Bipolar Disorder Therapists in Manakin Sabot, VA

Photo of Alyssa Shadbolt, LCSW, Clinical Social Work/Therapist
Alyssa Shadbolt
Clinical Social Work/Therapist, LCSW
Verified Verified
Manakin Sabot, VA 23103
Alyssa Shadbolt is a Licensed Clinical Social Worker in Virginia who has been practicing since 2018. She has a Masters in Clinical Social Work from Virginia Commonwealth University. Alyssa provides strengths-based therapy based on positive psychology to assist clientele with identifying concerns and working as a team to find solutions. Alyssa's favorite thing is spending time with family (including pets), watching TV, doing arts and crafts, and relaxing.
Alyssa Shadbolt is a Licensed Clinical Social Worker in Virginia who has been practicing since 2018. She has a Masters in Clinical Social Work from Virginia Commonwealth University. Alyssa provides strengths-based therapy based on positive psychology to assist clientele with identifying concerns and working as a team to find solutions. Alyssa's favorite thing is spending time with family (including pets), watching TV, doing arts and crafts, and relaxing.
(804) 979-2889 View (804) 979-2889
Photo of Kimberly Warner, LCSW, CSAC-S, ADHDCCP, EMDRIA, Clinical Social Work/Therapist
Kimberly Warner
Clinical Social Work/Therapist, LCSW, CSAC-S, ADHDCCP, EMDRIA
Verified Verified
Manakin Sabot, VA 23103
Kimberly Warner is a Licensed Clinical Social Worker-Supervisory and a Credentialed Substance Abuse Counselor (CSAC)-Supervisory, in the states: Virginia and New York. She has 13+ years of experience as a mental health, trauma, and chemical dependency therapist, and 6 years of Clinical Supervision & Director experience. Kim is credentialed in various evidence based therapeutic modules related to those dealing with trauma/adversities.
Kimberly Warner is a Licensed Clinical Social Worker-Supervisory and a Credentialed Substance Abuse Counselor (CSAC)-Supervisory, in the states: Virginia and New York. She has 13+ years of experience as a mental health, trauma, and chemical dependency therapist, and 6 years of Clinical Supervision & Director experience. Kim is credentialed in various evidence based therapeutic modules related to those dealing with trauma/adversities.
(804) 600-4671 View (804) 600-4671
Photo of Jane Kudlas, PhD, Psychologist
Jane Kudlas
Psychologist, PhD
Verified Verified
Manakin Sabot, VA 23103
Jane Kudlas, Ph.D. is a Licensed Clinical Psychologist in the State of Virginia and a Member of the American Psychological Association. Dr. Kudlas has over 25 years of experience working as a mental health provider in inpatient, school-based, and outpatient settings. She completed her Ph.D. in Clinical Psychology from Virginia Polytechnic Institute and State University following a clinical internship at the Medical University of South Carolina.
Jane Kudlas, Ph.D. is a Licensed Clinical Psychologist in the State of Virginia and a Member of the American Psychological Association. Dr. Kudlas has over 25 years of experience working as a mental health provider in inpatient, school-based, and outpatient settings. She completed her Ph.D. in Clinical Psychology from Virginia Polytechnic Institute and State University following a clinical internship at the Medical University of South Carolina.
(804) 635-3189 View (804) 635-3189
Photo of Kim Giancaspro, LCSW, Clinical Social Work/Therapist
Kim Giancaspro
Clinical Social Work/Therapist, LCSW
Verified Verified
Manakin Sabot, VA 23103
My clients are adults who are struggling with depression, anxiety, mood difficulties, and/or a history of trauma. Others are in the midst of a life transition of some sort and have chosen to engage in therapy as a tool to assist them in learning new coping strategies. Research has confirmed that talk therapy - sometimes referred to as psychotherapy - is often very helpful for folks who are dealing with mood and/or relationship difficulties. In some cases (but not always), people will benefit from medication as well.
