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ASPOFAFF :: Journal - Volume 2 :: Volume 2 - Issue 1 :: Vol 2 - Iss 1 - Short Communication - Psychotherapy and Preventing Relapses

Vol 2 - Iss 1 - Short Communication - Psychotherapy and Preventing Relapses #62

Psychotherapy and Preventing Relapses

Dominic Lam PhD

Professor of Clinical Psychology
Dept. of Clinical Psychology
University of Hull
Kings College
University of London

Correspondence:
Dominic Lam, PhD.,
Professor of Clinical Psychology,
Psychology Department,
Hertford Building,
University of Hull,
Hull HU6 7RX.
UK
Tel. 01482 464164
Fax 01482 464093
Email: d.lam@Hull.ac.uk

Abstract:

Despite the use of mood stabilisers, a significant proportion of bipolar patients suffers from frequent relapses. Some continue to be re-hospitalised. In view of these findings, psychological treatments have been developed as part of a combined treatment for bipolar patients.

Bipolar disorder is a complex illness, and various treatments are likely to be needed for different phases of the illness. The effectiveness of any treatment program would probably largely depend on its ability to target selective problems in specific phases of the illness. Psychological strategies designed for prevention of relapses may have to be different from those strategies designed to target an acute episode and may be minimally effective for an acute episode. Hence, it is important to be clear whether the goal of intervention is to treat the acute episode or prevent future relapses in patients out of an acute episode. So far, the evidence from randomised controlled studies supports the efficacy of combined drug and psychological treatment in relapse prevention in patients who are out of an acute episode.

Efficacy evidence from randomised controlled studies for psychological therapy in bipolar disorder varied from individual work(1, 2, 3), group work(4) and family work(5,6). All these studies reported a significant effect in relapse prevention.

Key Words: bipolar disorders, evidence-based psychological treatments,
randomized controlled treatment trials

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