Group therapy as an adjunct to medication in the management of bipolar affective disorder |
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Authors: | Mark J A Cerbone MD Julia A Mayo DSW Beverly A Cuthbertson PhD R A O'Connell MD |
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Institution: | (1) Department of Psychiatry, Naval Hospital, 92134 San Diego, CA;(2) Department of Psychiatry, St. Vincent's Hospital and Medical Center, 144 West 12 Street, 10011 New York, NY |
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Abstract: | This paper asserts that, contrary to the beliefs of many clinicians, patients with bipolar affective disorder often experience a deteriorating course characterized by pervasive social dysfunction. It reviews the literature, identifying a rationale for group psychotherapy as an adjunct to medication in the management of these chronic patients. It outlines a theoretical approach to bipolar group therapy, and presents a retrospective study comparing the course of 43 lithium-treated bipolar patients before and after entering bipolar groups. During the year in group therapy, bipolar patients displayed significant improvements in symptom relief as well as social functioning. It is proposed that group process enhances treatment with medication, providing benefits not evident with medication alone. |
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