Cognitive Therapy for Bipolar Disorder: A Therapist's Guide to Concepts, Methods, and Practice

Cognitive Therapy for Bipolar Disorder: A Therapist's Guide to Concepts, Methods, and Practice

Cognitive Therapy for Bipolar Disorder: A Therapist's Guide to Concepts, Methods, and Practice

Cognitive Therapy for Bipolar Disorder: A Therapist's Guide to Concepts, Methods, and Practice

Synopsis

A thoroughly updated version of a key practitioner text, this new edition includes a treatment manual of cognitive-behavioural therapy for Bipolar Disorder which incorporates the very latest understanding of the psycho-social aspects of bipolar illness.
  • Updated to reflect treatment packages developed by the authors over the last decade, and the successful completion of a large randomized controlled study which shows the efficacy of CBT for relapse prevention in Bipolar Disorder
  • Demonstrates the positive results of a combined approach of cognitive behavioural therapy and medication
  • Provides readers with a basic knowledge of bipolar disorders and its psycho-social aspects, treatments, and the authors' model for psychological intervention
  • Includes numerous clinical examples and case studies

Excerpt

Since the publication of the first edition in 1999, the last decade has witnessed a proliferation of randomised controlled trials to test the prophylactic efficacy of adding psychological therapies, specifically developed for bipolar disorders, to routine medication. These include cognitive behavioural therapy, interpersonal social rhythm therapy, family-focused therapy and complex psycho-education.

This book describes our attempts at working with bipolar patients as a form of prophylactic psychotherapy in conjunction with medication. The results of a large randomised controlled study (Lam et al. 2003; Lam, Hayward et al. 2005) showed that our approach of combining cognitive behavioural therapy and medication could provide a desirable effect for bipolar patients who have not done well with prophylactic medication alone. Patients randomly assigned to the cognitive behavioural therapy group had significantly fewer days in bipolar episodes, fewer mood symptoms and higher social functioning. We also demonstrated the beneficial effect of our approach in our health economy study. Despite the cost of therapy, our approach is significantly less expensive than routine care (Lam, McCrone et al. 2005).

The treatment package described in this book contains elements from traditional cognitive therapy for depression (Beck et al. 1979). It also includes elements specifically devised for treating the particular difficulties experienced by individuals with bipolar illness. This is based on the combined work of the authors over several years in developing a treatment approach that is practical and acceptable to clients, whilst also based on a current understanding of the psycho-social aspects of bipolar illness.

This book is in two parts. The first part (incorporating the first four chapters) aims to provide readers with a basic knowledge about bipolar disorders, treatments available so far, the psycho-social aspects of bipolar disorders and our model for psychological intervention. The second part describes the treatment package. It consists of chapters on the pre-therapy assessment, how to introduce the model to patients, specific cognitive and behavioural techniques for bipolar disorders, and self-management and coping with prodromes. It also describes longterm issues, the sense of the self, family and social aspects, interpersonal issues in therapy and issues related to services in the context of bipolar disorders.

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