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Self-Management and Bipolar Disorder–A Clinician’s Guide to the Literature 2011-2014

Abstract

This review provides clinicians and individuals with bipolar disorder (BD) with an overview of evidence-based skills shown to be effective in BD and amenable to self-management including psychoeducation; monitoring moods, medications, and social function; sleep hygiene; setting goals and relapse plans; and healthy lifestyles (physical activity, healthy eating, weight loss and management, medical comorbidities). Currently available self-management resources for BD are summarized by mode of delivery (workbooks, mobile technologies, internet, and peer-led interventions). Regardless of the self-management intervention/topic, the research suggests that personally tailored interventions of longer duration and greater frequency may be necessary to achieve the maximal benefit among individuals with BD. Means to support these self-management interventions as self-sustaining identities are critically needed. Hopefully, the recent investment in patient-centered research and care will result in best practices for the self-management of BD by mode of delivery. Since self-management of BD should complement rather than replace medical care, clinicians need to partner with their patients to incorporate and support advances in self-management for individuals with BD.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Acknowledgments

CAJ was supported by the VA Center for Clinical Management Research, Health Services Research and Development as a post-doctoral fellow at the VA Ann Arbor Healthcare System.

Disclaimer

This review does not attempt to be an exhaustive review of the resources pertaining to self-management and bipolar disorder. We have included specific resources to provide a sense of the breadth and focus of available resources currently available on the topic of self-management and bipolar disorder. Our inclusion/exclusion of specific resources should not be considered an endorsement or lack of endorsement of any particular resource pertaining to self-management and bipolar disorder.

The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

Compliance with Ethics Guidelines

Conflict of Interest

Carol A. Janney has received grants from Actigraph, Inc., and Charles F. Kline to study physical activity in bipolar disorder.

Mark S. Bauer and Amy M. Kilbourne have received royalty payments from Springer Publishing and New Harbinger Publishing.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Correspondence to Carol A. Janney.

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This article is part of the Topical Collection on Complex Medical-Psychiatric Issues

Appendix

Appendix

Table 2 Websites associated with currently available self-management programs for bipolar disorder

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Janney, C.A., Bauer, M.S. & Kilbourne, A.M. Self-Management and Bipolar Disorder–A Clinician’s Guide to the Literature 2011-2014. Curr Psychiatry Rep 16, 485 (2014). https://doi.org/10.1007/s11920-014-0485-5

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Keywords

  • Self-management
  • Bipolar
  • Peer-led
  • Physical activity
  • Weight loss
  • Mobile technologies