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Psychosocial Recovery-Oriented Treatments in Bipolar Disorders

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Recovery and Major Mental Disorders

Part of the book series: Comprehensive Approach to Psychiatry ((CAP,volume 2))

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Abstract

Bipolar disorder is a severe and disabling mental disorder, characterized by unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks; it is recurrent with a chronic course with persistent residual symptoms, cognitive impairment, problems in psychosocial functioning, and poor quality of life in a proportion of individuals. Many patients with bipolar disorder experience substantial symptomatology months or even years before full bipolar manifestation. Adequate diagnosis and treatment is often delayed, which is associated with a worse outcome. Psychosocial interventions may facilitate the high-risk youths’ acquisition of skills for coping with stress, developing social supports, and achieving autonomy.

In the last decade, the treatment target in clinical and research settings has focused not only on clinical remission, but also on functional recovery and, more lately, in personal recovery, taking into account patients’ well-being and quality of life. Hence, the trend in psychiatry and psychology is to treat bipolar disorder in an integrative and holistic manner. This chapter offers an overview regarding psychosocial functioning in bipolar disorder. First, a brief summary is provided regarding the definition of psychosocial functioning, the tools to measure it, and the related variables. Thereafter, we include a section discussing therapies with proven efficacy and other under study able to enhance functional outcomes or preventing functional decline. Finally, different interventions directed to improve patients’ well-being, quality of life, and personal recovery are briefly described.

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Authors and Affiliations

  1. Bipolar and Depressive Disorders Unit, Hospital Clinic of Barcelona, Institute of Neurosciences, IDIBAPS, University of Barcelona, Barcelona, Catalonia, Spain

    Caterina del Mar Bonnin, Laura Montejo, Anabel Martinez-Aran, Brisa Solé, Mercè Comes & Carla Torrent

  2. Biomedical Research Networking Center for Mental Health Network (CIBERSAM), Barcelona, Spain

    Caterina del Mar Bonnin, Laura Montejo, Anabel Martinez-Aran, Brisa Solé, Mercè Comes & Carla Torrent

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  1. Caterina del Mar Bonnin
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  2. Laura Montejo
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  1. Department for Medical Sciences, Public Health, University of Cagliari, Cagliari, Italy

    Bernardo Carpiniello

  2. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy

    Antonio Vita

  3. Department of Neuroscience, Azienda Ospedaliera Fatebenefratelli e O, Milano, Italy

    Claudio Mencacci

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del Mar Bonnin, C., Montejo, L., Martinez-Aran, A., Solé, B., Comes, M., Torrent, C. (2022). Psychosocial Recovery-Oriented Treatments in Bipolar Disorders. In: Carpiniello, B., Vita, A., Mencacci, C. (eds) Recovery and Major Mental Disorders. Comprehensive Approach to Psychiatry, vol 2. Springer, Cham. https://doi.org/10.1007/978-3-030-98301-7_11

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