Treating Bipolar Disorder: a Clinician's Guide to Interpersonal and Social Rhythm Therapy PDF
Preview Treating Bipolar Disorder: a Clinician's Guide to Interpersonal and Social Rhythm Therapy
ebook THE GUILFORD PRESS TREATING BIPOLAR DISORDER Guides to Individualized Evidence-Based Treatment Jacqueline B. Persons, Series Editor Providing evidence-based roadmaps for managing real-world cases,volumes in this series help the clinician develop treatment plans using interventions of proven effectiveness.With an emphasis on systematic yet flexible case formulation,these hands-on guides provide powerful alternatives to one-size-fits-all approaches.Each book addresses a particular disorder or presents cutting-edge intervention strategies that can be used across a range of clinical problems. Cognitive Therapy of Schizophrenia David G.Kingdon and Douglas Turkington Treating Bipolar Disorder:A Clinician’s Guide to Interpersonal and Social Rhythm Therapy Ellen Frank Treating Bipolar Disorder A CLINICIAN’S GUIDE TO INTERPERSONAL AND SOCIAL RHYTHM THERAPY Ellen Frank Series Editor’s Note by Jacqueline B. Persons THE GUILFORD PRESS New York London ©2005TheGuilfordPress ADivisionofGuilfordPublications,Inc. 72SpringStreet,NewYork,NY10012 www.guilford.com Allrightsreserved Paperbackedition2007 Exceptasindicated,nopartofthisbookmaybereproduced,translated, storedinaretrievalsystem,ortransmitted,inanyformorbyanymeans, electronic,mechanical,photocopying,microfilming,recording,or otherwise,withoutwrittenpermissionfromthePublisher. PrintedintheUnitedStatesofAmerica Thisbookisprintedonacid-freepaper. Lastdigitisprintnumber: 9 8 7 6 5 4 3 LIMITEDPHOTOCOPYLICENSE Thesematerialsareintendedforuseonlybyqualifiedmentalhealth professionals. ThePublishergrantstoindividualpurchasersofthisbook nonassignablepermissiontoreproducetheappendices.Thislicenseis limitedtoyou,theindividualpurchaser,forusewithyourownclients andpatients.Itdoesnotextendtoadditionalcliniciansorpractice settings,nordoespurchasebyaninstitutionconstituteasitelicense. Thislicensedoesnotgranttherighttoreproducethesematerialsfor resale,redistribution,oranyotherpurposes(includingbutnotlimited tobooks,pamphlets,articles,video-oraudiotapes,andhandoutsor slidesforlecturesorworkshops).Permissiontoreproducethese materialsfortheseandanyotherpurposesmustbeobtainedinwriting fromthePermissionsDepartmentofGuilfordPublications. LibraryofCongressCataloging-in-PublicationData Frank,Ellen. Treatingbipolardisorder:aclinician’sguidetointerpersonaland socialrhythmtherapy/byEllenFrank. p.cm.—(Guidestoindividualizedevidence-basedtreatment) Includesbibliographicalreferencesandindex. ISBN:978-1-59385-204-7(hardcover) ISBN:978-1-59385-465-2(paperback) 1. Manic–depressiveillness—Treatment. 2. Interpersonalandsocial rhythmtherapy. I. Title. II. Series. RC516.F732005 616.89′5—dc22 2005007029 To my mom Nancy Newman Frank, MSW who taught me most of what I know about helping people while we did the dishes About the Author EllenFrank,PhD,isProfessorofPsychiatryandPsychologyattheUniversityofPitts- burgh School of Medicine. She received her doctorate in psychology from the Univer- sityofPittsburghin1979.Dr.Frank’sworkfocusesonthetreatmentofmooddisorders, withparticularemphasisonthepreventionofrecurrence.Sheistheauthorofover350 journal articles, books, and book chapters. vi Series Editor’s Note Psychosocialtreatmentforbipolardisorderisclearlyanideawhosetimehascome.For too long this disorder has been considered the province of medical professionals who providedpharmacotherapytotreatwhatwasseenasabiologicaldisorder.Fortunately, recent years have seen the development of biopsychosocial models and therapies for bipolar disorder. This volume supplies a long-awaited piece of the puzzle: Ellen Frank’s exposition of interpersonal and social rhythm therapy (IPSRT). This book has several outstanding qualities. The formulation of bipolar disorder that underpins IPSRT weaves biological and psychological factors together in an elegantwaytoobtainanintegratedviewofthedisorder.Thus,IPSRTproposesthatep- isodes of bipolar disorder result from both psychosocial and biological causes— inparticular,fromexternalstressfulevents,especiallyinterpersonalones,andfromdis- ruptionsinbiologicalcircadianrhythms.Moreover,thesetwotypesofcausesinteract. Thus,forexample,achangeofjobs,alifeeventthatisstressfulformanyreasons,can also exert some of its disrupting effects by changing the individual’s daily circadian rhythmsinresponsetohisorherneedingtogetupanhourearlierthanusualtoaccom- modate a longer commute. The interventions of IPSRT flow directly and elegantly out of its biopsychosocial conceptualization. Thus, IPSRT works to treat illness episodes and to prevent future ones by helping patients identify and solve interpersonal problems and to maintain regulardailyrhythms.Relatedtotheviewoftheillnessasabiopsychosocialdisorder, IPSRTisdesignedtobedoneinconjunctionwithpharmacotherapyformostpatients. IPSRT is evidence-based in several ways. The efficacy of the full therapy and of several of its constituent elements is supported by data from randomized controlled trials. In addition, experimental studies linking stressful life events and circadian rhythm disruption to onset of manic and depressive episodes support the conceptual- ization of the disorder that underpins the therapy. IPSRT, as presented here, is also evidence-based in that the therapist uses an em- piricalapproachtothetreatmentofeachcase.Treatmentstartswithcarefulassessment toobtainadiagnosisanddevelopanIPSRTcaseformulationthatdescribestheparticu- larinterpersonalproblems,rhythmdisruptions,andmooddisordersymptomsthatare characteristicofthepatientathand.Theformulationguidesthetherapist’sselectionof vii viii Series Editor’s Note interventionstoaddresstheinterpersonalproblemsandrhythmdisruptionsinorderto alleviatethecurrentsymptomsandpreventfutureepisodesofillness.Astherapypro- ceeds, the therapist works with the patient to monitor the process and progress of the therapycarefullyandmakechangesasneeded,inanempiricalandhypothesis-testing way. Finally, this book displays Ellen Frank’s clinical and personal wisdom and her compassionandcaringforthepatientswhostrugglewiththisdebilitatingdisorder.It is truly a privilege to have the opportunity to learn from her that is provided by this book. JACQUELINE B. PERSONS, PHD San Francisco Bay Area Center for Cognitive Therapy
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