Bipolar Disorder Therapists in Kirkland, WA
![Photo of Else Trygstad-Burke - Traverse Therapy Services, LMHCA, Counselor](https://photos.psychologytoday.com/87e1aea4-aac4-486d-b2f5-26ecd94e1173/1/320x400.jpeg)
We're accepting new clients! My name is Else Trygstad-Burke, and I am a mental health therapist who works with children, teens, adults, families, and couples. I provide an open and non-judgmental space for clients of all backgrounds and identities, and I approach therapy from a collaborative and strengths-based perspective. I have experience working with a broad range of mental health concerns, including child behavioral issues, anxiety, depression, bipolar disorders, personality disorders, and disordered eating. As an athlete and former professional cellist, I also enjoy working with clients on issues of sport and performance.
We're accepting new clients! My name is Else Trygstad-Burke, and I am a mental health therapist who works with children, teens, adults, families, and couples. I provide an open and non-judgmental space for clients of all backgrounds and identities, and I approach therapy from a collaborative and strengths-based perspective. I have experience working with a broad range of mental health concerns, including child behavioral issues, anxiety, depression, bipolar disorders, personality disorders, and disordered eating. As an athlete and former professional cellist, I also enjoy working with clients on issues of sport and performance.
![Photo of Priscilla Bey - Priscilla Bey, MSW, LSWAIC, MSW, LSWAIC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/abeb72d5-d00e-475a-b6d4-df818290d438/1/320x400.jpeg)
Priscilla Bey, MSW, LSWAIC
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Kirkland, WA 98033 (Online Only)
My specialties include service to all adults, elders, LGBTQ+, families, and teens who are struggling with anxiety, depression, PTSD, agoraphobia, substance use, and bipolar I and II.
The ability to communicate and reason are the attributes that set us apart from other species. Active listening is key to understanding and reaching a resolution to the personal barriers that render us as individuals and make us unique.
My specialties include service to all adults, elders, LGBTQ+, families, and teens who are struggling with anxiety, depression, PTSD, agoraphobia, substance use, and bipolar I and II.
The ability to communicate and reason are the attributes that set us apart from other species. Active listening is key to understanding and reaching a resolution to the personal barriers that render us as individuals and make us unique.
![Photo of Misty DeClark, MS, LMFT, CMHS, Marriage & Family Therapist](https://photos.psychologytoday.com/3c908819-46cd-11ea-a6ad-06142c356176/7/320x400.jpeg)
As a marriage and family therapist, I use behavioral, narrative and bowenian techniques as I work with adults, children, and adolescents dealing with issues including codependency, marital/family conflict, ADHD, bipolar, depression, oppositional defiant disorder, and anxiety.
Are you struggling with chaos, family conflict, anxiety, depression, or feelings that you have no way to get control of your life back? Are you looking for a way to begin moving forward again? You deserve a life without the of cycle of problems, reactions, and pain. I would love to help you find that life. I believe that therapy is a collaborative process that respects and involves the client, adapting techniques to the needs of the individual. Whether you are dealing with divorce, mental illness, or a rough patch in your life, I believe we can overcome it.
As a marriage and family therapist, I use behavioral, narrative and bowenian techniques as I work with adults, children, and adolescents dealing with issues including codependency, marital/family conflict, ADHD, bipolar, depression, oppositional defiant disorder, and anxiety.
Are you struggling with chaos, family conflict, anxiety, depression, or feelings that you have no way to get control of your life back? Are you looking for a way to begin moving forward again? You deserve a life without the of cycle of problems, reactions, and pain. I would love to help you find that life. I believe that therapy is a collaborative process that respects and involves the client, adapting techniques to the needs of the individual. Whether you are dealing with divorce, mental illness, or a rough patch in your life, I believe we can overcome it.
![Photo of Cheryl Stolz, PhD, Psychologist](https://photos.psychologytoday.com/3de0da2a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a Licensed Psychologist in the State of Washington. I have considerable experience working with many issues, in both brief and long-term therapy, including life transitions, stress, depression, anxiety disorders, bipolar disorder, abuse and trauma, disordered eating and body image, family and relationship issues, personality disorders, alcohol and drug issues, and thought disorders/schizophrenia. I have worked with people from diverse cultures and backgrounds including LGBTQ individuals.
I am a Licensed Psychologist in the State of Washington. I have considerable experience working with many issues, in both brief and long-term therapy, including life transitions, stress, depression, anxiety disorders, bipolar disorder, abuse and trauma, disordered eating and body image, family and relationship issues, personality disorders, alcohol and drug issues, and thought disorders/schizophrenia. I have worked with people from diverse cultures and backgrounds including LGBTQ individuals.
