Cognitive-Behavioral Therapy for Bipolar Disorder, Second by Monica Ramirez Basco PhD, A. John Rush MD

By Monica Ramirez Basco PhD, A. John Rush MD

From best scientist-practitioners, this pragmatic, available ebook presents a whole framework for individualized review and remedy of bipolar disease. It addresses the complexities of operating with people with widely various histories and medical shows, together with those that were lately clinically determined, people who are symptomatically solid, and those that fight each day to accomplish symptom remission. huge case fabric illustrates confirmed suggestions for conceptualizing sufferers' wishes and dealing collaboratively to assist them adhere to drugs remedies, realize the early indicators of manic and depressive episodes, construct coping abilities, and deal with particular indicators. the second one version is a whole revision of the unique quantity, up to date and restructured to be much more person pleasant for clinicians.

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Therefore an alternative, such as CBT, if efficacious, could provide an alternative to antidepres- 28 COGNITIVE-BEHAVIORAL THERAPY FOR BIPOLAR DISORDER sant therapy. Zaretsky, Segal, and Gomar (1999) compared response to CBT in bipolar depressed patients (n = 11) and a matched group of patients with unipolar depression (n = 11). All were moderately depressed and had a history of multiple depressive episodes. After 20 sessions of CBT, bipolar and unipolar depressed patients had a reduction in depressive symptoms.

If hypomania or mania falls on the heels of a lengthy period of depression, the switch may not be noticeable until the changes in thought process begin to interfere with optimal functioning. As the person’s mood begins to lift there is often an improvement in sense of humor. Amusing ideas occur more frequently and the person is able to laugh at him- or herself. As mania progresses, humor can take on a more hostile, dark, or sarcastic tone. This change is unusually not noticeable to the patient but can be quite apparent to others.

Thus, maintenance treatment often requires some adjustments of medications, which if made early and in a timely fashion, can easily avert symptomatic worsening (see later section on long-term management issues). What Patients Need to Know about Medication Management To obtain optimal patient adherence, it is helpful for clinicians to explain to patients with bipolar disorder several general principles about the effective use of antimanic and antidepressant medications: 34 COGNITIVE-BEHAVIORAL THERAPY FOR BIPOLAR DISORDER 1.

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