PSYCHOTHERAPIES FOR BIPOLAR DISORDER Keith R Laws University of Hertfordshire

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Presentation transcript:

PSYCHOTHERAPIES FOR BIPOLAR DISORDER Keith R Laws University of Hertfordshire

DEPRESSION END OF TRIAL

DEPRESSION AT FOLLOW-UP

MANIA AT END

MANIA AT FOLLOW-UP

MANAGING BIPOLAR DISORDER IN PRIMARY CARE (AND ADULTS IN SECONDARY CARE) 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 – in the NICE clinical guideline on depression.

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.

MANAGING BIPOLAR DISORDER IN PRIMARY CARE (AND ADULTS IN SECONDARY CARE) 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 – in the NICE clinical guideline on depression.

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.