![Photo of Shar Kunovsky, JD, MA, LMHC, Counselor](https://photos.psychologytoday.com/87100376-c605-480d-8cc4-2bae353e6635/2/320x400.jpeg)
Using clear, measurable goals along with practical skills development, I diagnose and treat an array of issues: Life Transitions, Anxiety, Depression, Grief and Loss, Bipolar I & II, Mood Swings, Perfectionism, PTSD, Relationship issues, Career/Job issues, Work/Life Balance, Self Esteem, Stress and Stress-Related issues, and Trauma.
**NEW CLIENTS - Please email me** No one deserves to live in pain. For therapy to work, you need three things: curiosity about yourself and your interactions with others, an authentic connection with your therapist, and concrete, practical tools and skills to promote real and lasting change. My job is to facilitate an understanding of what is causing you pain and getting in your way of creating your best life. As your therapist, I don’t “just listen.” I use an integrative approach, combining several modalities to create the most effective treatment for each client. I practice remote therapy with individual adults.
Using clear, measurable goals along with practical skills development, I diagnose and treat an array of issues: Life Transitions, Anxiety, Depression, Grief and Loss, Bipolar I & II, Mood Swings, Perfectionism, PTSD, Relationship issues, Career/Job issues, Work/Life Balance, Self Esteem, Stress and Stress-Related issues, and Trauma.
**NEW CLIENTS - Please email me** No one deserves to live in pain. For therapy to work, you need three things: curiosity about yourself and your interactions with others, an authentic connection with your therapist, and concrete, practical tools and skills to promote real and lasting change. My job is to facilitate an understanding of what is causing you pain and getting in your way of creating your best life. As your therapist, I don’t “just listen.” I use an integrative approach, combining several modalities to create the most effective treatment for each client. I practice remote therapy with individual adults.
![Photo of Daniel Marks Salzer - Daniel M. Salzer, Ph.D., PhD, Psychologist](https://photos.psychologytoday.com/42c2ab6c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Daniel M. Salzer, Ph.D.
Psychologist, PhD
Verified Verified
1 Endorsed
Kirkland, WA 98034
Waitlist for new clients
I specialize in assessment and solution-oriented psychological consultations with children, adolescents, and adults. My work is active, directive, pragmatic, & collaborative, focusing on meaningful and measurable behavioral change, clinical relevance, social validity, client satisfaction, and cost-effectiveness. I have expertise in the diagnosis and treatment of Attention-Deficit/Hyperactivity Disorders & related conditions, behavioral challenges, Autism spectrum disorders & neurodiversity, bipolar spectrum disorders, depression and anxiety spectrum disorders, OCD, shyness, relational difficulties, and life transition challenges.
I specialize in assessment and solution-oriented psychological consultations with children, adolescents, and adults. My work is active, directive, pragmatic, & collaborative, focusing on meaningful and measurable behavioral change, clinical relevance, social validity, client satisfaction, and cost-effectiveness. I have expertise in the diagnosis and treatment of Attention-Deficit/Hyperactivity Disorders & related conditions, behavioral challenges, Autism spectrum disorders & neurodiversity, bipolar spectrum disorders, depression and anxiety spectrum disorders, OCD, shyness, relational difficulties, and life transition challenges.
![Photo of Whitnee Chavez, MA, LMHC](https://photos.psychologytoday.com/9c44f914-e1e2-4159-b552-92478e1187c7/3/320x400.jpeg)
Whitnee Chavez
Licensed Mental Health Counselor , MA, LMHC
Verified Verified
Kirkland, WA 98033 (Online Only)
Changing your life for the better is rewarding and possible! You most likely came here looking for emotional and practical support and tools. I am here to work with you. Together, we can work on your individual wants and needs, life transitions, and social dynamics. I work with adults, teens 15+, and diverse and fluid families. My focus is mainly anxiety, depression, bipolar 1 & 2, ADHD, and PTSD/ trauma.
Changing your life for the better is rewarding and possible! You most likely came here looking for emotional and practical support and tools. I am here to work with you. Together, we can work on your individual wants and needs, life transitions, and social dynamics. I work with adults, teens 15+, and diverse and fluid families. My focus is mainly anxiety, depression, bipolar 1 & 2, ADHD, and PTSD/ trauma.
