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Insight, adaptation, and functional recovery

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posted on 2009-01-01, 00:00 authored by Craig A Macneil, Melissa K Hasty, Philippe Conus, Michael BerkMichael Berk, Jan Scott
That proves you mad because you know it not. Thomas Decker (Torrey & Knable, 2002, p. 41) In this chapter we discuss the issue of insight and ways in which young people may adapt to a diagnosis of bipolar disorder. While some young people minimize or deny their diagnosis, for others, bipolar disorder can significantly impact on their sense of self and identity, and can result in feelings of guilt, shame, loss, and trauma. After consideration of these issues, we present strategies to help decrease distress, promote adaptive coping, and minimize the impact of the disorder on the person's view of self and their functioning. As with other chapters of this book, the strategies presented in this section are not intended to be delivered in a sequential fashion or as a discrete module. Instead, we encourage clinicians to continue to employ and revisit them where relevant throughout the intervention, recognizing that the young person's insight and needs can change across their phases of recovery and relapse. Insight Lack of insight has been described as a common characteristic of bipolar disorder (Pallanti et al., 1999), with some research showing that the degree of insight in bipolar disorder is similar to that of people with schizophrenia (Amador et al., 1994; Pini et al., 2001). Insight has been found to be consistently poorer for people with mania than for people with mixed episodes or unipolar depression (Dell'Osso et al., 2002).

History

Chapter number

3

Pagination

36-54

ISBN-13

9780511757389

Language

eng

Publication classification

BN.1 Other book chapter, or book chapter not attributed to Deakin

Extent

0

Publisher

Cambridge University Press

Place of publication

Cambridge, Eng.

Title of book

Bipolar Disorder in Young People - A Psychological Intervention Manual