PSY 625 Chapter Notes -John Wiley & Sons, Guilford Press, Bipolar Disorder

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Role of the therapist: coordinate, guide, and assist. Goals: reduce tension in family relationships and improve sense of cooperation and team spirit. Assist family in developing adaptive problem solving strategies. Provide education regarding nature of illness, and treatment prescribed, specifically medication. Spiritual and existential coping techniques: communication skills. Active role playing: quality attendance and participation, completion of all homework assignments, cooperation. *the format for this handout was drawn largely from miklowitz, d. j. Ideas of reference (e. g. , beliefs that others are talking about you) Inappropriate affect (e. g. , laughing uncontrollably for no reason or upon hearing sad news) Vulnerability changes due to maturation, hormones, etc: the environment may become more stressful (e. g. , increases in social or job demands, life events). A stressful environment may interact with a biological vulnerability: drug abuse (pcp, alcohol, marijuana, cocaine) can set off an existing biological vulnerability, coping skills may be inadequate to deal with environmental stress.

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