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Cognitive therapy as an adjunct to medication in bipolar disorder

  • Jan Scott (a1)
Abstract
Background

There is increasing support for the use of cognitive behaviour therapy as an adjunct to medication for patients with bipolar disorder.

Aims

To explore current psychological models of bipolar disorder, describing the clinical rationale for using cognitive therapy and providing a brief overview of the approach.

Method

Results from outcome studies are discussed.

Results

Preliminary findings indicate that cognitive therapy may be beneficial for patients with bipolar disorder. The collaborative, educational style of cognitive therapy, the use of a stepwise approach and of guided discovery is particularly suitable for patients who wish to take an equal and active role in their therapy.

Conclusions

Randomised, controlled trials of cognitive therapy in bipolar disorder are required to establish the short-term and long-term benefits of therapy, and whether any reported health gain exceeds that of treatment as usual.

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Copyright
Corresponding author
Professor Jan Scott, Division of Psychiatry, University Department of Psychological Medicine, Gartnavel Royal Hospital, Glasgow G12 0XH, UK. Tel: +44 (0) 141 211 3937; fax: +44 (0) 141 3574899; e-mail: jan.scott@clinmed.gla.ac.uk
Footnotes
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Declaration of interest

J. S. is the Principal Investigator of a multicentre trial of cognitive therapy for bipolar disorders funded by the Medical Research Council.

Footnotes
References
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Bauer, M. & McBride, R. (1997) Structured Group Psychotherapy for Bipolar Disorder – The Life Goals Program. New York: Springer.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Cognitive therapy as an adjunct to medication in bipolar disorder

  • Jan Scott (a1)
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