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    Learn more about mood disorders

    Mood disorders are a group of mental health conditions characterised by significant, persistent disturbances in emotional state that go beyond ordinary fluctuations in how a person feels. Recognised in the DSM-5, they include major depressive disorder, bipolar disorder (types I and II), dysthymia (a persistent, lower-grade form of depression), and cyclothymia (a milder form of bipolar disorder involving less extreme mood shifts). What distinguishes mood disorders from ordinary emotional difficulty is their severity, their duration, and the degree to which they impair functioning in daily life, relationships, and work. Mood disorders are among the most common mental health conditions worldwide and respond well to treatment.

    Mood disorders present differently depending on the type and the individual, but certain patterns are broadly recognised.

    Depressive episodes

    • Persistent low mood, emptiness, or hopelessness lasting most of the day, nearly every day
    • Significant loss of interest or pleasure in activities that were previously enjoyable
    • Changes in sleep, appetite, energy, or concentration that are noticeable and sustained
    • Feelings of worthlessness or excessive guilt
    • Difficulty thinking clearly, making decisions, or carrying out daily tasks

    Elevated or manic episodes (bipolar spectrum)

    • Unusually elevated, expansive, or irritable mood lasting at least several days
    • Significantly decreased need for sleep without feeling tired
    • Racing thoughts, rapid speech, or a sense of greatly increased energy
    • Impulsive or high-risk behaviour that is out of character
    • Inflated sense of ability or importance
    Only a qualified mental health professional can assess whether these experiences meet the criteria for a mood disorder and determine which type. If you are experiencing thoughts of suicide or self-harm, please contact a crisis line or your nearest emergency service.

    Mood disorders are well treated by a combination of psychological therapy and, in some cases, psychiatric support. The most effective approach depends on the type and severity of the condition.
    • CBT (Cognitive Behavioural Therapy) CBT has a strong evidence base for depression and is also used in modified forms for bipolar disorder, helping to identify and change thought patterns that sustain or intensify mood episodes.
    • Psychodynamic therapy Psychodynamic approaches explore the emotional and relational roots of mood disturbance, useful when mood disorder is entangled with longstanding patterns or difficult earlier experiences.
    • Psychiatry Psychiatrists assess mood disorders comprehensively, can prescribe and monitor medication where indicated, and often work alongside a therapist in a combined treatment plan.
    • Schema therapy Schema therapy addresses the deep-rooted beliefs and emotional patterns that can sustain chronic low mood or drive the relational difficulties that accompany mood disorders.
    • ACT (Acceptance and Commitment Therapy) ACT helps build psychological flexibility in response to difficult mood states, focusing on living in accordance with values even when mood is difficult rather than waiting until it resolves.
    Choosing an approach isn't something you have to do alone. IC's matching can pair you with a therapist whose approach suits your situation. Get matched.

    It's Complicated is a therapist-founded mental health platform connecting clients with verified practitioners across Europe and globally, in over 60 languages. We work with over 2,500 vetted therapists, with in-person availability in Berlin, Amsterdam, Barcelona, Lisbon, Vienna, and other major cities, alongside online sessions worldwide. It's Complicated is free to use, and you pay your chosen therapist directly at rates they set. Finding a therapist who understands your specific mood disorder, whether that is depression, bipolar disorder, or something on the spectrum between them, matters more than finding a generalist. Our matching service is built to remove that friction. You complete a short survey, our psychologists combine data-driven insights with human judgement to identify the right therapists for your situation, and you choose from a shortlist of strong candidates. You can also browse our directory directly if you'd prefer to choose yourself. Get matched with a therapist who specialises in mood disorders, or browse the directory.
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    Related topics

    Mental health is rarely just one thing, and different topics often go hand in hand. If you're exploring help with mood disorders, these areas might be worth a look too.
    Depression
    Depression
    Bipolar disorder
    Bipolar disorder
    Anxiety
    Anxiety
    Burnout
    Burnout
    Grief & loss
    Grief & loss

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    Get help with mood disorders

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    FAQs about mood disorders

    Mood disorders are a group of mental health conditions characterised by significant and persistent disturbances in a person's emotional state. The most common types are major depressive disorder, involving episodes of severe low mood and loss of functioning, and bipolar disorder, involving alternating episodes of depression and elevated or manic mood. Dysthymia (a milder but chronic form of depression) and cyclothymia are also recognised. All are classified in the DSM-5.

    Everyone experiences fluctuations in mood. Mood disorders differ in the severity, duration, and impact of these changes: the low or elevated states are more extreme, last longer, and significantly impair the ability to function at work, in relationships, or in daily life. A depressive episode typically involves at least two weeks of pervasive low mood or loss of interest; a manic episode in bipolar disorder involves at least a week of elevated or irritable mood with marked changes in energy and behaviour.

    Some mood disorders, particularly bipolar disorder and severe depression, are often treated with a combination of medication and psychological therapy. For milder or moderate depression, therapy alone can be effective. A psychiatrist can assess whether medication is indicated and, if so, which type. Many people benefit from seeing both a therapist and a psychiatrist, with the two working alongside each other.

    It's Complicated can match you with therapists and psychiatrists experienced in mood disorders. You complete a short survey about your situation, and our psychologists identify suitable practitioners available online or in person. If you are unsure whether you need therapy, psychiatric assessment, or both, our matching process can help clarify the right starting point. It's Complicated is also free to use.

    Many people with mood disorders benefit from longer-term psychological support, both to manage episodes when they occur and to build the self-awareness and skills to recognise early warning signs and respond to them. Some people work with a therapist continuously; others return to therapy at specific points. Therapy can also help address the relational and identity impact of living with a mood disorder over time.

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    Utrecht
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    Sebastian Lobos

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    €80 / session80
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    Emīls Ūdris

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    Guraksha Pabreja

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    Vanessa Ressurreição

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    Amsterdam
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    Marijke Bruins

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    Dr John Sorensen

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