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from Dr. Hollon Re: Bipolar depression

Posted by Dr. Bob on February 2, 2003, at 21:56:03

In reply to Hollon: Bipolar depression, posted by judy1 on January 22, 2003, at 12:26:32

> Since I'm unable to take ADs without a manic reaction, I generally rely on therapy during depressions. How successful is your approach with the so-called 'atypical' presentation of bipolar depression? thank you- judy

Judy - cognitive therapy has not been as extensively tested for depression in the context of bipolar depression, but such work as has been done has been promising. Jan Scott at the Maudsley Hospital in London is doing some particularly interesting work in that regard. You might be interested in the following references:

Basco, M.R., & Rush, A.J. (1995). Cognitive-behavioral therapy for bipolar disorder. New York: Guilford Press.

Lam, D.H., Bright, J., Jones, S., Hayward, P., Schuck, N., Chisholm, D., & Sham, P. (2000). Cognitive therapy for bipolar illness-a pilot study of relapse prevention. Cognitive Therapy and Research, 24, 503-520.

Scott, J. (2001). Cognitive therapy as an adjunct to medication in bipolar disorder. British Journal of Psychiatry, 178 (suppl 41), S164-168.

Scott, J., Garland, A., & Moorhead, S. (2001). A pilot study of cognitive therapy in bipolar disorders. Psychological Medicine, 31, 459-467.


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URL: http://www.dr-bob.org/babble/psycho/20021230/msgs/2447.html