![Photo of Jean Weng, MD, MA, LMHC, MS, Counselor](https://photos.psychologytoday.com/4c170657-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jean Weng
Counselor, MD, MA, LMHC, MS
Verified Verified
Kirkland, WA 98033 (Online Only)
Waitlist for new clients
I have been practicing psychotherapy in the Seattle area in the past 20 years, provided service to clients who have anxiety, depression, bipolar, schizoaffective disorder and other conditions such as social difficulties, parenting skills, and stress management. I am a WS state approved supervisor, training MA level counselor toward their LMHC license. 我善长焦虑,忧郁,创伤治疗,也帮助顾客解决人际关系,工作压力,夫妻关系,亲子关系相关的问题。 综合我的学历,专业知识结构,临床经验,人生阅历,我相信如果有华语顾客需要心理咨询,我将是你们的最佳人选。 我会用我的专业知识和素养,为您提供优质服务。
I have been practicing psychotherapy in the Seattle area in the past 20 years, provided service to clients who have anxiety, depression, bipolar, schizoaffective disorder and other conditions such as social difficulties, parenting skills, and stress management. I am a WS state approved supervisor, training MA level counselor toward their LMHC license. 我善长焦虑,忧郁,创伤治疗,也帮助顾客解决人际关系,工作压力,夫妻关系,亲子关系相关的问题。 综合我的学历,专业知识结构,临床经验,人生阅历,我相信如果有华语顾客需要心理咨询,我将是你们的最佳人选。 我会用我的专业知识和素养,为您提供优质服务。
![Photo of Elizabeth Silva, LSWAIC, Pre-Licensed Professional](https://photos.psychologytoday.com/05229781-895b-4f92-a326-768add959535/1/320x400.jpeg)
Elizabeth Silva
Pre-Licensed Professional, LSWAIC
Verified Verified
1 Endorsed
Kirkland, WA 98033 (Online Only)
What we control in life is limited to our own inner world. While trying to process and reconstruct the inner world, there are coping strategies that can help you through the process. We do influence those around us, but how we do is not up to us. Resilience is the top predictor of a contented and peaceful existence, in spite of the influence of past experiences, current situational factors, and real future prospects. I want to help people find and build their inner core. When we feel grounded, balanced, and aware of the human chemistry around us, we can feel more confident navigating that space.
What we control in life is limited to our own inner world. While trying to process and reconstruct the inner world, there are coping strategies that can help you through the process. We do influence those around us, but how we do is not up to us. Resilience is the top predictor of a contented and peaceful existence, in spite of the influence of past experiences, current situational factors, and real future prospects. I want to help people find and build their inner core. When we feel grounded, balanced, and aware of the human chemistry around us, we can feel more confident navigating that space.
![Photo of Tanisha Harris, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bcde51c2-7261-4d81-bcc5-da7784fa49fa/2/320x400.png)
Tanisha Harris
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Kirkland, WA 98034 (Online Only)
I am very passionate and committed to helping others overcome the hardships of life. During these times, changes are hard, uncomfortable, overwhelming, and stressful. Let me be real, I am no stranger to feeling stuck, lost, alone, and sad. Which is why I am here to show you how resilient you are, and you can and will persevere. I welcome you to a place where we work collaboratively to be in the present moment, fully committed to developing skills to improve symptoms related to life struggles. If you’ve experienced similar hardships, I would be delighted to help you in learning tips/tricks to understanding and managing your symptoms.
I am very passionate and committed to helping others overcome the hardships of life. During these times, changes are hard, uncomfortable, overwhelming, and stressful. Let me be real, I am no stranger to feeling stuck, lost, alone, and sad. Which is why I am here to show you how resilient you are, and you can and will persevere. I welcome you to a place where we work collaboratively to be in the present moment, fully committed to developing skills to improve symptoms related to life struggles. If you’ve experienced similar hardships, I would be delighted to help you in learning tips/tricks to understanding and managing your symptoms.
![Photo of Jacqueline M. Wilson - Your Story Therapy, PLLC, MA, LMHC, Counselor](https://photos.psychologytoday.com/45130fe6-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
If you are viewing this page, you have already stepped out on the courageous journey of discovery and healing. I am here to journey with you and offer a place where you can be deeply seen, known, and accepted as you grow and discover your authentic voice. I can help you understand what has happened in your story and how to transform some of your stuck or painful places into new ways of being that create freedom and joy. We will explore both your brokenness and your strengths, freeing you to find, love and be your best self.
If you are viewing this page, you have already stepped out on the courageous journey of discovery and healing. I am here to journey with you and offer a place where you can be deeply seen, known, and accepted as you grow and discover your authentic voice. I can help you understand what has happened in your story and how to transform some of your stuck or painful places into new ways of being that create freedom and joy. We will explore both your brokenness and your strengths, freeing you to find, love and be your best self.
