COGNITIVE THERAPY FOR BIPOLAR DISORDER Wiley Series in CLINICAL PSYCHOLOGY Adrian Wells (Series Advisor) School of Psychological Sciences, University of Manchester, UK For other titles in this series please visit www.wiley.com/go/cs COGNITIVE THERAPY FOR BIPOLAR DISORDER A Therapist’s Guide to Concepts, Methods and Practice Second Edition Dominic H Lam, Steven H Jones and Peter Hayward This edition first published 2010 Ó 2010 John Wiley & Sons Ltd Edition History: John Wiley & Sons Ltd (1e, 1999) Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley’s global Scientific, Technical, and Medical business with Blackwell Publishing Registered Office John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial Offices The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 9600 Garsington Road, Oxford, OX4 2DQ, UK 350 Main Street, Malden, MA 02148-5020, USA For details of our global editorial offices, for customer services, and for information about how to apply for permission to reuse the copyright material in this book please see our website at www wiley.com/wiley-blackwell The right of Dominic H Lam, Peter Hayward and Steven H Jones to be identified as the authors of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988 All rights reserved No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher Wiley also publishes its books in a variety of electronic formats Some content that appears in print may not be available in electronic books Designations used by companies to distinguish their products are often claimed as trademarks All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners The publisher is not associated with any product or vendor mentioned in this book This publication is designed to provide accurate and authoritative information in regard to the subject matter covered It is sold on the understanding that the publisher is not engaged in rendering professional services If professional advice or other expert assistance is required, the services of a competent professional should be sought Library of Congress Cataloging-in-Publication Data Lam, Dominic Cognitive therapy for bipolar disorder : a therapist’s guide to concepts, methods, and practice / Dominic H Lam, Peter Hayward, and Steven H Jones – 2nd ed p ; cm – (Wiley series in clinical psychology) Rev ed of: Cognitive therapy for bipolar disorder : a therapist’s guide to concepts, methods, and practice / Dominic H Lam [et al.] c1999 Includes bibliographical references and index ISBN 978-0-470-77937-8 (cloth) – ISBN 978-0-470-77941-5 (pbk.) Manic-depressive illness– Treatment Cognitive therapy I Hayward, Peter, 1947- II Jones, Steven (Steven H.) III Title IV Series: Wiley series in clinical psychology [DNLM: Bipolar Disorder–therapy Cognitive Therapy WM 207 L213c 2010] RC516.C64 2010 616.89’5–dc22 2010016205 A catalogue record for this book is available from the British Library Set in 10/12 pt Palatino by Thomson Digital, Noida, India Printed and Bound in Singapore by Ho Printers Singapore Pte Ltd 2010 CONTENTS About the Author vii Preface ix Acknowledgement xi Chapter Introduction to Bipolar Disorder Chapter Review of Current Treatment 27 Chapter Psycho-Social Models in Bipolar Disorder 45 Chapter Our Model of Cognitive Behavioural Intervention for Bipolar Disorder 57 Chapter Pre-Therapy Assessment 71 Chapter Introducing the Model to the Patient 123 Chapter Goal Setting 147 Chapter Cognitive Techniques 161 Chapter Behavioural Techniques 189 Chapter 10 Self-Management and Coping with Prodromes 213 Chapter 11 Long-Term Issues, Bipolar Disorders and the Self 241 Chapter 12 Family and Social Aspects 261 Chapter 13 Interpersonal Issues in Therapy and Issues Related to Services 279 References 293 Index 313 ABOUT THE AUTHORS Dominic H Lam received his clinical psychology training and his PhD at the Institute of Psychiatry, University of London He has published extensively in various aspects of bipolar disorders and he is the main author of the CBT for bipolar disorders trial He is currently a Professor of Clinical Psychology at the University of Hull Steven H Jones received clinical training at the Institute of Psychiatry, University of London, where he also undertook doctoral research into information processing in schizophrenia and subsequently worked as a clinical lecturer before moving to the North West to work as a clinician More recently he was Reader in Clinical Psychology and Academic Director of Clinical Psychology Doctorate at University of Manchester until taking up his current post as Professor of Clinical Psychology and Director of the Spectrum Centre for Mental Health Research at Lancaster University in February 2008 For over 10 years his primary interest has been in the psychology and psychological treatment of bipolar disorder and associated conditions In line with this interest he has published widely on the development of cognitive therapy approaches for bipolar disorder and on psychological models relevant to the development and recurrence of bipolar experiences Peter Hayward attended Harvard University, and, after teaching secondary school, earned a PhD in Clinical Psychology from Long Island University, New York He has just retired from employment at the Maudsley Hospital and the Institute of Psychiatry and is currently in private practice where he has been focusing on psychological approaches to serious mental illness ... 2 COGNITIVE THERAPY FOR BIPOLAR DISORDER Individuals with a history of bipolar disorder will often have experienced periods of heightened creativity and increased productivity during periods... of bipolar disorder and associated conditions In line with this interest he has published widely on the development of cognitive therapy approaches for bipolar disorder and on psychological models... bipolar disorder and will therefore be referred to in some detail in this section Bipolar disorder is characterized as a mood disorder within DSM-IV The criteria specify first the mood episodes that