Skip to main content

Self-management in the treatment of bipolar disorders

Author/s
Benjamin Philip Martin
Citation
Issue 3 Summer 2013
CEPiP.2013;1:224-231
Abstract

There is a significant shift in the focus of care throughout the medical profession, where care in the community, alongside patient education and empowerment are being prioritised. We, as care providers, should be looking to reflect this in the management of bipolar disorder by empowering our patients to manage their own condition. Of course the difficulty with this is that with any psychiatric disorder, self-monitoring and patient-led care is dependent on the patient being competent to make appropriate decisions and having insight into the effect of their condition on their life. It is therefore a difficult balance to control, between clinician-led and patient-led care, but one that could be potentially liberating for many of our patients trying to run their lives alongside their condition.

Keywords: bipolar disorder, community, empowerment, self-monitoring, insight

Cite as: Cutting Edge Psychiatry in Practice 2013, 3(1):224-231; https://doi.org/10.65031/htwh5283

References

  1. National Institute for Health and Clinical Excellence (2006) [The management of bipolar disorder in adults, children and adolescents, in primary and secondary care]. [CG38]. London: National Institute for Health and Clinical Excellence.     
  2. National Institute for Health and Clinical Excellence (2011) [Hypertension: clinical management of primary hypertension in adults]. [CG127]. London: National Institute for Health and Clinical Excellence.                
  3. McManus RJ, Mant J, Bray EP, Holder R, Jones MI, Greenfield S, Kaambwa B, Banting M, Bryan S, Little P, Williams B, Hobbs FD.Telemonitoring and self-management in the control of hypertension (TASMINH2): a randomized control trial. Lancet 2010; 376: 163–72 https://doi.org/10.1016/s0140-6736(10)60964-6
  4. Osman LM, Calder C, Godden DJ, Friend JA, McKenzie L, Legge JS, et al. A randomised trial of self-management planning for adult patients admitted to hospital with acute asthma. Thorax. 2002;57 (10):869-74. https://doi.org/10.1136/thorax.57.10.869
  5. Scottish Intercollegiate Guidelines Network and British Thoracic society (2012) [British Guideline on the Management of Asthma]. [101]. https://doi.org/10.1136/thx.2008.097741
  6. National Institute for Health and Clinical Excellence (2010) [Chronic obstructive pulmonary disease. Management of chronic obstructive pulmonary disease in adults in primary and secondary care]. [CG101]. London: National Institute for Health and Clinical Excellence. https://doi.org/10.1186/isrctn14399255
  7. Jeppesen E, Brurberg KG, Vist GE, Wedzicha JA, Wright JJ, Greenstone M, Walters JA. Hospital 230 at home for acute exacerbations of chronic obstructive pulmonary disease.Cochrane Database Systematic Review. 2012 May 16;5:CD003573. https://doi.org/10.1002/14651858.cd003573.pub2
  8. Heneghan C, Ward A, Perera R; Self-Monitoring Trialist Collaboration, Bankhead C, Fuller A, Stevens R, Bradford K, Tyndel S, Alonso-Coello P, Ansell J, Beyth R, Bernardo A, Christensen TD, Cromheecke ME, Edson RG, Fitzmaurice D, Gadisseur AP, Garcia-Alamino JM, Gardiner C, Hasenkam JM, Jacobson A, Kaatz S, Kamali F, Khan TI, Knight E, Körtke H, Levi M, Matchar D, Menéndez-Jándula B, Rakovac I, Schaefer C, Siebenhofer A, Souto JC, Sunderji R, Gin K, Shalansky K, Völler H, Wagner O, Zittermann A. Self-monitoring of oral anticoagulation: systematic review and meta-analysis of individual patient data. Lancet. 2012 Jan 28;379 (9813):322-34 https://doi.org/10.1016/s0140-6736(11)61294-4
  9. National Institute for Health and Clinical Excellence (2004) [Type 1 diabetes: diagnosis and management of type 1 diabetes in children, young people and adults]. [CG15]. London: National Institute for Health and Clinical Excellence.
  10. Rewers M, Pihoker C, Donaghue K, Hanas R, Swift P, Klingensmith GJ. Assessment and monitoring of glycemic control in children and adolescents with diabetes.Pediatric Diabetes. 2009 Sep;10 Supplement 12:71-81. https://doi.org/10.1111/j.1399-5448.2009.00582.x
  11. Carter. S, Taylor. D &Levenson. R. A question of choice - compliance in medicines taking. Medicines Partnership. 2005. Reproduced with permission from The Medicines Partnership. http://www.keele.ac.uk/pharmacy/npcplus/medicinespartnershipprogramme/medicinespartnershipprogrammepublicationsaquestionofchoicecomplianceinmedicinetakin/research-qoc-compliance.pdf                
  12. National Institute for Health and Clinical Excellence (2009) [Medicines adherence. Involving patients in decisions about prescribed medicines and supporting adherence]. [CG76]. London: National Institute for Health and Clinical Excellence                 
  13. Agius M, Oakham H, Biocina SM, Murphy S. The use of card sort exercises in the prevention of relapse in serious mental illness. PsychiatriaDanubina. 2006 Jun;18