My clients are adults who are struggling with depression, anxiety, mood difficulties, and/or a history of trauma. Others are in the midst of a life transition of some sort and have chosen to engage in therapy as a tool to assist them in learning new coping strategies. Research has confirmed that talk therapy - sometimes referred to as psychotherapy - is often very helpful for folks who are dealing with mood and/or relationship difficulties. In some cases (but not always), people will benefit from medication as well.
(804) 265-4262 View (804) 265-4262
Photo of Shelia Williams, MDiv,  LPC,  LSATP, Licensed Professional Counselor
Shelia Williams
Licensed Professional Counselor, MDiv, LPC, LSATP
Verified Verified
Manakin Sabot, VA 23103
Shelia E. Williams is a Licensed Professional Counselor and Substance Abuse Professional, who has been practicing since 2005. She graduated from Liberty University with a Master of Arts degree in Professional Counseling. Shelia believes in an eclectic approach which meets a person where they are. In addition she believes in understanding each client as a unique person with their own particular problems and then selecting research-based techniques from across different types of therapy in order to help that client grow in a personally meaningful way.
Shelia E. Williams is a Licensed Professional Counselor and Substance Abuse Professional, who has been practicing since 2005. She graduated from Liberty University with a Master of Arts degree in Professional Counseling. Shelia believes in an eclectic approach which meets a person where they are. In addition she believes in understanding each client as a unique person with their own particular problems and then selecting research-based techniques from across different types of therapy in order to help that client grow in a personally meaningful way.
(804) 657-6188 View (804) 657-6188
Photo of Jennifer J. Mixson, LPC, Clinical Social Work/Therapist
Jennifer J. Mixson
Clinical Social Work/Therapist, LPC
Verified Verified
Manakin Sabot, VA 23103
Jennifer Mixson is a Licensed Professional Counselor in Virginia providing outpatient mental health counseling to adolescents and adults between the ages of 14 and 70 years. Her counseling style is an integrated approach, with features of Person-Centered, Cognitive-Behavioral, insight-based Psychodynamic, and Reality therapies. She has over 20 years of experience working in the Behavioral Health field with a diverse population, including children, adolescents, and adults dealing with depression, anxiety, relational, and psychotic issues.
Jennifer Mixson is a Licensed Professional Counselor in Virginia providing outpatient mental health counseling to adolescents and adults between the ages of 14 and 70 years. Her counseling style is an integrated approach, with features of Person-Centered, Cognitive-Behavioral, insight-based Psychodynamic, and Reality therapies. She has over 20 years of experience working in the Behavioral Health field with a diverse population, including children, adolescents, and adults dealing with depression, anxiety, relational, and psychotic issues.
(804) 494-7758 View (804) 494-7758

More Therapists Nearby

Photo of Teri Bistarkey, LCSW, Clinical Social Work/Therapist
Teri Bistarkey
Clinical Social Work/Therapist, LCSW
Verified Verified
Glen Allen, VA 23060
I have many years of experience working with people with depression and anxiety as well as bipolar and schizophrenia.
Feeling like you can't quite keep it together? Sometimes we get overwhelmed with the stresses in life and need help sorting them out. Maybe you've just hit a low point or feeling overly worried and anxious. Talking to a therapist has helped many people who are feeling the same way. The last two years have been more than difficult, and people are struggling. I help people figure out what's working well for them and what's not. Then we explore together the many strengths and skills you already have and can use to overcome the problems life throws at us.
I have many years of experience working with people with depression and anxiety as well as bipolar and schizophrenia.
Feeling like you can't quite keep it together? Sometimes we get overwhelmed with the stresses in life and need help sorting them out. Maybe you've just hit a low point or feeling overly worried and anxious. Talking to a therapist has helped many people who are feeling the same way. The last two years have been more than difficult, and people are struggling. I help people figure out what's working well for them and what's not. Then we explore together the many strengths and skills you already have and can use to overcome the problems life throws at us.
