By Francesc Colom
Even supposing the mainstay of bipolar treatment is drug remedy, psychoeducation is a method that has confirmed to be very potent as an add-on to medicine, assisting to minimize the variety of all kinds of bipolar recurrences and hospitalization. the thing is to enhance sufferers' knowing of the ailment and for this reason their adherence to pharmacotherapy. in accordance with the hugely winning, evidence-based Barcelona application, this publication is a realistic, therapists' consultant for a way to enforce psychoeducation for bipolar sufferers. It supplies useful suggestions for the way to behavior a psychoeducation staff, utilizing periods and instances drawn from the Barcelona Psychoeducation software. in addition, it presents the reader with a large amount of functional advice and tips and particular innovations to maximise the advantages of bipolar psychoeducation. The authors shaped the 1st team to teach the efficacy of psychoeducation as a upkeep remedy and feature a protracted historical past of appearing bipolar psychoeducation.
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Additional info for Psychoeducation Manual for Bipolar Disorder
As time passed, a trend consolidated toward more directive group therapy models. Thus, Kripke and Robinson (1985), for example, based their group therapy on problem-solving strategies and checked plasma lithium levels to ensure drug adherence. The relapse rate and social adjustment improved. In 1986, Foelker et al. designed the first psychotherapeutic program for elderly bipolar patients from an integration of traditional therapeutic approaches and psychoeducation, monitoring of lithium levels, and case management.
For us it is important to mention this explicitly to our patients, both in the initial interview as well as in the first group session. That way we do not create any false expectations or generate unfounded fears. Both of these things, expectations and fears, are very common when the psychiatrist invites the patient to participate in “group therapy,” because most of our patients imagine that they are going to be enrolled in some spectacular, dynamic-oriented group where the dramatization of their emotions will take place, or in some type of humanistic group that has cathartic purposes and tendency toward multiple hugs.
We know that there is a wide variety of logistical limitations, from not having an appropriate room for the treatment to not having trained psychologists, as well as the problem of adherence with the group’s schedules by many patients. Such difficulties as these can prevent the incorporation of this program into the normal clinical practice. In any case, it would be possible to work with reduced psychoeducation programs, although it is still yet to be shown that they can achieve an effectiveness similar to a program of 21 sessions.