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![Photo of Elizabeth Berman, LMHC](https://photos.psychologytoday.com/d00b2a15-15e4-42e7-9a8e-dffb90f2a619/1/320x400.jpeg)
Elizabeth is a Licensed Mental Health Counselor in the State of Washington and Utah. She has over 25 years of experience working within the mental health field. She received her BS in Psychology from Brigham Young University and her MS in Clinical Psychology from Eastern Washington University. Over the years she has worked in multiple outpatient and inpatient settings. Elizabeth is compassionately committed to helping clients improve self awareness and growing their capacity to enhance relationships and resiliency. She believes that the therapeutic process is relationship centered.
Elizabeth is a Licensed Mental Health Counselor in the State of Washington and Utah. She has over 25 years of experience working within the mental health field. She received her BS in Psychology from Brigham Young University and her MS in Clinical Psychology from Eastern Washington University. Over the years she has worked in multiple outpatient and inpatient settings. Elizabeth is compassionately committed to helping clients improve self awareness and growing their capacity to enhance relationships and resiliency. She believes that the therapeutic process is relationship centered.
![Photo of Oksana Thompson - Inner Wellness Counseling PLLC](https://photos.psychologytoday.com/ca5b8895-fe13-4b41-97a1-b38ae8360f08/1/320x400.png)
Wellness is a journey, and reaching out for help is the first step to healing. At Inner Wellness Counseling, we have a passion for helping people get back to things that matter most to them. Our practice has a diverse group of therapists who specialize in working with youth and adults across multiple backgrounds, challenges, and life transitions. We believe in empowering clients to regain a sense of hope, courage, and self-worth.
Wellness is a journey, and reaching out for help is the first step to healing. At Inner Wellness Counseling, we have a passion for helping people get back to things that matter most to them. Our practice has a diverse group of therapists who specialize in working with youth and adults across multiple backgrounds, challenges, and life transitions. We believe in empowering clients to regain a sense of hope, courage, and self-worth.
![Photo of Pamela Bryan, MS, LMHC, Counselor](https://photos.psychologytoday.com/4c955629-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Pamela Bryan is a Licensed Mental Health Counselor in Washington State and a Qualified Alcoholism Counselor. She graduated from Seattle Pacific University in 1989, with a Master's of Science in Counseling. Pam is a seasoned therapist, having worked with trauma survivors for over 25 years.
Pamela Bryan is a Licensed Mental Health Counselor in Washington State and a Qualified Alcoholism Counselor. She graduated from Seattle Pacific University in 1989, with a Master's of Science in Counseling. Pam is a seasoned therapist, having worked with trauma survivors for over 25 years.
![Photo of Dr. Savannah Bukant, ND, BCB](https://photos.psychologytoday.com/2ef861d0-d78b-4b7d-a6be-aa6355bbb7eb/2/320x400.jpeg)
Now accepting new clients! If you're curious about whole-person healing through nervous system regulation, stress resiliency, and investigating root causes of symptoms, we may be a good fit. I'm Dr. Savannah, Naturopathic Physician & Mindbody Coach. I teach clients how to become self-healers through inquisitive body awareness, intuitive eating, trauma-sensitive mindfulness, and other modalities. I'm curious about what is getting in the way of your healing - physiological, environmental, relational, psychoemotional, spiritual, & even energetic factors. Together we dig deep to unravel what's in the way of your innate inner healer.
Now accepting new clients! If you're curious about whole-person healing through nervous system regulation, stress resiliency, and investigating root causes of symptoms, we may be a good fit. I'm Dr. Savannah, Naturopathic Physician & Mindbody Coach. I teach clients how to become self-healers through inquisitive body awareness, intuitive eating, trauma-sensitive mindfulness, and other modalities. I'm curious about what is getting in the way of your healing - physiological, environmental, relational, psychoemotional, spiritual, & even energetic factors. Together we dig deep to unravel what's in the way of your innate inner healer.
![Photo of Kathleen Howell, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/72c5fd95-32fa-4ec2-b97a-beafac34c192/6/320x400.png)
Kathleen Howell
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Kirkland, WA 98034 (Online Only)
I currently have openings. I am a marriage and family counselor with over 20 years of experience, I have had the privilege of working with numerous Individuals, couples and families facing various traumas, as well as relational and communication challenges. I help clients deal with deep-rooted issues and past traumas that may be hindering their emotional well-being and relationships. Through my extensive work in this field, I have honed my skills in understanding the complexities of human relationships and guiding individuals towards healthier connections.
