Emotion Regulation Group Therapy for Bipolar Disorder

Inclusion Criteria: 1. Diagnosis of bipolar I disorder. 2. Able to provide written informed consent. 3. Men or women aged 18-65. 4. Able to read and understand English. 5. Psychiatrist prescribing mood-stabilizing medication. 6. Participates in bimonthly individual psychotherapy Exclusion Criteria: 1. Subjects with suicidal ideation where outpatient treatment is determined unsafe by the study clinician. These patients will be immediately referred to appropriate clinical treatment. 2. History of seizure disorder, brain injury, any history of known neurological disease (multiple sclerosis, degenerative disease such as ALS, Parkinson disease and any movement disorders, etc). 3. History or current diagnosis of the following Diagnostic and Statistical Manual of Mental Disorders, Fourth edition (DSM-IV) psychiatric illness: organic mental disorder, schizophrenia, schizoaffective disorder, delusional disorder, psychotic disorders not otherwise specified, major depressive disorder, patients with mood congruent or mood incongruent psychotic features, patients with substance dependence disorders, including alcohol, active within the last 12 months. 4. Patients who currently meet criteria for a major depressive episode, a manic episode, or a mixed episode. Excluded participants may remain on a waiting list to partake in a future group dependent on mood stabilization. 5. Patients who have had electroconvulsive therapy (ECT) within the 6 months preceding enrollment.