(434) 813-6641 View (434) 813-6641
Photo of Robert Phillips, LPC, Licensed Professional Counselor
Robert Phillips
Licensed Professional Counselor, LPC
Verified Verified
Crozier, VA 23039
My experiences are with adults suffering from substance use, anxiety disorders, bipolar, schizophrenia disorders, anger issues, children and adults suffering from ADHD, and autism spectrum.
My name is Robert Phillips. I hold an LPC license from the state of Virginia and am a Certified Substance Abuse Professional with CSAC - A certificate. My approach is to build a strong therapeutic relationship, stay focused on the client in the present moment without judgment, help people gain skills and tools for managing complicated situations, and encourage a spirit of openness, curiosity, and acceptance to help individuals understand they can choose to respond rationally and control behaviors
My experiences are with adults suffering from substance use, anxiety disorders, bipolar, schizophrenia disorders, anger issues, children and adults suffering from ADHD, and autism spectrum.
My name is Robert Phillips. I hold an LPC license from the state of Virginia and am a Certified Substance Abuse Professional with CSAC - A certificate. My approach is to build a strong therapeutic relationship, stay focused on the client in the present moment without judgment, help people gain skills and tools for managing complicated situations, and encourage a spirit of openness, curiosity, and acceptance to help individuals understand they can choose to respond rationally and control behaviors
(757) 993-4881 View (757) 993-4881
Photo of Wendy Couch, LPC, Licensed Professional Counselor
Wendy Couch
Licensed Professional Counselor, LPC
Verified Verified
Henrico, VA 23238
Wendy Couch is a Licensed Professional Counselor (LPC) who has over 8 years of clinical experience. She works with young adults, adults, and geriatrics and has experience working in a variety of clinical settings including community mental health and the VA Department of Corrections. Wendy has worked with individuals who have depression, bipolar disorder, generalized anxiety, substance, and alcohol use disorders. She also has experience working with individuals experiencing major life transitions including divorce, occupational changes, grief, and stress.
Wendy Couch is a Licensed Professional Counselor (LPC) who has over 8 years of clinical experience. She works with young adults, adults, and geriatrics and has experience working in a variety of clinical settings including community mental health and the VA Department of Corrections. Wendy has worked with individuals who have depression, bipolar disorder, generalized anxiety, substance, and alcohol use disorders. She also has experience working with individuals experiencing major life transitions including divorce, occupational changes, grief, and stress.
(804) 374-8907 View (804) 374-8907
Photo of Chelsea Vicario, LPC, CSAC, Licensed Professional Counselor
Chelsea Vicario
Licensed Professional Counselor, LPC, CSAC
Verified Verified
Richmond, VA 23229
I also have experience in private practice working with individuals and couples struggling with anxiety, depression, bipolar, self-esteem issues and relationships concerns.
Hello! My name is Chelsea Lisk. I received a Bachelors degree in Psychoogy and a Masters degree in Counseling from Radford University. The meaning of healing and growth looks different for everyone. I am here to help guide you to being your best self and to help you figure out what your healing and growth journey will look like. I have a passion for helping people reach their full potential. I truly believe that healthy boundaries, healthy coping skills and a positive mindset can change a person’s life for the better.
I also have experience in private practice working with individuals and couples struggling with anxiety, depression, bipolar, self-esteem issues and relationships concerns.
Hello! My name is Chelsea Lisk. I received a Bachelors degree in Psychoogy and a Masters degree in Counseling from Radford University. The meaning of healing and growth looks different for everyone. I am here to help guide you to being your best self and to help you figure out what your healing and growth journey will look like. I have a passion for helping people reach their full potential. I truly believe that healthy boundaries, healthy coping skills and a positive mindset can change a person’s life for the better.
(804) 322-9955 View (804) 322-9955
Photo of Theresa Thomas, LPC, Licensed Professional Counselor
Theresa Thomas
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23233
I am Theresa Thomas, a licensed professional therapist. I have worked with individuals, couples, and families seeking counseling for over 10 years, both online and in my private practice treating clients dealing with stress, anxiety, grief, parenting issues, depression, and coping with life changes. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started! I treat clients dealing with anxiety, depression, grief, bipolar disorder, and borderline personality disorder.