I currently have openings. I am a marriage and family counselor with over 20 years of experience, I have had the privilege of working with numerous Individuals, couples and families facing various traumas, as well as relational and communication challenges. I help clients deal with deep-rooted issues and past traumas that may be hindering their emotional well-being and relationships. Through my extensive work in this field, I have honed my skills in understanding the complexities of human relationships and guiding individuals towards healthier connections.
![Photo of Michelle Enterline, PhD, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cd89d3a-46cd-11ea-a6ad-06142c356176/6/320x400.jpeg)
Michelle Enterline
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
Kirkland, WA 98033 (Online Only)
Do you experience feelings of sadness or hopelessness? Are you having problems in your relationships, at work or with your loved ones, your partner or your children? Perhaps areas of your life no longer seem as satisfying as they once did. I believe that as we navigate the waters of life, we are constantly adjusting to the subtle and profound changes put before us. How we experience those changes, as sadness or hopelessness, loss or opportunity, with sadness or joy determines the course we will follow. How we move forward is unique and personal, yet no one needs to navigate the journey alone.
Do you experience feelings of sadness or hopelessness? Are you having problems in your relationships, at work or with your loved ones, your partner or your children? Perhaps areas of your life no longer seem as satisfying as they once did. I believe that as we navigate the waters of life, we are constantly adjusting to the subtle and profound changes put before us. How we experience those changes, as sadness or hopelessness, loss or opportunity, with sadness or joy determines the course we will follow. How we move forward is unique and personal, yet no one needs to navigate the journey alone.
![Photo of Stephanie Storm Lariccia - Traverse Therapy Services, MSSA, LICSW-S, MHP, CCTP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1a7513fd-3df6-4597-8c80-29f5cb37b1c4/3/320x400.jpeg)
Traverse Therapy Services
Clinical Social Work/Therapist, MSSA, LICSW-S, MHP, CCTP
Verified Verified
1 Endorsed
Kirkland, WA 98033
Hello, we are accepting new patients! Whether you're feeling down or anxious, struggling with hurtful and dysfunctional familial dynamics, having difficulty achieving a healthy work-life balance and/or enduring or wanting to heal from past or current traumas, you have found an ally. Developmental, relational and attachment trauma disconnects us from ourselves, our loved ones and even our spirituality. These types of traumas can leave us feeling isolated, unfulfilled and despondent. We all deserve to feel at peace - and that begins by learning how to heal.
Hello, we are accepting new patients! Whether you're feeling down or anxious, struggling with hurtful and dysfunctional familial dynamics, having difficulty achieving a healthy work-life balance and/or enduring or wanting to heal from past or current traumas, you have found an ally. Developmental, relational and attachment trauma disconnects us from ourselves, our loved ones and even our spirituality. These types of traumas can leave us feeling isolated, unfulfilled and despondent. We all deserve to feel at peace - and that begins by learning how to heal.
![Photo of Akila Osakwe, LMHC, Counselor](https://photos.psychologytoday.com/a65005fd-b344-40e6-bc18-e5613c3bab2a/1/320x400.png)
I am Akila Osakwe, A licensed Mental Health Counselor with over 10 years of experience working with individuals and families. My areas of expertise are Trauma, depression, anxiety, ADHD, behavioral issues, family issues, Injuries, parenting support, postpartum and prenatal issues, grief, severe mental illness, couples and family therapy, and co-occurring disorders.
I am Akila Osakwe, A licensed Mental Health Counselor with over 10 years of experience working with individuals and families. My areas of expertise are Trauma, depression, anxiety, ADHD, behavioral issues, family issues, Injuries, parenting support, postpartum and prenatal issues, grief, severe mental illness, couples and family therapy, and co-occurring disorders.
![Photo of Kelly Lynn Rundle, MA, LMHC, CDP, Counselor](https://photos.psychologytoday.com/4810ee60-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My therapy practice specializes in mood disorders, working with individuals, couples and families. I am also a Board Certified Executive Coach and specialize in business coaching and leadership development with an emphasis on Emotional Intelligence. Through a fun, collaborative relationship, there is always a way to address the issues you face and learn coping strategies to help you both right now and in the future. Depression, anxiety, substance abuse, marital conflict, job stress, career and life transitions.
My therapy practice specializes in mood disorders, working with individuals, couples and families. I am also a Board Certified Executive Coach and specialize in business coaching and leadership development with an emphasis on Emotional Intelligence. Through a fun, collaborative relationship, there is always a way to address the issues you face and learn coping strategies to help you both right now and in the future. Depression, anxiety, substance abuse, marital conflict, job stress, career and life transitions.
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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.