The last time I was in therapy I was up front with my T that part of her job was to get a early read on my moods and help me be aware. I was with her for 12 years and she did help me see the ups and down more clearly. When I started I was still having a hard time believing I was bipolar. For most of the time I saw her I was un medicated so it was vital that I be aware. She helped document too exactly why I wasn’t to be on ADs. There was the time I was manic and she thought meds would be good. But I sort of handicapped the pdoc by saying no to most things. So he gave me trazadone for sleep and I got much worse. Then I found out that was an AD! So the next episode I had I gave the pdoc more leeway and did go on an AP. Plus mood stabilizer and it worked very well. But learning from my T my moods was invaluable. There were times we just talked about our interests to pass time because I was stable because it wasn’t therapy so much as it was a sounding board and mood evaluation for me.