Trauma focused CBT within Bipolar Disorder
Trauma focused CBT within Bipolar Disorder
Who the skills class is aimed at
This skills class is aimed at CBT practitioners and practitioner psychologists working with adults and older in a range of different contexts. This includes private practice, secondary care, NHS Talk Therapies and Early Intervention in Psychosis services.
Scientific Background
Bipolar Disorder (BD) is linked to high levels of Post-Traumatic Stress Disorder (PTSD) with those with BD being 4 times more likely to have experience emotional abuse in childhood (Palmier-Claus et al., 2016). Parental loss and childhood adversity are established risk factors for the development of BD. BD is also linked to a greater risk of traumatic events experienced whilst unwell for example hospitalisation or interpersonal trauma whilst manic. Within BD, PTSD is linked to more frequent relapses over time (Hett et al., 2023), as well as more severe mood symptoms, greater suicidality, and increased risk of psychotic symptoms.
There are currently two randomized controlled trials (RCTs) on Eye Movement Desentisation Reprocessing therapy for PTSD within BD demonstrating effectiveness. There are currently no RCTs on trauma focused CBT within BD. However case studies have been reported and trials of TF-CBT with ‘Serious Mental Illness’ including BD have shown promise. A recent feasibility study on prolonged exposure with 32 service users with BD showed 75% completion, reduced PTSD symptom severity, reduced depression symptom severity and suicidality. There was no increase in manic symptoms and no modifications to the standard protocol suggesting that this may be effective and safe within BD (Katz et al., 2023).
Key Learning Objectives
1. To be aware of childhood trauma as a risk factor for the development of BD, and BD as a risk factor for experiencing trauma.
2. To be able to formulate the bi-directional relationship between BD and PTSD by adapting the Ehlers & Clark model of PTSD and Integrative Cognitive Model of mood swings.
3. To be able to make adaptations to conducting trauma focused CBT in BD to ensure effectiveness and safety.
4. To be able to use trauma focused CBT techniques such as re-scripting for traumas relevant to BD such as emotional abuse memories.
Richardson, Thomas
f8d84122-b061-4322-a594-5ef2eb5cad0d
24 July 2024
Richardson, Thomas
f8d84122-b061-4322-a594-5ef2eb5cad0d
Richardson, Thomas
(2024)
Trauma focused CBT within Bipolar Disorder.
British Association of Behavioral and Cognitive Psychotherapy (BABCP) Annual Conference, , Manchester, United Kingdom.
23 - 25 Aug 2023.
Record type:
Conference or Workshop Item
(Other)
Abstract
Who the skills class is aimed at
This skills class is aimed at CBT practitioners and practitioner psychologists working with adults and older in a range of different contexts. This includes private practice, secondary care, NHS Talk Therapies and Early Intervention in Psychosis services.
Scientific Background
Bipolar Disorder (BD) is linked to high levels of Post-Traumatic Stress Disorder (PTSD) with those with BD being 4 times more likely to have experience emotional abuse in childhood (Palmier-Claus et al., 2016). Parental loss and childhood adversity are established risk factors for the development of BD. BD is also linked to a greater risk of traumatic events experienced whilst unwell for example hospitalisation or interpersonal trauma whilst manic. Within BD, PTSD is linked to more frequent relapses over time (Hett et al., 2023), as well as more severe mood symptoms, greater suicidality, and increased risk of psychotic symptoms.
There are currently two randomized controlled trials (RCTs) on Eye Movement Desentisation Reprocessing therapy for PTSD within BD demonstrating effectiveness. There are currently no RCTs on trauma focused CBT within BD. However case studies have been reported and trials of TF-CBT with ‘Serious Mental Illness’ including BD have shown promise. A recent feasibility study on prolonged exposure with 32 service users with BD showed 75% completion, reduced PTSD symptom severity, reduced depression symptom severity and suicidality. There was no increase in manic symptoms and no modifications to the standard protocol suggesting that this may be effective and safe within BD (Katz et al., 2023).
Key Learning Objectives
1. To be aware of childhood trauma as a risk factor for the development of BD, and BD as a risk factor for experiencing trauma.
2. To be able to formulate the bi-directional relationship between BD and PTSD by adapting the Ehlers & Clark model of PTSD and Integrative Cognitive Model of mood swings.
3. To be able to make adaptations to conducting trauma focused CBT in BD to ensure effectiveness and safety.
4. To be able to use trauma focused CBT techniques such as re-scripting for traumas relevant to BD such as emotional abuse memories.
Slideshow
Workshop Bipolar and trauma focused CBT
- Author's Original
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Published date: 24 July 2024
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Workshop
Venue - Dates:
British Association of Behavioral and Cognitive Psychotherapy (BABCP) Annual Conference, , Manchester, United Kingdom, 2023-08-23 - 2023-08-25
Identifiers
Local EPrints ID: 493462
URI: http://eprints.soton.ac.uk/id/eprint/493462
PURE UUID: afd907fd-34f5-4286-9c8d-89441bf5e112
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Date deposited: 03 Sep 2024 16:45
Last modified: 04 Sep 2024 01:59
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