title: Towards recovery-oriented psychosocial interventions for bipolar disorder: Quality of life outcomes, stage-sensitive treatments, and mindfulness mechanisms.
abstract: Current adjunctive psychosocial interventions for bipolar disorder (BD) aim to impact illness course via information sharing/skill development. This focus on clinical outcomes contrasts with the emergent recovery paradigm, which prioritises adaptation to serious mental illness and movement towards personally meaningful goals. The aim of this review is to encourage innovation in the psychological management of BD by considering three recovery-oriented trends in the literature. First, the importance of quality of life as a target of recovery-oriented clinical work is considered. Second, the recent staging approach to BD is described, and we outline implications for psychosocial interventions tailored to stage. Finally, we review evidence suggesting that mindfulness-based psychosocial interventions have potential across early, middle and late stages of BD. It is concluded that the humanistic emphasis of the recovery paradigm provides a timely stimulus for development of a next generation of psychosocial treatments for people with BD.
authors.affiliation: Psychological Science, Swinburne University of Technology, Australia. Electronic address: gwm@swin.edu.au.
authors.forename: Greg
authors.initials: G
authors.lastname: Murray
authors.affiliation: Psychological Science, Swinburne University of Technology, Australia.
authors.forename: Nuwan D
authors.initials: ND
authors.lastname: Leitan
authors.affiliation: Psychological Science, Swinburne University of Technology, Australia.
authors.forename: Neil
authors.initials: N
authors.lastname: Thomas
authors.affiliation: Department of Psychiatry, University of British Columbia, Canada.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Michalak
authors.affiliation: Department of Psychology, University of California, Berkeley, United States.
authors.forename: Sheri L
authors.initials: SL
authors.lastname: Johnson
authors.affiliation: Spectrum Centre, Lancaster University, United Kingdom.
authors.forename: Steven
authors.initials: S
authors.lastname: Jones
authors.affiliation: Psychology, University of Western Sydney, Australia.
authors.forename: Tania
authors.initials: T
authors.lastname: Perich
authors.affiliation: School of Medicine, Deakin University, Australia.
authors.forename: Lesley
authors.initials: L
authors.lastname: Berk
authors.affiliation: School of Medicine, Deakin University, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Berk
mesh_terms: D001714:Bipolar Disorder / Q000523:psychology / Q000628:therapy*; D006801:Humans; D064866:Mindfulness; D011613:Psychotherapy / Q000379:methods*; D011788:Quality of Life / Q000523:psychology*; D016896:Treatment Outcome
keywords: Bipolar disorder; Depression; Mania; Mindfulness; Psychotherapy; Quality of life; Recovery; Staging