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Bipolar Disorder: A Cognitive Therapy Approach C. Newman, R. L. Leahy, A. T. Beck, N. A. Reilly-Harrington L. Gyulai Washington, DC: American Psychological Association, 2002. pp. 260. 39.95 (hardback). ISBN: 1-55798-789-0
| Content Provider | Semantic Scholar |
|---|---|
| Author | Newman, Cynthia M. Leahy, Robert L. Beck, A. T. Reilly-Harrington, Noreen A. Gyulai, László |
| Copyright Year | 2002 |
| Abstract | This book is a welcome addition to the small, but growing, literature concerning psychological approaches to the treatment of bipolar disorder. In spite being multi-authored the book manages to maintain a consistent style. There is throughout an appropriate emphasis on the importance of working collaboratively with the person with bipolar disorder and respecting the difficulties that such people can have in letting go of behaviours that others would regard as harmful. Their message is that the bipolar patient can learn to identify for themselves the rationale for making changes that exchange short-term ‘‘highs’’ for longer term stability of mood, given appropriate psychological support and treatment. The book begins with a consideration of diagnostic and etiological factors. There is then a chapter on the application of cognitive behavioural techniques to bipolar disorder in general. This includes consideration of treatment adherence issues, schemas and life events. There then follow separate chapters concerning psychological approaches to mania and depression. For mania the role of identifying early warning signs, differentiating normal mood from hypomania and using thought challenge approaches to address unrealistic positive thoughts are presented. There are suggestions for reducing impulsivity through the use of behavioural and imagery based interventions and some useful ideas concerning combatting the concentration problems that many bipolar patients exhibit. For depression an appropriate level of emphasis is given to the very real risk of suicide and self harm in bipolar patients. This includes both assessment and intervention to minimize risk through contracts and cognitive challenge of ‘‘suicidogenic beliefs’’. Other standard CBT approaches for depression are identified including the use of pleasure and mastery records and enhancing social support. A chapter on the role of the family highlights the role of expressed emotion in exacerbating bipolar disorder. It provides four case examples in which different levels of family involvement in therapy are described. The importance of psychoeducation and communication skills in family approaches are emphasized, along with a consideration of the costs and benefits associated with extending therapy beyond the individual client. Chapter 6 considers medication. This provides a good summary of the available medication including lithium, anti-convulsants, anti-depressants and anti-psychotics. For a UK audience the usefulness of this chapter would have been increased with a UK key to the US trade names used for each medication. This chapter also considers cognitive behavioural approaches to enhancing adherence and the importance of prescribing clinicians and psychological therapists having good lines of communication. Longer term issues such as stigma and loss are reviewed. The authors provide some |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://static.cambridge.org/resource/id/urn:cambridge.org:id:binary:20170217063755578-0628:S135246580323112X:S1352465803001127a.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
