Book contents
- Frontmatter
- Contents
- Foreword
- Preface
- Part 1 Clinical, diagnostic, and therapeutic aspects of bipolar disorders
- Part 2 Concept and methodology of psychoeducation
- Part 3 Psychoeducation program: sessions and contents
- Unit 1 Awareness of the disorder
- Session 1 Presentation and rules of the group
- Session 2 What is bipolar disorder?
- Session 3 Etiological and triggering factors
- Session 4 Symptoms I:Mania and hypomania
- Session 5 Symptoms II: Depression and mixed episodes
- Session 6 Evolution and prognosis
- Unit 2 Drug adherence
- Session 7 Treatment I: Mood stabilizers
- Session 8 Treatment II: Antimanic drugs
- Session 9 Treatment III: Antidepressants
- Session 10 Plasma levels of mood stabilizers
- Session 11 Pregnancy and genetic counseling
- Session 12 Psycho-pharmacology vs. alternative therapies
- Session 13 Risks associated with treatment withdrawal
- Unit 3 Avoiding substance abuse
- Session 14 Psychoactive substances: risks in bipolar disorders
- Unit 4 Early detection of new episodes
- Session 15 Early detection of mania and hypomanic episodes
- Session 16 Early detection of depressive and mixed episodes
- Session 17 What to do when a new phase is detected?
- Unit 5 Regular habits and stress management
- Session 18 Regularity of habits
- Session 19 Stress-control techniques
- Session 20 Problem-solving strategies
- Session 21 Closure
- Final note: Is psychoeducation efficacious?
- Bibliography
- Index
Session 6 - Evolution and prognosis
from Part 3 - Psychoeducation program: sessions and contents
Published online by Cambridge University Press: 06 January 2010
- Frontmatter
- Contents
- Foreword
- Preface
- Part 1 Clinical, diagnostic, and therapeutic aspects of bipolar disorders
- Part 2 Concept and methodology of psychoeducation
- Part 3 Psychoeducation program: sessions and contents
- Unit 1 Awareness of the disorder
- Session 1 Presentation and rules of the group
- Session 2 What is bipolar disorder?
- Session 3 Etiological and triggering factors
- Session 4 Symptoms I:Mania and hypomania
- Session 5 Symptoms II: Depression and mixed episodes
- Session 6 Evolution and prognosis
- Unit 2 Drug adherence
- Session 7 Treatment I: Mood stabilizers
- Session 8 Treatment II: Antimanic drugs
- Session 9 Treatment III: Antidepressants
- Session 10 Plasma levels of mood stabilizers
- Session 11 Pregnancy and genetic counseling
- Session 12 Psycho-pharmacology vs. alternative therapies
- Session 13 Risks associated with treatment withdrawal
- Unit 3 Avoiding substance abuse
- Session 14 Psychoactive substances: risks in bipolar disorders
- Unit 4 Early detection of new episodes
- Session 15 Early detection of mania and hypomanic episodes
- Session 16 Early detection of depressive and mixed episodes
- Session 17 What to do when a new phase is detected?
- Unit 5 Regular habits and stress management
- Session 18 Regularity of habits
- Session 19 Stress-control techniques
- Session 20 Problem-solving strategies
- Session 21 Closure
- Final note: Is psychoeducation efficacious?
- Bibliography
- Index
Summary
Goal
The objective of the sixth session is to focus on the chronic and recurring character of the bipolar disorder, further emphasize the difference between cause and trigger, and remind the patient of the cyclic character of the disorder based on the mood-chart technique, which the patient must master by the end of the session.
Procedure
Before each session, we will give all patients detailed explanatory documentation on how to make up the life chart and six or seven invented examples which we will use during the session. This documentation may be left on the chair for each patient or delivered to them when they enter the session.
We will start the session, like always, inviting the patients to ask questions about the content of the previous session. Since Session 5 was about depression, it would not be surprising if its contents had worried certain patients and make them recall during the week the traumatic or unpleasant experiences of the depressive episodes. If we suspect that this might have happened, we will try to be open to completely changing the content of the sixth session and leaving it for the following week, focusing on working with the negative emotions generated in the previous meeting. Even though it is desirable to conduct the program as planned, we must remember that our ultimate objective is not to transmit knowledge but to prevent relapses, and for this purpose it may be very useful to dedicate more than one session to particularly delicate topics such as the experience of depression.
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- Information
- Psychoeducation Manual for Bipolar Disorder , pp. 93 - 103Publisher: Cambridge University PressPrint publication year: 2006