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PSYCHOTHERAPIES FOR BIPOLAR DISORDER Keith R Laws University of Hertfordshire

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Presentation on theme: "PSYCHOTHERAPIES FOR BIPOLAR DISORDER Keith R Laws University of Hertfordshire"— Presentation transcript:

1 PSYCHOTHERAPIES FOR BIPOLAR DISORDER Keith R Laws University of Hertfordshire k.laws@herts.ac.uk

2 DEPRESSION END OF TRIAL

3 DEPRESSION AT FOLLOW-UP

4 MANIA AT END

5 MANIA AT FOLLOW-UP

6 MANAGING BIPOLAR DISORDER IN PRIMARY CARE (AND ADULTS IN SECONDARY CARE) 8.3.1.1 Offer people with bipolar depression: a psychological intervention that has been developed specifically for bipolar disorder and has a published evidence-based manual* describing how it should be delivered …. or a high-intensity psychological intervention (CBT, interpersonal therapy or behavioural couples therapy) in line with recommendations 1.5.3.1–1.5.3.5 in the NICE clinical guideline on depression.

7 EVIDENCE-BASED MANUAL? This is defined as being based on at least one RCT published in a peer review journal showing effectiveness on depression symptoms in bipolar depression or in long-term treatment to reduce relapse in people with bipolar disorder.

8 MANAGING BIPOLAR DISORDER IN PRIMARY CARE (AND ADULTS IN SECONDARY CARE) 8.3.1.1 Offer people with bipolar depression: a psychological intervention that has been developed specifically for bipolar disorder and has a published evidence-based manual* describing how it should be delivered …. or a high-intensity psychological intervention (CBT, interpersonal therapy or behavioural couples therapy) in line with recommendations 1.5.3.1–1.5.3.5 in the NICE clinical guideline on depression.

9 NICE ON DEPRESSION 2007 …the most significant limitation is with the concept of depression itself. The view of the Guideline Development Group is that it is too broad and heterogeneous a category, and has limited validity as a basis for effective treatment plans.


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