Psychological Interventions for The Management of Bipolar Disorder
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 70, Issue 5
Abstract
<strong>Background:</strong> Bipolar disorder is a chronic relapsing and mostly severe psychiatric disorder accompanied with a significant psychiatric comorbidity, considerable role impairment, and significant risk of suicide attempts according to recent researches. Mood stabilizers and antipsychotic medications have proved to be effective in managing symptoms for many patients. Nevertheless, medication noncompliance for some patients is a raising concerns. Additional risk for increased symptom severity and relapse when subjected to high levels of psychosocial stress, such as living in a negative family environment has also been reported. Psychosocial treatments, such as cognitive-behavioral therapy (CBT) and family-focused therapy (FFT) were hence introduced in hope of an integrated strategy for the management of bipolar disorder. <strong>Objective of the Study:</strong> This article is intended to review the optimal approach for the management of bipolar disorder. Advances in biopsychosocial treatments are also briefly reviewed, including new health service models for providing care. <strong>Methods</strong>: Electronic search in the scientific database from 1960 to 2017– The studies in this comprehensive review were selected for inclusion based on clinical relevance, importance, and robustness of data related to diagnosis and treatment of bipolar disorder. The search terms that were initially used on MEDLINE/PubMed and Google Search terms included “bipolar disorder,” “mania,” “bipolar depression,” “mood stabilizer,” “atypical antipsychotics,” and “antidepressants.” High-quality, recent reviews of major relevant topics were included to supplement the primary studies. <strong>Results:</strong> Bipolar disorder is a major public health concern. Management includes a lifetime course of medication and attention to psychosocial issues for patients and their families. Standardized treatment guidelines for the management of acute mania have been developed. New potential treatments are being investigated. <strong>Conclusion:</strong> Bipolar disorder have a very dynamic and chronic nature and thus, careful selection of a treatment should be tailored to the phases of the disorder, together with the safety profile identified in clinical trials. Nevertheless, Psychosocial interventions, such as CBT and FFT should be employed in combination with pharmacological therapy for bipolar patients in order to increase medication compliance, decrease depressive symptoms and recognize early warning signs of an affective episode should ideally help to optimize the course and outcome of this devastating condition.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583559
- DOI 10.12816/0043977
- Views 95
- Downloads 0
Overview of Risk factors of diabetic macular edema treatment prognosis
<strong>Background:</strong> Diabetes mellitus (DM) is just one of the world's fastest growing chronic conditions as well as a leading cause of acquired vision loss, diabetic macular edema (DME) is a disease linked to di...
Evaluation of Tuberculosis Awareness in Eastern and Western Saudi Arabia
Background: Previously, and specifically at the last period of 20th century, TB was one of the major leading cause of death. However, the incidence of TB has been decreased. Around ten million cases have been reported in...
The Role of Diffusion Weighted MR Imaging in Assessment of Hepatocellular Carcinoma After Radiofrequency Ablation
Hepatocellular carcinoma (HCC) is the most common primary liver malignancy. Surgical resection and local ablative therapies represent the most frequent first lines therapies adopted when liver transplantation cannot be o...
Effects of High Flux versus Low Flux on Serum C-Reactive Protein A as an Inflammatory Biomarker in Hemodialysis Patients
Background: Traditional low-flux dialysis cannot improve micro-inflammatory status, while new high-flux dialysis can improve the micro-inflammation and lipid metabolism, it helps to improve the quality of life and surviv...
Evaluation of Antidiabetic and Antioxidant Activity of Aegle marmelos L. Correa Fruit Extract in Diabetic Rats
Background: Diabetes mellitus is regarded as a serious chronic disease that carries a high risk for considerable complications. The use of natural plant products for management of diabetes is increasing due to their mini...