title: Self-management and bipolar disorder--a clinician's guide to the literature 2011-2014.
abstract: This review provides clinicians and individuals with bipolar disorder (BD) with an overview of evidence-based skills shown to be effective in BD and amenable to self-management including psychoeducation; monitoring moods, medications, and social function; sleep hygiene; setting goals and relapse plans; and healthy lifestyles (physical activity, healthy eating, weight loss and management, medical comorbidities). Currently available self-management resources for BD are summarized by mode of delivery (workbooks, mobile technologies, internet, and peer-led interventions). Regardless of the self-management intervention/topic, the research suggests that personally tailored interventions of longer duration and greater frequency may be necessary to achieve the maximal benefit among individuals with BD. Means to support these self-management interventions as self-sustaining identities are critically needed. Hopefully, the recent investment in patient-centered research and care will result in best practices for the self-management of BD by mode of delivery. Since self-management of BD should complement rather than replace medical care, clinicians need to partner with their patients to incorporate and support advances in self-management for individuals with BD.
authors.affiliation: VA Ann Arbor Center for Clinical Management Research (CCMR), Ann Arbor, MI, USA, carol.janney@va.gov.
authors.forename: Carol A
authors.initials: CA
authors.lastname: Janney
authors.forename: Mark S
authors.initials: MS
authors.lastname: Bauer
authors.forename: Amy M
authors.initials: AM
authors.lastname: Kilbourne
mesh_terms: D001714:Bipolar Disorder / Q000628:therapy*; D019468:Disease Management; D019317:Evidence-Based Medicine; D015438:Health Behavior; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods; D012648:Self Care / Q000379:methods*