Download Bipolar Disorder: A Family-Focused Treatment Approach, 2nd by David J. Miklowitz PDF

By David J. Miklowitz

Family-focused psychoeducational therapy (FFT) is between a truly small variety of psychosocial remedies which have been chanced on to be potent in a number of experiences to enhance the process bipolar illness. This critical advisor describes tips on how to enforce FFT with grownup and adolescent sufferers and their relatives. supplied are useful approaches for supporting households comprehend the character of bipolar sickness, enhance their communique talents, remedy day by day difficulties, and decrease the danger and severity of relapse. The booklet accommodates cutting-edge wisdom at the sickness and its organic and psychosocial administration. greater than a dozen reproducible handouts are incorporated.

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Additional info for Bipolar Disorder: A Family-Focused Treatment Approach, 2nd edition

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What does a person who develops bipolar disorder look like as a youngster? Are there ways to determine who, in a classroom of children, is most likely to develop this disorder? How can genetically vulnerable families learn to recognize the early signs of bipolarity in their offspring? Studies of Risk for Bipolar Disorder Researchers have used the strategy of examining children of bipolar parents and determining how these children differ from those of healthy parents. This strategy cannot fully distinguish the effects of genetic vulnerability, rearing environment, and adverse events during development, but it can give us a picture of what childhood factors may be risk markers for the onset of bipolarity, even if we cannot pin down the origins of these markers.

It is during this period that family support and education can be of greatest value. The Topography of a Depressive Episode The stages of a depressive episode are less clear-cut. Often, the patient has been mildly or moderately depressed over a relatively long period (dysthymia), and the acute depressive episode reflects a worsening of this ongoing state (“double depression”). Alternatively, he or she may be functioning well but then gradually slip into a worsening depressive state. Depressions range in severity from mild sadness, to deep sadness with sleep disturbance and suicidal preoccupations, to emotionally deadened states with psychomotor immobility and lethargy.

Most patients nowadays leave hospitals with residual symptoms—such as ongoing depression and intermittent suicidal feelings or impulses—that are difficult for them or their relatives to handle. Major or minor exacerbations of the disorder are very likely during this phase, and rarely does the course of the disorder run smoothly. Moreover, many patients develop or show a continuation of substance abuse problems that interfere with their recovery and responses to medication. Thus, a significant component of FFT is crisis intervention, provided by a clinician who knows the family well and is readily available.

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