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Barbara Bate, PhD, knows about tsunamis. Living in the Pacific Northwest, she likens the threat of killer waves that engulf whole communities to the experiences of people who fear their own "tsunamis of the mind." Extreme changes of emotion and energy can be devastating to the person who is living through them and to others who are close to them.

Many people hide their symptoms from their closest friends and loved ones due to stigma and shame. Maybe you are experiencing an inner tsunami, confused by what is happening, and ashamed to ask for help. If you feel alone in this...