<qa>  What is the new cognitive behavioral treatment that involves skills training for emotion management and lifestyle behaviors?Participants are randomly assigned to receive either Systems Training for Emotional Predictability and Problem Solving STEPPS or treatment as usual TAU for 20 weeks. STEPPS is a new cognitive behavioral treatment which involves skills training for emotion management and lifestyle behaviors as well as education for the affected individuals family members, friends, and professional caregivers. Participants are assessed at baseline and Weeks 4, 8, 12, 16, and 20. Interviews of patients health care providers and family members and self-rating scales are used to assess patients. Follow-up assessments are made 1, 3, 6, 9, and 12 months after study completion. Participants must live within a reasonable driving distance of Iowa City, IA. 