I found the following resource which mentioned that the jury is still out on the usefulness of CBT for BD - http://psychiatry.jwatch.org/cgi/content/full/2006/607/3
Just a pointer for someone else who might stumble by here.
By Friendly Passerby
CBT as Treatment for Bipolar Disorder
There are many treatment options for bipolar disorder. The most common treatment for bipolar disorder includes a combination of medication and therapy. However, some patients are not candidates for medication treatment. Patients that have a history of drug abuse, for instance, should in most cases not be placed on medication for bipolar disorder, as the risk for abuse is too great. Additionally, patients may not have a case of bipolar disorder severe enough to warrant medication. Other patients may choose to avoid the route of medication until it becomes absolutely necessary.
In response to these special cases in which medication treatment is not a viable option for bipolar disorder, that Cognitive Behavioral Therapy, or CBT, was developed. CBT is a type of therapy that assists patients in recognizing triggers and causes for their manic and depressive states. The patient can then learn techniques to avoid these triggers, and cope with symptoms during episodes. Seventy percent of bipolar disorder type one patients that undergo CBT experience one or fewer episodes within four years of starting the CBT treatment.
There are two main goals that are met by using CBT as treatment for bipolar disorder. The first goal is to recognize manic episodes before they become uncontrollable, and consciously change how they react to the episode. The second goal is to learn techniques, reactions, thoughts, and behaviors that can help to offset depression. These goals are realized through various techniques and activities prescribed by the therapist. With CBT, the treatment of bipolar disorder rests with the patient, who is given homework in the form of exercises and reading, which helps them to understand their condition and learn methods to cope with it.
The first step to successful treatment of bipolar disorder through CBT is to develop a treatment contract with the patient. This is a treatment plan that the patient agrees to follow, and also involves the patient's promise to complete all homework assignments and take any prescribed medication as directed. Because the success of CBT depends largely on the patient's responsibility and desire to cope with bipolar disorder, this is an important first step to successful treatment.
The second step to successful treatment of bipolar disorder through CBT is to monitor and grade moods. This is done with various worksheets that the therapist gives the patient. The patient may record their mood for the day, how many hours they have slept, their level of anxiety, and their level of irritability. Those with type two bipolar disorder may need to record their mood two or more times per day, as their moods cycle more often.
Understanding the pattern to mood cycling can help the patient then undergo the next step to CBT treatment for bipolar disorder. This step of CBT for treatment of bipolar disorder requires the patient to do homework in the form of worksheets and reading that will help the patient to understand how their thoughts effect their emotions. By understanding these things, the patient will be able to then practice altering their thoughts in a rational way to make emotions more rational as well, decreasing the number and severity of depressive and manic episodes.
The next step to CBT treatment for bipolar disorder is to learn how to recognize triggers. Triggers are the thoughts, emotions, situations, times of year, events, or environments that set off a depressive or manic episode. By learning how to understand and recognize their triggers, the patient can then learn to avoid the triggers entirely, thereby decreasing the number and severity of depressive and manic episodes.
Overall, CBT is a viable and quite successful treatment for bipolar disorder, and can be a healthy alternative to medication in some cases. If you feel you may be a candidate for CBT, you should contact your doctor or therapist to discuss this and other bipolar disorder treatment options.
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"Patients that have a history of drug abuse, for instance, should in most cases not be placed on medication for bipolar disorder, as the risk for abuse is too great." --This statement is false
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I don't know were you found your stats for your page. CBT is NOT an effective treatment for many Bi Polar sufferers. I was given CBT by a therapist. I asked if CBT could make someone intoxicated behave sober? The therapist ageed it couldn't. I therefore concluded that CBT could not make my brain chemistry alter, the cause of my mood changes. The therapist agreed CBT couldn't do this either! The techniques employed in CBT are not mystical or highly scientific systems. Many people with bi polar have evolved similar techniques as a defence mechanism. CBT is not a magic pill, it has a small part to play in solving a big medical problem. Therapists that overstate the benefits of CBT are doing a disservice to the public - please start behaving like a scientist and less like an evangelist.
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The idea of beginning therapy with getting the patient to promise to follow everything and be responsible kind of over-looks the reason they are there in the therapists office to begin with. From my experience,being bipolar type 2 and knowing others with the disorder, the problem is that they can't promise -anything-... That they'll turn up to the next session, that they'll take their medication, that they'll be in a frame of mind to follow the CBT homework they've been given. To take any of it seriously, to feel that it, along with life, is worth the effort. I've never understood how you have to magically be able to promise/commit as though you're simply an irresponsible person that needs to take action in your life.. when the problem is that you can't control your own moods, especially considering the chemical imbalances.
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My Articles
Famous People With Bipolar Disorder Past And PresentCBT As Treatment For Bipolar Disorder
What Are The Causes Of Bipolar Disorder?
About Type 1 Bipolar Disorder
Treatments For Bipolar Disorder
What To Do If You Have A Bipolar Disorder Diagnosis
Concerns Of Bipolar Disorder Self Injury
Bipolar Disorder In Children
What Is Bipolar Disorder?
Latest Medications For Bipolar Affective Disorder
All About Bipolar Disorder Treatment
Recognizing Bipolar Disorder Symptoms
Prozac For Bipolar Disorder, Bulimia, And Anxiety
Borderline Personality Disorder VS Bipolar
Celexa And Bipolar Disorder
Childhood Treatment Options For Bipolar Disorder
What Are The Symptoms Of Bipolar Disorder?
About Bipolar Affective Disorder
Exploring The Various Bipolar Disorders
Pediatric Bipolar Versus Asperger's Disorder
Psychiatric Evidence Of Bipolar Disorder
My Articles Recognizing Bipolar Disorder Symptoms There may come a time when a person needs to determine if a.. Latest Medications For Bipolar Affective Disorder Bipolar affective disorder, also known as manic depression disorder, is a.. Pediatric Bipolar Versus Asperger's Disorder Pediatric bipolar disorder, or manic depression, is a mental.. What Are The Symptoms Of Bipolar Disorder? From historical figures to celebrities to everyday people, there are.. |
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