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The Role of Cognitive Behaviour Therapy in Bipolar Disorder

Published online by Cambridge University Press:  16 June 2009

Jan Scott
Jan Scott
Affiliation:
Royal Victoria Infirmary, Newcastle upon Tyne
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Extract

There is increasing support for the use of systematic psychological interventions in combination with pharmacotherapy in the treatment of bipolar disorder (BD). A “manualised” approach, such as cognitive behaviour therapy (CBT), can be used to facilitate adjustment to the disorder, increase the acceptability of prescribed medications and reduce morbidity. This paper outlines psychosocial issues of relevance to individuals with BD and a model to engage individuals in therapy is described. A brief overview is given of some of the interventions that may help sufferers identify and control the acute symptoms of BD, reduce the risk of relapse and improve how they cope with the disorder and its treatment. The available outcome data on the use of CBT and the need for research are also noted.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 24 , Issue 3 , July 1996 , pp. 195 - 208
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1996

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References

American Psychiatric Association (1994) Practice guidelines for the treatment of patients with bipolar disorder. American Journal of Psychiatry 151, (suppl.), 1–36.CrossRefGoogle Scholar
Anthony, E. (1975). The influence of a manic-depressive environment on the developing child. In Anthony, E.Benedek, T. (Eds). Depression and the human existence. Boston: Little Brown.Google Scholar
Basco, M. and Rush, A. (1995). Cognitive-behavioural treatment of manic-depressive disorder. New York: Guilford Press.Google Scholar
Barker, P. (1994). Locus of control in women with a diagnosis of manic depressive psychosis. Journal of Psychiatric and Mental Health Nursing 1, 9–14.Google Scholar
Bauer, M., Crits-Christoph, P., Ball, W., Dewees, E., McAllister, T., Alahi, P., Cacciola, J. and Whybrow, P. (1991). Independent assessment of manic and depressive symptoms by self-rating. Archives of General Psychiatry 48, 807–812.Google Scholar
Bech, P., Vendesborg, P. and Rafaelson, O. (1976). Lithium maintenance of manic-melancholic patients: its role in the daily routine. Acta Psychiatrica Scandanavica 53, 70–81.Google Scholar
Beck, A. T., Rush, A.J., Shaw, B. and Emery, G. (1979). Cognitive therapy of depression. New York: John Wiley and Sons.Google Scholar
Brodie, H. and Leff, M. (1971). Bipolar depression—a comparative study of patient characteristics. American Journal of Psychiatry 127, 1086–1090.CrossRefGoogle ScholarPubMed
Chor, P., Mercier, M. and Halper, I. (1988). Use of cognitive therapy for treatment of a patient suffering from a bipolar affective disorder. Journal of Cognitive Psychotherapy 2, 51–58.CrossRefGoogle Scholar
Cochran, S. (1984). Preventing medical non-compliance in the outpatient treatment of bipolar affective disorder. Journal of Consulting and Clinical Psychology 52, 873–878.Google Scholar
Cochran, S. and Gitlin, M. (1988). Attitudinal correlates of lithium compliance in bipolar affective disorders. Journal of Nervous and Mental Diseases 176, 457–464.Google Scholar
Dickson, W. and Kendall, R. (1986). Does maintenance lithium therapy prevent recurrence of mania under ordinary clinical conditions. Psychological Medicine 16, 521–530.CrossRefGoogle ScholarPubMed
Goodwin, F. and Jamison, K. (1990). Manic-depressive illness. Oxford: Oxford University Press.Google Scholar
Hall, K. (1984). A prospective study of life events and affective episodes in a population of manic-depressive patients. PhD Thesis: Columbia University.Google Scholar
Hammen, C., Ellicott, A. and Gitlin, M. (1992). Stressors and sociotropy/autonomy: a longitudinal study of their relationship to course of bipolar disorder. Cognitive Therapy and Research 16, 409–418.CrossRefGoogle Scholar
Harrow, M., Goldberg, J., Grossman, L. and Melker, H. (1990). Outcome in manic disorders. Archives of General Psychiatry 47, 665–671.CrossRefGoogle ScholarPubMed
Hingley, S. (1993) Psychological theories of delusional thinking: in search of integration. British Journal of Medical Psychology 65, 347–352.Google Scholar
Hooley, J., Richters, J., Weintraub, S. and Neale, J. (1987). Psychopathology and marital distress: the positive side of positive symptoms. Journal of Abnormal Psychology 96, 27–33.CrossRefGoogle ScholarPubMed
Jamison, K. and Akiskal, H. (1983). Medication compliance in patients with bipolar disorders. Psychiatric Clinics of North America 6, 175–192.Google Scholar
Jamison, K., Gerner, R. and Goodwin, F. (1979). Patient and physician attitudes towards lithium: relationship to compliance. Archives of General Psychiatry 36, 866–869.CrossRefGoogle Scholar
Kahn, D. (1990). The psychotherapy of mania. Psychiatric Clinics of North America 13, 229–240.CrossRefGoogle ScholarPubMed
Kennedy, S., Thompson, R., Stancer, H., Roy, A. and Persad, E. (1983). Life events precipitating mania. British Journal of Psychiatry 142, 398–403.CrossRefGoogle ScholarPubMed
