Cognitive therapy as an adjunct to medication in bipolar disorder

Abstract

Background: There is increasing support for the use of cognitive behaviour therapy as an adjunct to medication for patients with bipolar disorder.

Aims: To explore current psychological models of bipolar disorder, describing the clinical rationale for using cognitive therapy and providing a brief overview of the approach.

Method: Results from outcome studies are discussed.

Results: Preliminary findings indicate that cognitive therapy may be beneficial for patients with bipolar disorder. The collaborative, educational style of cognitive therapy, the use of a stepwise approach and of guided discovery is particularly suitable for patients who wish to take an equal and active role in their therapy.

Conclusions: Randomised, controlled trials of cognitive therapy in bipolar disorder are required to establish the short-term and long-term benefits of therapy, and whether any reported health gain exceeds that of treatment as usual.