Bipolar disorder in adults: Psychoeducation and other adjunctive maintenance psychotherapies
- Eduard Vieta, MD, PhD
Eduard Vieta, MD, PhD
- Professor of Psychiatry
- University of Barcelona
- Francesc Colom, PhD, PsyD, MSc
Francesc Colom, PhD, PsyD, MSc
- Senior Researcher
- Mental Health Program
- Hospital del Mar Medical Research Institute
Psychoeducation includes helping patients accept their condition, explaining the clinical features and treatment options, and encouraging them to anticipate problems and be proactive in managing the illness. Educating bipolar patients about their illness can improve adherence to treatment and the course of illness. The word “doctor” is derived from the Latin verb docere, which means to teach.
This topic reviews psychoeducation and other adjunctive maintenance psychotherapies for preventing or delaying recurrent bipolar mood episodes. Choosing maintenance treatment (including pharmacotherapy) for bipolar disorder is discussed separately. (See "Bipolar disorder in adults: Choosing maintenance treatment".)
DEFINITION OF BIPOLAR DISORDER
Bipolar disorder is a mood disorder that is characterized by episodes of mania (table 1), hypomania (table 2), and major depression (table 3) . The subtypes of bipolar disorder include bipolar I and bipolar II. Patients with bipolar I disorder experience manic episodes, and nearly always experience hypomanic and major depressive episodes. Bipolar II disorder is marked by at least one hypomanic episode, at least one major depressive episode, and the absence of manic episodes. Additional information about the clinical features and diagnosis of bipolar disorder is discussed separately. (See "Bipolar disorder in adults: Clinical features" and "Bipolar disorder in adults: Assessment and diagnosis", section on 'Diagnosis'.)
Psychotherapies that are used as adjunctive maintenance treatment for bipolar disorder include [2,3]:
●Group and individual psychoeducation
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- DEFINITION OF BIPOLAR DISORDER
- GROUP PSYCHOEDUCATION
- Evidence of efficacy
- General principles
- - Medical model
- - Clinical setting
- - Mechanism of action
- Administering treatment
- - Illness awareness
- - Symptoms
- - Medication options and adherence
- - Detecting prodromal signs
- - Lifestyle regularity
- - Other topics
- DETECTING EARLY WARNING SIGNS
- COGNITIVE-BEHAVIORAL THERAPY
- Cognitive-behavioral therapy for insomnia
- FAMILY THERAPY
- INTERPERSONAL AND SOCIAL RHYTHM THERAPY
- HEALTHY LIFESTYLE
- FUNCTIONAL REMEDIATION
- ELECTRONIC RESOURCES
- INFORMATION FOR PATIENTS