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Bipolar Disorder and Humanistic Therapy

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by Audrey G on 15 November 2012

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Transcript of Bipolar Disorder and Humanistic Therapy

Humanistic Therapy in
Treating Bipolar Disorder DSM-IV-TR Criteria
and Humanistic Theory Limitations, Prognosis and Alternative Treatment Limitations Alternative Treatment Prognosis Techniques Features of Humanistic Therapy Treatment DSM-IV-TR Criteria for Bipolr I Disorder Mr. Jacobson Depressive
Symptoms Manic Symptoms Symptoms and Etiology - 40 years old

-Psychiatric hospitalizations for 8 years

-Diagnosis: Bipolar Disorder

-Current Situation: Severe Depression and Risk of
Suicide - Bizarre Behavior - Insomnia
- Hyperactive - Excessive Spending
- Agitated - Verbal Abuse
- Delusions - Excessive Talking
- Hallucinations - Loss of Energy

- Depressed Mood

- Diminished Interest in Most
Activities

- Suicidal Ideation Lithium


Antipsychotics


Electroshock Therapy Previous Treatment Etiology From a Humanistic Perspective - The Role of the Past in
Humanistic Therapy

- Assumption of
Actualizing Tendency

-Mr. Jacobson's Family
Life: Example of
"Conditions of Worth"

- Ideal Self vs. Real Self - Mr. Jacobson's Marriage:
Lack of Internal Locus of
Evaluation

- Best Periods of His Life:
Genuine Interest

- From a Confused Self to
Manic and Depressive
Episodes - Humanistic perspective does
not focus specifically on issues
of the past

- Reluctant in diagnosing specific
disorder
- Takes away from uniqueness
- Dehumanizing - Disorders requiring medical
treatment may go untreated

- Humanistic therapy is more
popular in counseling
psychology programs than in
clinical psychology programs Limitations Limited range of clients (milder
forms of neurosis)

Limited impact in treating clients
with bipolar disorder

Client centered therapy allows
Jacobson to choose to help himself,
rather than require intervention Power of Jacobson to choose
change or not

Difficult to treat Jacobson
during manic episodes
- Depressive episodes only Severe manic and depressive episodes, repeated
hospitalizations and suicide attempts: poor
prognosis

However, hopeful that treatment can provide skills
to alleviate symptoms and prevent relapse for a
healthy future Interpersonal and Social
Rhythm Therapy Interpersonal and Social
Rhythm Therapy Foundation that disturbances of our daily routines, circadian rhythms and sleep deprivation may trigger or exacerbate symptoms commonly associated with bipolar disorder

Uses methods both from interpersonal psychotherapy and cognitive behavioral techniques to help client organize and maintain consistency in daily routines Purpose Identify and maintain the regular routines of everyday life to prevent instability or disturbances that may trigger manic or depressive episodes

Including:
-Sleeping patterns
-Interpersonal relationships
-Any problems that may arise that directly
impact stable routine Method - Clients are taught to extensively track their moods
and routine everyday (journal, chart, self report)
-Mood
-Sleep/wake times
-Meal times
-Time spent with others

- Once routine is identified, therapy seeks to help
client keep these routines consistent and address
problems that might impair the routines Goals Develop strategies and effective ways
to minimize disruptions in routine
Build better and healthier interpersonal
relationships and skills
Reduce the frequency of bipolar episode
reoccurrence, and to extend interval between
episodes
Alleviate symptoms
Give skills to prevent possible relapse Is a mood disorder characterized by: - A Manic or mixed episode -A Major Depressive Episode (but is not necessary for diagnosis) -Alternative to psychotherapy
-Human beings are unique
-Client’s phenomenological experience of
the world is subjective
-Have the potential for growth
-Can alleviate psychological
symptoms through the supportive
therapist-client relationship
-Distinguish genuine feelings from the
desire to please others Unconditional positive regard
- Nonpossessive caring
Active listening methods
- Reflection
Gestalt techniques
- Role-playing
- Frustration Person-centered approach
-With some elements of other humanistic
approaches
Goals:
-Alleviate symptoms of depression
-Prevent relapse
-Provide Mr. Jacobson with a basis for satisfying
other fundamental human needs.
Most important – tackle physiological needs
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