I am Theresa Thomas, a licensed professional therapist. I have worked with individuals, couples, and families seeking counseling for over 10 years, both online and in my private practice treating clients dealing with stress, anxiety, grief, parenting issues, depression, and coping with life changes. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started! I treat clients dealing with anxiety, depression, grief, bipolar disorder, and borderline personality disorder.
(804) 599-4466 View (804) 599-4466
Photo of Lakeisha Yvette Swain, Licensed Professional Counselor
Lakeisha Yvette Swain
Licensed Professional Counselor
Verified Verified
1 Endorsed
Midlothian, VA 23113  (Online Only)
Struggling just to get out of bed? Has the motivation that was once there, now gone? Are you tired of feeling like this? I have experience working with a variety of diagnosis to include: Depression, Anxiety, Bipolar Disorders, Personality Disorder, Mood Disorder, and Psychotic Disorders. Additionally, I have extensive experience with assisting my clients with relationship issues, work/school related stressors, life adjustments, conflict resolution, women's health, grief and loss, self-esteem, domestic violence, substance abuse, and trauma. Let me help you get back to feeling like yourself. I am accepting new patients.
Struggling just to get out of bed? Has the motivation that was once there, now gone? Are you tired of feeling like this? I have experience working with a variety of diagnosis to include: Depression, Anxiety, Bipolar Disorders, Personality Disorder, Mood Disorder, and Psychotic Disorders. Additionally, I have extensive experience with assisting my clients with relationship issues, work/school related stressors, life adjustments, conflict resolution, women's health, grief and loss, self-esteem, domestic violence, substance abuse, and trauma. Let me help you get back to feeling like yourself. I am accepting new patients.
(540) 642-1600 View (540) 642-1600
Photo of Shannon Talley, MA, LPC, Licensed Professional Counselor
Shannon Talley
Licensed Professional Counselor, MA, LPC
Verified Verified
Richmond, VA 23235
I have specialty experience with the treatment and management of Bipolar disorder, Schizoaffective, and Schizophrenia.
Have you ever heard someone tell you "Just get over it!"? When someone is struggling with a major life change, grief, or health challenge, this is not acceptable! Let's talk about your story, your journey, and your destination. My goal is for you to leave your appointment with a feeling of validation and direction. I love when my clients realize that they are capable and start reaching their goals. Partnering with me means that you will always have someone who is willing to walk alongside you in moments when you are feeling a little bit lost or alone. My passion is to see you find your direction and live your life to the fullest.
I have specialty experience with the treatment and management of Bipolar disorder, Schizoaffective, and Schizophrenia.
Have you ever heard someone tell you "Just get over it!"? When someone is struggling with a major life change, grief, or health challenge, this is not acceptable! Let's talk about your story, your journey, and your destination. My goal is for you to leave your appointment with a feeling of validation and direction. I love when my clients realize that they are capable and start reaching their goals. Partnering with me means that you will always have someone who is willing to walk alongside you in moments when you are feeling a little bit lost or alone. My passion is to see you find your direction and live your life to the fullest.
(804) 395-6123 View (804) 395-6123
Photo of Mary Davis, LPC, Licensed Professional Counselor
Mary Davis
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Henrico, VA 23294  (Online Only)
Hi everyone! I’m Mary and I am a Licensed Professional Counselor. I’m passionate about therapy. It’s important to carve out time to focus on your mental health, just like carving out time to go to the gym to focus on your physical health. I love working with adolescents and adults, 14 and up. I have experience working with individuals, couples, first responders and LGBTQIA+. My primary areas of focus are depression, anxiety, mood disorders, personality disorders, Bipolar, and trauma. I use CBT, DBT and EMDR as part of my practice. If you have questions, please don’t hesitate to call for a free 15-minute consultation.
