Empirically supported psychosocial interventions for bipolar disorder: Current state of the research

2016 ◽  
Vol 201 ◽  
pp. 203-214 ◽  
Author(s):  
Stephanie Salcedo ◽  
Alexandra K. Gold ◽  
Sana Sheikh ◽  
Peter H. Marcus ◽  
Andrew A. Nierenberg ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Psychosocial Interventions ◽  
Empirically Supported ◽  
Current State

The Nature and Treatment of Bipolar Disorder and the Bipolar Spectrum

2014 ◽  
pp. 295-312
Author(s):  
Michael W. Otto ◽  
Allison J. Applebaum
Keyword(s):  
Bipolar Disorder ◽  
Group Treatment ◽  
Behavioral Therapy ◽  
Psychosocial Interventions ◽  
Bipolar Spectrum ◽  
Empirically Supported ◽  
Current State ◽  
Poor Treatment ◽  
Social Rhythm ◽  
Poor Treatment Response

In this chapter, we review the nature and treatment of bipolar disorder. We first present a perspective on the disorder, based on the dominant bipolar I and II classifications, and review the current state of medication and empirically supported psychosocial interventions (e.g., cognitive-behavioral therapy, family-focused therapy, interpersonal and social rhythm therapy, and group treatment), including factors that lead to poor treatment response. Given the increased attention to how bipolar I and II may lie at one end of a continuum of patterns of mood instability, we subsequently address spectrum conceptualizations of bipolar disorder. The proposed spectrum models are presented and then considered in relation to revised prevalence rates and treatment implications.

The Nature and Treatment of Bipolar Disorder and the Bipolar Spectrum

2010 ◽  
pp. 294-311
Author(s):  
Michael W. Otto ◽  
Allison J. Applebaum
Keyword(s):  
Bipolar Disorder ◽  
Group Treatment ◽  
Behavioral Therapy ◽  
Psychosocial Interventions ◽  
Bipolar Spectrum ◽  
Empirically Supported ◽  
Current State ◽  
Poor Treatment ◽  
Social Rhythm ◽  
Poor Treatment Response

In this chapter, we review the nature and treatment of bipolar disorder. We first present a perspective on the disorder, based on the dominant bipolar I and II classifications, and review the current state of medication and empirically supported psychosocial interventions (e.g., cognitive-behavioral therapy, family-focused therapy, interpersonal and social rhythm therapy, and group treatment), including factors that lead to poor treatment response. Given the increased attention to how bipolar I and II may lie at one end of a continuum of patterns of mood instability, we subsequently address spectrum conceptualizations of bipolar disorder. The proposed spectrum models are presented and then considered in relation to revised prevalence rates and treatment implications.

scholarly journals The Role of the Family in the Course and Treatment of Bipolar Disorder

2007 ◽  
Vol 16 (4) ◽  
pp. 192-196 ◽  
Author(s):  
David J. Miklowitz
Keyword(s):  
Bipolar Disorder ◽  
Expressed Emotion ◽  
Psychosocial Interventions ◽  
Developmental Pathways ◽  
Psychosocial Stressors ◽  
At Risk Children ◽  
The Family ◽  
Initial Onset ◽  
Patterns Of Interaction

Bipolar disorder is a highly recurrent and debilitating illness. Research has implicated the role of psychosocial stressors, including high expressed-emotion (EE) attitudes among family members, in the relapse–remission course of the disorder. This article explores the developmental pathways by which EE attitudes originate and predict relapses of bipolar disorder. Levels of EE are correlated with the illness attributions of caregivers and bidirectional patterns of interaction between caregivers and patients during the postepisode period. Although the primary treatments for bipolar disorder are pharmacological, adjunctive psychosocial interventions have additive effects in relapse prevention. Randomized controlled trials demonstrate that the combination of family-focused therapy (FFT) and pharmacotherapy delays relapses and reduces symptom severity among patients followed over the course of 1 to 2 years. The effectiveness of FFT in delaying recurrences among adolescents with bipolar disorder and in delaying the initial onset of the illness among at-risk children is currently being investigated.

scholarly journals Psychosocial Interventions for Bipolar Disorder and Coping Style Modification: Similar Clinical Outcomes, Similar Mechanisms?

2013 ◽  
Vol 58 (8) ◽  
pp. 482-486 ◽  
Author(s):  
Sagar V Parikh ◽  
Lisa D Hawke ◽  
Ari Zaretsky ◽  
Serge Beaulieu ◽  
Irene Patelis-Siotis ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Clinical Outcomes ◽  
Coping Style ◽  
Psychosocial Interventions ◽  
And Coping

Bipolar Disorders and Their Clinical Management, Part II: Diagnosis, Differential Diagnosis, and Treatment

2019 ◽  
Author(s):  
Bernadette DeMuri-Maletic ◽  
Vladimir Maletic
Keyword(s):  
Quality Of Life ◽  
Bipolar Disorder ◽  
Differential Diagnosis ◽  
Bipolar Disorders ◽  
Psychosocial Interventions ◽  
Diagnosis And Treatment ◽  
Treatment Quality ◽  
Treatment Modalities ◽  
The Impact

Bipolar disorder is a biologically and phenotypically diverse disorder and its diagnosis and treatment provides a significant challenge to even the most seasoned clinician. We provide an update on the diagnosis and differential diagnosis of bipolar disorder, reflecting recent changes in DSM-5. Our review provides a succinct summary of the treatment literature, encompassing pharmacologic and psychosocial interventions for bipolar depression, mania/hypomania, mixed states, and prevention of disease recurrence. We provide a brief critical review of emerging treatment modalities, including those used in treatment resistance. Challenges involved in maintaining adherence are further discussed. Additionally, we review common treatment adverse effects and provide recommendations for proper side effect monitoring. There is evidence of significant functional impairment in patients with bipolar disorder and we conclude with a discussion of the impact of impairment on prognosis and quality of life. This review contains 4 figures, 8 tables, and 45 references. Key Words: bipolar disorders, differential diagnosis, maintenance pharmacotherapy, prognosis, psychosocial interventions, treatment, quality of life

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