolar disorder, social anxiety, generalized anxiety, panic disorder, OCD, and PTSD in adults and adolescents. I also work with gay/lesbian/ bisexual/ and transgendered clients. I work with people to improve their self-esteem, self-confidence, handle anger issues and relationships. My goal is to empower individuals to take control of their lives. I believe people have the ability to heal themselves and talking with someone can make a difference.
I am a Licensed Professional Counselor. My experience includes treating mood and anxiety disorders, such as depression, bipolar disorder, social anxiety, generalized anxiety, panic disorder, OCD, and PTSD in adults and adolescents. I also work with gay/lesbian/ bisexual/ and transgendered clients. I work with people to improve their self-esteem, self-confidence, handle anger issues and relationships. My goal is to empower individuals to take control of their lives. I believe people have the ability to heal themselves and talking with someone can make a difference.
(757) 655-0315 View (757) 655-0315

See more therapy options for Goochland

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.