Hi everyone! I’m Mary and I am a Licensed Professional Counselor. I’m passionate about therapy. It’s important to carve out time to focus on your mental health, just like carving out time to go to the gym to focus on your physical health. I love working with adolescents and adults, 14 and up. I have experience working with individuals, couples, first responders and LGBTQIA+. My primary areas of focus are depression, anxiety, mood disorders, personality disorders, Bipolar, and trauma. I use CBT, DBT and EMDR as part of my practice. If you have questions, please don’t hesitate to call for a free 15-minute consultation.
(804) 465-9537 View (804) 465-9537
Photo of Rebecca Plesko-DuBois, PsyD, LCP, Psychologist
Rebecca Plesko-DuBois
Psychologist, PsyD, LCP
Verified Verified
1 Endorsed
Midlothian, VA 23112
I am happy to share ideas about supporting children and adults with challenges related to giftedness, deafness, blindness, deaf-blindness, Autism Spectrum Disorder, motor planning disorders, bipolar disorder, trauma history/ Post Traumatic Stress Disorder, anxiety disorders, communication disorders, intellectual disability, and seizure disorders.
I enjoy providing comprehensive assessment services designed to discover strengths, clarify the problem, identify supports and strategies, and connect people with resources. Psychological and multi-disciplinary testing is available for concerns about attention, behavior, relationships, social skills, mood, problem solving, cognitive functioning, learning, executive functioning, memory, independent living skills, and mental health. Reports and recommendations can be tailored for medical diagnosis, mental health intervention, educational planning, and/ or vocational planning. Testing services are offered for all ages.
I am happy to share ideas about supporting children and adults with challenges related to giftedness, deafness, blindness, deaf-blindness, Autism Spectrum Disorder, motor planning disorders, bipolar disorder, trauma history/ Post Traumatic Stress Disorder, anxiety disorders, communication disorders, intellectual disability, and seizure disorders.
I enjoy providing comprehensive assessment services designed to discover strengths, clarify the problem, identify supports and strategies, and connect people with resources. Psychological and multi-disciplinary testing is available for concerns about attention, behavior, relationships, social skills, mood, problem solving, cognitive functioning, learning, executive functioning, memory, independent living skills, and mental health. Reports and recommendations can be tailored for medical diagnosis, mental health intervention, educational planning, and/ or vocational planning. Testing services are offered for all ages.
(434) 305-1206 View (434) 305-1206
Photo of Sakura Pate, Pre-Licensed Professional
Sakura Pate
Pre-Licensed Professional
Verified Verified
Midlothian, VA 23114
Sakura Pate is a Supervisee in Clinical Social Work with over 10 years of experience in healthcare, addressing mental and physical health needs. She has a passion for helping adults and couples take control and improve the quality of their lives. She benefited from talk therapy early in life and understands the life-changing experience it can be. From the beginning of her career in social work, she has used compassion and empathy to support and encourage her clients to live more meaningful lives. Sakura specializes in depression, anxiety, bipolar disorder, relationship issues, grief, trauma, and major life transitions.
Sakura Pate is a Supervisee in Clinical Social Work with over 10 years of experience in healthcare, addressing mental and physical health needs. She has a passion for helping adults and couples take control and improve the quality of their lives. She benefited from talk therapy early in life and understands the life-changing experience it can be. From the beginning of her career in social work, she has used compassion and empathy to support and encourage her clients to live more meaningful lives. Sakura specializes in depression, anxiety, bipolar disorder, relationship issues, grief, trauma, and major life transitions.
(804) 581-1961 View (804) 581-1961
Photo of Layne Talbott Mitchell - RVA Personal Wellness, Telehealth only, LPC, Licensed Professional Counselor
RVA Personal Wellness, Telehealth only
Licensed Professional Counselor, LPC
Verified Verified
Henrico, VA 23229  (Online Only)
Layne also has experience with psychotic disorders, Bipolar disorders, and other serious mental illnesses and offers symptom mapping and management.
