Download Managing bipolar disorder in primary care

PSYCHOTHERAPIES FOR
BIPOLAR DISORDER
Keith R Laws University of Hertfordshire [email protected]
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)
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.
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)
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.
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.