Depressive disorders are often precipitated by a variety of environmental and medical causes, such as illness or metabolic imbalance, situational stressors including work-related stress, financial worries, relationship conflicts, rejection or loss of a loved one. Symptoms may include persistent sadness, anxiety, loss of interest in previously enjoyable activities, changes in appetite/weight loss, insomnia, anger and irritability, alcohol abuse, social withdrawal, lack of motivation and energy, guilt, hopelessness, low self-esteem and suicidal thoughts. While we may refer patients to physicians for medications and treatments of other medical conditions, our primary focus as CBT psychologists is teaching patients how to modify problematic thinking and maladaptive behavioral habits. We teach patients better coping skills, things that will enhance anyone’s functioning in all areas of life, such as replacing negative, irrational thoughts with more positive, rational thinking, increasing activities that enhance pleasure, mastery, productivity and well-being; improving interpersonal relationships, and building additional coping skills (e.g., assertive communication, stress management, problem-solving and conflict-resolution skills). For Major Depression and Bipolar Disorder, treatment will probably include medication management, along with CBT treatment for depression and risk management for mania symptoms.