I am currently accepted new clients and I accept all Cigna, Optum (United Healthcare), Anthem and Aetna plans. Layne is certified in Eye Movement Desensitization and Reprocessing (EMDR), which has shown to effectively treat trauma. Layne also uses Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to treat depression, anxiety and a variety of personality disorders. Layne has experience with psychotic disorders, Bipolar disorders, and other serious mental illnesses and offers symptom mapping and management.
Layne also has experience with psychotic disorders, Bipolar disorders, and other serious mental illnesses and offers symptom mapping and management.
I am currently accepted new clients and I accept all Cigna, Optum (United Healthcare), Anthem and Aetna plans. Layne is certified in Eye Movement Desensitization and Reprocessing (EMDR), which has shown to effectively treat trauma. Layne also uses Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to treat depression, anxiety and a variety of personality disorders. Layne has experience with psychotic disorders, Bipolar disorders, and other serious mental illnesses and offers symptom mapping and management.
(804) 581-1794 View (804) 581-1794
Photo of Amy Mulkey, PhD, LCP, Psychologist
Amy Mulkey
Psychologist, PhD, LCP
Verified Verified
1 Endorsed
Midlothian, VA 23113
Dr. Mulkey has been in practice for over 20 years and has a problem-focused approach to therapy. Specifically, she encourages her clients to use behavioral changes and cognitive strategies to start the healing process quickly and to begin to use more effective coping to deal with stress and issues they confront. These issues might include depression, insomnia, bipolar disorder, anxiety, panic attacks, headaches, stress management, pain, marital and relationship problems, and grief reactions. Dr. Mulkey competed her doctorate at University of Florida, an internship at University of North Carolina, and a postdoctoral fellowship in behavioral medicine at Duke University.
Dr. Mulkey has been in practice for over 20 years and has a problem-focused approach to therapy. Specifically, she encourages her clients to use behavioral changes and cognitive strategies to start the healing process quickly and to begin to use more effective coping to deal with stress and issues they confront. These issues might include depression, insomnia, bipolar disorder, anxiety, panic attacks, headaches, stress management, pain, marital and relationship problems, and grief reactions. Dr. Mulkey competed her doctorate at University of Florida, an internship at University of North Carolina, and a postdoctoral fellowship in behavioral medicine at Duke University.
(804) 977-9967 View (804) 977-9967
Janae W House
Clinical Social Work/Therapist, LCSW
Verified Verified
Midlothian, VA 23113
I am a Licensed Clinical Social Worker who received MSW degree from Va Commonwealth University. I interned, and then worked with the Department of Psychiatry at VCU in affective disorders and geriatric psychiatry. Populations served include adults and couples. Areas of clinical focus include depression, bipolar, anxiety and panic disorder, marital therapy, communication skills, stress management, trauma recovery, life transitions and workplace issues.
I am a Licensed Clinical Social Worker who received MSW degree from Va Commonwealth University. I interned, and then worked with the Department of Psychiatry at VCU in affective disorders and geriatric psychiatry. Populations served include adults and couples. Areas of clinical focus include depression, bipolar, anxiety and panic disorder, marital therapy, communication skills, stress management, trauma recovery, life transitions and workplace issues.
(804) 214-3134 View (804) 214-3134
Photo of Nazarell Williams, LPC, CCTP, Licensed Professional Counselor
Nazarell Williams
Licensed Professional Counselor, LPC, CCTP
Verified Verified
Henrico, VA 23233
I am passionate about helping people. I enjoy seeing growth, change, and seeing my patients identify hidden potentials. I enjoy seeing my patients being comfortable to express themselves during sessions.
I am passionate about helping people. I enjoy seeing growth, change, and seeing my patients identify hidden potentials. I enjoy seeing my patients being comfortable to express themselves during sessions.
(804) 409-2462 View (804) 409-2462

See more therapy options for Manakin Sabot

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.