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Bipolar Disorder Second Edition
A Family Focused Treatment Approach
by David J. Miklowitz Ph.D., Michael J. Goldstein,Ph.D.

This indispensable guide—now in a revised and updated second edition—describes how to implement FFT to help patients and family members understand bipolar disorder, communicate more effectively, solve practical problems related to the illness, and reduce the risk and severity of relapse.

Full Description:   

Family-focused psychoeducational treatment (FFT) is among a very small number of psychosocial treatments that have been found to be effective in multiple studies to improve the course of bipolar disorder. This indispensable guide—now in a revised and updated second edition—describes how to implement FFT to help patients and family members understand bipolar disorder, communicate more effectively, solve practical problems related to the illness, and reduce the risk and severity of relapse. Revised throughout to incorporate the latest knowledge on the illness and its biological and psychosocial treatment, the second edition covers the treatment of adolescents as well as adults. It includes more than a dozen reproducible handouts.

"The second edition of Bipolar Disorder is, like the first, a major contribution to the understanding of a common, complex, painful, and too often lethal illness. Miklowitz, one of the world's leaders in the study of psychotherapeutic treatments of bipolar illness, presents clinical and research findings in a way that will be invaluable to clinicians."
-Kay Redfield Jamison, PhD, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine

"Among the first to embrace the idea that psychosocial interventions might be of value to those who suffer from bipolar disorder, Miklowitz continues to be a leader in the field....Miklowitz has added new evidence for the effectiveness of family-focused treatment for adults from a series of recently published studies. He has also added rich new material on childhood bipolar disorder and how it emerges over time within the family context, as well as more clinical material on applications for adolescents with bipolar disorder and their families. Essential reading for anyone interested in the treatment of bipolar disorder."
-Ellen Frank, PhD, Western Psychiatric Institute and Clinic

334 pages; 6 X 9

    I. Bipolar Disorder and Families: Clinical and Research Background
    1. Bipolar Disorder: Why Family Treatment?
    How is Bipolar Disorder a Family Problem?
    Why FFT?
    The Six Objectives of FFT
    The Core Assumptions and Structure of FFT
    Is FFT Helpful?
    The Organization of This BOOK
    For Whom Is The Book Intended
    A Work about Terminology?
    2. The Nature of Bipolar Disorder and Its Impact on the Family
    Chapter Overview
    What is Bipolar Disorder?
    The Impact of the Disorder on Family Members
    The Topography of Manic and Depressive Episodes
    The Role of the Family in Differential Diagnosis
    The Variable Life Courses of Bipolar Disorder
    Developmental Presursors to Bipolar Disorder
    The Interface between Drug treatment and FFT
    Concluding Comments
    3. Family and Social Factors in the Course of Bipolar Disorder
    Chapter Overview
    The Vulnerability - Stress Model
    Family Environmental Factors in Bipolar Disorder
    Life Events Stress
    The Vulnerability - Stress Model Revisited
    Concluding Comments
    II. Conducting the Family-Focused Treatment
    4. Planning the First Encounter
    Chapter Overview
    Who is Appropriate for FFT
    The Mechanics of FFT
    Getting Started: The Initial Contacts
    5. The Functional Assessment
    Chapter Overview
    Assessing the History of the Patient's Disorder
    Assessing Family Interactions
    Concluding Comments
    6. Family Psychoeducation: The Initial Sessions
    Overview of the Psychoeducation Section
    The Therapeutic Stance
    "Setting the Stage" for the Psychoeducation Module
    Introducing the Treatment Program
    Presenting the Didactic Material: Reviewing the Index Episode
    Events Leading up to the Episode: The Life Survey
    Discussing the Hospitalization Experience
    The Expected Course of Bipolar Disorder
    Concluding Comments
    7. Family Psychoeducation: Etiology, Treatment, and Self-Management
    Chapter Overview
    The Etiology of Bipolar Disorder
    Treatment of the Disorder within the Vulnerability-Stress Model
    How the Family Can Help
    The Self-Management of bipolar Disorder
    The Relapse Drill
    Addressing Unanswered Questions
    Conclusing Comments
    8. Family Psychoeducation: Dealing with Resistances
    Chapter Overview
    Manifestations of Denial and Resistance
    Anticipating and Preempting Denial and Resistance
    The Maning of Bipolar Disorder within the Family Context
    Differing Perceptions of the Disorder as a Source of Family Conflict
    The Stigma of Bipolar Disorder within the Larger Society
    Medication Nonadherence: Its Management within the Family Context
    Concluding Comments
    9. Communication Enhancement Training: Rationale and Mechanics
    Chapter Overview
    Objectives of CET
    Why Introduce Communication Exercises at This Point in Treatment
    CET: Getting Started
    Teaching the Four Casic Communication Skills
    Concluding Comments
    10. Communication Enhancement Training: Clinical Issues
    Chapter Overview
    The Clinical Handling of Communication Enhancement Exercises
    Problems in the generalization of Skills
    Using CET to Midify Family Dynamics
    Concluding Comments
    11. Dealing with Family Problems
    Chapter Overview
    Problem Solving: Why at this Point in Treatment?
    What Kinds of Problems Do the families of Bipolar Patients Have?
    Conducting Problem Solving
    Dealing with Resistance
    The Problems of the Families of Bipolar Patients: Are There Good Solutions?
    Concluding Comment
    12. Managing Crises in Family-Focused Treatment
    Chapter Overview
    General Principles for Managing Crises within FFT
    The CLinical Handling of Crisis Management Sessions
    Manic Relapses and Hospitalization
    Depressive Relapses
    The Suicidal Crisis
    Alcohol and Substance Abuse
    Other Psychiatric Crises
    Concluding Comments
    13. Termination
    Chapter Overview
    Terminating FFT: Two Examples
    The Structure of Termination Sessions
    Reviewing the Course of Treatment
    Anticipating Future Problems
    Evaluating Future Treatment Needs
    Arranging for Follow-up Visits
    Concluding Comments

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