Psychoeducational and cognitive-behavioral strategies in the management of bipolar disorder.
Despite advances in the pharmacologic treatment of bipolar disorder, it is clear that additional strategies are needed to provide patients with longer-term mood stability. Recent years have witnessed the development of a number of psychosocial strategies for bipolar disorder that are design as adjuncts to ongoing pharmacotherapy. In this article we describe psychoeducational and cognitive-behavioral approaches to the management of bipolar disorder, with emphasis on broader treatment packages that can be offered by cognitive-behavior therapists working in specialty bipolar clinics, as well as specific strategies that can be integrated into standard pharmacotherapy for the disorder. A growing body of evidence documents the potential value of these interventions, and large-scale studies are underway, including the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD), which will provide outcome on these interventions from the perspective of large, multicenter trials.
Otto
Michael W
MW
Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. motto@partners.org
Reilly-Harrington
Noreen
N
Sachs
Gary S
GS
D000339:Affect; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000523:psychology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D006801:Humans; D010349:Patient Compliance; D010353:Patient Education as Topic; D011379:Prognosis; D016896:Treatment Outcome
D014150:Antipsychotic Agents