title: [The contribution of psychotherapy to a therapeutic approach of bipolar disorders that combines psychotherapy and pharmacotherapy].
abstract: The author assumes that genetic and environmental factors interact in the etiology of Bipolar Disorders. The main goal of this article is to discuss the contribution of psychotherapy in a therapeutic approach to Bipolar Disorders that includes both psychopharmacological treatment and psychotherapy. The central tenet of the paper is that the psychotherapeutic approach to depression focuses on the personality structure as a whole and identifies the predominant psychodynamic factors: the disparity between actual and ideal self-representations, the loss of internal objects, the impact of the vicissitudes of symbiotic relationships on the psychic equilibrium. In the treatment of mania, the psychotherapeutic interventions are considered to be significantly less useful than in the treatment of depression.
authors.forename: Miguel Alejo
authors.initials: MA
authors.lastname: Spivacow
mesh_terms: D001714:Bipolar Disorder / Q000628:therapy*; D003131:Combined Modality Therapy; D006801:Humans; D011613:Psychotherapy