Possibilities and Limits of Psychotherapy in Bipolar Disorder

Czech version

Authors: K. Látalová ^1,2; J. Praško ^1,2,3
Authors‘ workplace: Klinika psychiatrie LF UP a FN, Olomouc ¹; Centrum neuropsychiatrických studií, Praha ²; Psychiatrické centrum Praha ³
Published in: Čes. a slov. Psychiat., 105, 2009, No. 2, pp. 71-78.
Category: Comprehensive Reports

Overview

Bipolar affective disorder runs a natural course of frequent relapses and recurrences. Treatment of the illness has consisted mainly of pharmacotherapy. However, we have many drugs with good mood stabilizing effect, only about 60% of patient are stabilizated for long term period. Despite considerable advances in pharmacotherapy, about 40% of patients with bipolar disorder are reported to relapse within 1 year, 60% over 2 years and 73% over 5 years. Repeated recurrent episodes are highly disruptive to the patients´ functioning in everyday life, with such poor psychosocial capacity itself becoming a vulnerability factor for more frequent relapses. One of the promising way how to enhance stability of remission seems to be combination pharmacotherpapy and psychoeducation or psychotherapy. The main challenges for psychological treatments for bipolar disorder are preventing relapse, modyfying dysfunctional attitudes, and improving psychosocial functioning. Randomized controlled trials of psychosocial interventions, such as psychoeducation, family intervention, cognitive therapy and therapy of interpersonal rhythms indicate that these approaches augment stabilizing effect of drug treatment.

Key words:
bipolar affective disorder, psychotherapy, psychoeducation, cognitive therapy, therapy of interpersonal rhythms, family therapy.

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Article was published in

Czech and Slovak Psychiatry

2009 Issue 2