Bipolar Disorder

.Robert Reiser, PhD, is a cognitive behavioraltherapist in private practicefocusing on treatment of individualsand families with serious mental illnessand a Fellow of the Academy ofCognitive Therapy. He supervisesgraduate clinicians in training, teachesclasses in cognitive behavioral therapy,and provides workshops, consultation,and technical assistance related toimprovements in the treatment of bipolardisorder in community mentalhealth settings.Larry W. Thompson, PhD, received hisdoctorate from Florida State Universityin 1961. Since then he has held therank of Professor at three universities,Duke University, University of SouthernCalifornia, and Stanford University. Dr.Thompson's recent interests have focusedon the problems and issues involvedin transporting evidenced-basedpsychotherapeutic interventions fromthe research laboratory into communitysettings.Sheri L. Johnson, PhD, is a Professorof Psychology at the University of CaliforniaBerkeley and the Director of theCal Mania (CALM) team. She has publishedover 200 manuscripts and fivebooks. Her research has focused onpsychological aspects of bipolar disorderfor the past twenty years withfunding from the National Alliance forResearch in Schizophrenia and Depression(NARSAD) and from the NationalInstitute of Mental Health.Trisha Suppes, MD, PhD, is a Professorat Stanford University in the School ofMedicine Department of Psychiatryand Behavioral Sciences and directorof the Bipolar and Depression ResearchProgram at Palo Alto VeteransAffairs. Her research focuses on improvingdiagnoses, treatment, and bestcare practices for patients with bipolardisorder and depression. Recent workincludes exploring the biological basisof mood disorders and personalizedapproaches to treatment.

Preface1 Description1.1 Terminology1.2 Definition1.2.1 Additional Considerations in the Classificationand Diagnosis of Bipolar Disorders1.3 Epidemiology1.4 Course and Prognosis1.5 Differential Diagnosis1.5.1 Major Depressive Disorders1.5.2 Substance-Induced/Medication-InducedMood Disorder1.5.3 Disruptive Mood Dysregulation Disorder1.5.4 Bipolar I Disorder versus Psychotic Disorders1.5.5 Attention Deficit Disorder1.5.6 Personality Disorders1.5.7 Medical Illness1.6 Co-Occurring Psychiatric and Medical Disorders1.7 Diagnostic Procedures and Assessment Tools1.7.1 Assessment of Mania1.7.2 Assessment of Bipolar Depression1.8 Implications for Clinical Practice2 Theories and Models of Bipolar Disorder2.1 Biologically Based Disease Models2.2 Psychoeducation2.3 Interpersonal and Social Rhythm Therapy2.4 Family-Based Treatment2.5 Cognitive-Behavioral Treatment3 Diagnosis and Treatment Indications3.1 Decision Tree for Determining Optimal Treatments3.1.1 Treatment Options for Young Adults3.1.2 Treatment Options for Potentially Self-DamagingBehaviors3.1.3 Treatment Options for Poor Recognition ofSymptoms3.1.4 Treatment Options for Persistent SubsyndromalDepression4 Treatment4.1 Biological Approaches to Treatment4.2 Psychosocial Approaches to Treatment4.2.1 Structure and Course of Cognitive BehavioralTherapy4.2.2 The Initial Phase of Treatment: Orientationand Engagement4.2.3 The Middle Phase of Treatment: SkillBuilding4.2.4 The Final Phase: Maintaining TreatmentGains4.3 Family-Focused Treatment4.4 Self-Help Approaches and the Recovery Model4.5 Mechanisms of Action of Psychosocial Approaches4.6 Efficacy and Prognosis of Psychosocial Approaches4.7 Problems in Carrying out Treatment4.7.1 Addressing Manic Symptoms in Session4.7.2 Suicide Risk Assessment and Management4.7.3 Improving Treatment Adherence4.7.4 Treatment of Co-Occurring Substance UseDisorders4.8 Summary5 Further Reading6 References