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Cognitive behavioral therapy for rapid-cycling bipolar disorder: a pilot study
Noreen A Reilly-Harrington1, Thilo Deckersbach, Robert Knauz
1Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA. nhreilly@partners.org
Journal of Psychiatric Practice
|September 25, 2007
Summary
Cognitive-behavioral therapy (CBT) may effectively treat rapid-cycling bipolar disorder. This adjunctive CBT approach showed sustained improvements in depressive mood for patients completing the study.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Bipolar disorder involves mood episodes impacting daily function.
- Rapid-cycling bipolar disorder (4+ episodes/year) affects 10-24% of patients.
- This subgroup often shows poor response to standard treatments, necessitating novel therapies.
Purpose of the Study:
- To investigate the efficacy of a newly developed cognitive-behavioral therapy (CBT) protocol tailored for rapid-cycling bipolar disorder.
- To address the lack of published trials on CBT for this specific patient population.
Main Methods:
- A pilot study involving 10 patients diagnosed with rapid-cycling bipolar disorder.
- Participants received the specialized CBT protocol.
- Outcomes were assessed, with a 2-month follow-up period.
Main Results:
- Six out of ten patients completed the study.
- Completers demonstrated statistically significant reductions in depressive mood.
- These mood improvements were maintained at the 2-month follow-up.
Conclusions:
- The developed CBT protocol shows promise as an adjunctive treatment for rapid-cycling bipolar disorder.
- Further research is warranted to confirm these preliminary findings in larger cohorts.
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