Kingdon, D. and Turkington, D. (1991). The use of cognitive behavior therapy with a normalizing rationale in schizophrenia. Journal of Nervous and Mental Diseases 179, 207–211.Google Scholar
Leiberman, P. and Strauss, J. (1984). The recurrence of mania: environmental factors and medical treatment. American Journal of Psychiatry 141, 77–80.Google Scholar
Ludgate, J. (1994). Cognitive behaviour therapy and depressive relapse: justified optimism or unwarranted complacency. Behavioural and Cognitive Psychotherapy 22, 1–12.Google Scholar
Manic Depression Fellowship (1995). Inside out. Surrey: MDF.Google Scholar
Markowitz, J. (1994). Psychotherapy of dysthymia. American Journal of Psychiatry 151, 114–121.Google Scholar
McKeon, P. (1992). Coping with depression and elation. London: Sheldon Press.Google Scholar
Miklowitz, D. and Goldstein, M. (1990). Behavioural family treatment for patients with bipolar affective disorder. Behaviour Modification 14, 457–489.Google Scholar
Miklowitz, D., Goldstein, M., Nuechterlein, K., Snyder, M. and Mintz, J. (1988). Family factors and the course of bipolar affective disorder. Archives of General Psychiatry 45, 225–230.CrossRefGoogle ScholarPubMed
Molner, G., Feeney, M. and Fava, G. (1988). The duration and symptoms of bipolar prodromes. American Journal of Psychiatry 145, 1575–1578.Google Scholar
Newman, C. and Beck, A. (1992). Cognitive therapy of rapid cycling bipolar affective disorder. A treatment manual. Philadelphia: Center for Cognitive Therapy.Google Scholar
Padesky, C. and Mooney, K. (1990). Clinical tip in presenting the cognitive model to clients. International Cognitive Therapy Newsletter 6, 13–14.Google Scholar
Palmer, A., Williams, H. and Adams, M. (1995). Cognitive behaviour therapy in a group format for bipolar affective disorder. Behavioural and Cognitive Psychotherapy 23, 153–168.Google Scholar
Peet, M. and Harvey, N. (1991). Lithium maintenance: 1. A standard education programme for patients. British Journal of Psychiatry 158, 197–200.Google Scholar
Peselow, E., Sanfilipo, M. and Fieve, R. (1995). Relationship between hypomania and personality disorders before and after successful treatment. American Journal of Psychiatry 152, 232–238.Google Scholar
Post, R., Rubinow, D. and Ballenger, J. (1986). Conditioning and sensitization in the longitudinal course of affective illness. British Journal of Psychiatry 149, 191–201.Google Scholar
Prien, R. and Potter, W. (1990). NIMH workshop report on treatment of bipolar disorder. Psychopharmacology Bulletin 26, 409–427.Google ScholarPubMed
Rush, A. (1988). Cognitive approaches to adherence. In Frances, A. and Hales, R. (Eds). Review of Psychiatry: Volume 8. Washington: APA Press.Google Scholar
Scott, J. (1992). Chronic depression: can cognitive therapy succeed when other treatments fail? Behavioral Psychotherapy 20, 25–34.CrossRefGoogle Scholar
Scott, J. (1995a). Psychotherapy for bipolar disorder: an unmet need? British Journal of Psychiatry 167, 581–588.Google Scholar
Scott, J. (1995b). Cognitive therapy for clients with bipolar disorder: a case example. Cognitive and Behavioural Practice. In press.Google Scholar
Scott, J. (1995c). Editorial: Psychological treatments of depression. An update. British Journal of Psychiatry 167, 289–292.CrossRefGoogle ScholarPubMed
Scott, J., Byers, S. and Turkington, D. (1993). The chronic patient. In Wright, J., Thase, M., Beck, A.T. and Ludgate, J. (Eds). Cognitive therapy with inpatients. New York: Guilford Press.Google Scholar
Smith, J. and Tarrier, N. (1992). Prodromal symptoms in manic depressive psychosis. Social Psychiatry and Psychiatric Epidemiology, 27, 245–248.Google Scholar
Swendsen, J., Hammen, C., Heller, T. and Gitlin, M. (1995). Correlates of stress reactivity in patients with bipolar disorder. American Journal of Psychiatry 152, 795–797.Google Scholar
Tarrier, N., Beckett, R., Harwood, S., Baker, A., Yusupoff, L. and Ugarteburu, I. (1993). A trial of two cognitive-behavioural methods of treating drugresistant residual psychotic symptoms in schizophrenic patients. British Journal of Psychiatry 162, 524–532.Google Scholar
Targum, S., Dibble, E., Davenport, Y. and Gershon, E. (1979). The family attitude questionnaire. Patients' and spouses' views of bipolar illness. Archives of General Psychiatry 38, 562–568.Google Scholar
Thase, M., Bowler, K. and Harden, T. (1991). Cognitive behavior therapy of endogenous depression. Behavior Therapy 22, 469–477.Google Scholar
Van Putten, T. (1975). Why do patients with manic-depressive illness stop their lithium? Comprehensive Psychiatry 16, 179–183.Google Scholar
Wehr, T.Sach, D. and Rosenthal, N. (1987). Sleep reduction as a final common pathway in the genesis of mania. American Journal of Psychiatry 144, 201–203.Google Scholar
Wright, J. and Schrodt, R. (1992). Combined cognitive therapy and pharmacotherapy. In Freeman, A., Simon, K., Beutler, L. and Arowitz, H. (Eds). Handbook of cognitive therapy. New York: Plenum Press.Google Scholar
Wright, J. and Thase, M. (1992) Cognitive and biological therapies: a synthesis. Psychiatric Annals 22, 451–458.Google Scholar
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