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- DOI: 10.1002/jclp.20369
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An Integrative Formulation-Based Cognitive Treatment of Bipolar Disorders:Application and Illustration
Mansell W
Journal of Clinical Psychology. 2007;63:447-481.
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Full-text held externally
- DOI: 10.1002/jclp.20369
Abstract
An integrative cognitive treatment for mood swings and bipolar disorders is summarized and then illustrated in a clinical case. In essence, it is proposed that multiple, extreme, and conflicting beliefs about changes in internal state, and the reciprocal impact of these beliefs on behavior, physiology and the social environment, constitute the central mechanism that maintain and escalate bipolar symptoms. Using a case illustration with examples of therapy dialogue, several key aspects of CBT are explained including: the assessment of mood, beliefs, distressing imagery, and recurrent thinking; case formulation; therapeutic techniques; self-awareness; interpersonal factors during therapy; and systemic issues. Keywords: hypomania, depression, cognitive behavioural therapy, case study