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[Psychotherapeutic interventions in bipolar disorders--treatment programmes, their contents and effectiveness]
1Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität, München, Germany. annette.schaub@med.uni-muenchen.de
Abstract:
Cognitive-behavioural interventions combined with pharmacotherapy have gained importance in the treatment of bipolar disorders. Based on the vulnerability-stress instability model psychoeducational, cognitive-behavioural, interpersonal and family interventions are provided. This paper gives an overview of treatment programmes and their foci. They include providing knowledge about the illness and its treatment, modifying dysfunctional cognitions and symptom management as well as relapse prevention by promoting a stable life style. There are several English- and German-based randomised controlled follow-up studies in English-speaking countries which provide support for the efficacy of combined treatment. Since 2004 German-based manualised treatment programmes have become available and have been shown to be clinically feasible and promising.
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