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Schema-focused cognitive therapy for bipolar disorder: reducing vulnerability to relapse through attitudinal change
Jillian Ball1, Philip Mitchell, Gin Malhi
1Bipolar Disorders Clinic, Prince of Wales Hospital, Randwick, New South Wales, Australia. jillian@unsw.edu.au
The Australian and New Zealand Journal of Psychiatry
|January 22, 2003
Summary
Schema-focused cognitive therapy may improve functional recovery in bipolar disorder by addressing illness reactions and self-concept. This approach, combined with medication, offers new psychotherapeutic options for managing bipolar disorder symptoms and improving patient adaptability.
Area of Science:
- Psychiatry
- Psychology
- Clinical Neuroscience
Background:
- Illness acceptance and adaptability significantly impact treatment adherence and functional recovery in bipolar disorder.
- Psychosocial factors play a crucial role in managing bipolar disorder symptoms and adapting to the illness experience.
- Developmental experiences and temperament influence individual reactions to bipolar disorder.
Purpose of the Study:
- To explore psychosocial factors in bipolar disorder and the role of psychological interventions.
- To present a novel schema-focused cognitive model for bipolar disorder.
- To propose schema-focused cognitive therapy as a method to improve functional recovery.
Main Methods:
- A systematic literature review was conducted, including an Index Medicus/MEDLINE search, focusing on risk factors, cognitive vulnerabilities, and triggers of bipolar disorder.
- Existing psychological treatments for bipolar disorder were reviewed.
- A novel schema-focused cognitive model was developed, integrating traditional adaptation models.
Main Results:
- Schema-focused cognitive therapy targets temperament, developmental experiences, and cognitive vulnerabilities impacting illness adjustment.
- This therapy aims to reduce cognitive vulnerability to relapse and enhance mood management strategies.
- The proposed model highlights the importance of addressing illness reactions and their effect on self-concept.
Conclusions:
- Psychological treatments are needed to mitigate risks associated with poor functionality in bipolar disorder patients.
- Schema-focused cognitive therapy offers a targeted approach to improve adjustment to bipolar disorder.
- Combining schema-focused cognitive therapy with pharmacotherapy may provide novel psychotherapeutic options.