Cognitive Behavioral Therapy for Three Patients with Bipolar II Disorder during Depressive Episodes

Bipolar II disorder is a recurrent mental health disorder characterized by alternating hypomanic and depressive episodes. Providing cognitive behavioral therapy (CBT) as an adjuvant to pharmacotherapy can reduce the recurrence rate of bipolar disorder. It has not been examined whether CBT can be sta...

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Main Authors: Yasuhiro Kimura, Sayo Hamatani, Kazuki Matsumoto, Eiji Shimizu
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2020/3892024
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author Yasuhiro Kimura
Sayo Hamatani
Kazuki Matsumoto
Eiji Shimizu
author_facet Yasuhiro Kimura
Sayo Hamatani
Kazuki Matsumoto
Eiji Shimizu
author_sort Yasuhiro Kimura
collection DOAJ
description Bipolar II disorder is a recurrent mental health disorder characterized by alternating hypomanic and depressive episodes. Providing cognitive behavioral therapy (CBT) as an adjuvant to pharmacotherapy can reduce the recurrence rate of bipolar disorder. It has not been examined whether CBT can be started during a depressive episode in patients with bipolar II disorder; however, the use of CBT during the remission period has been demonstrated to reduce recurrence. The current study is a case report involving three Japanese patients with bipolar II disorder, who started CBT during the depressive phase after a hypomanic episode was stabilized by pharmacotherapy. All patients experienced excessively positive thinking one week apart and were able to choose behaviors that would stabilize bipolar mood by observing its precursors. After intervention, patients’ bipolar mood according to the Internal State Scale (ISS) and the Beck Depression Inventory-II (BDI-II) was improved. Our findings suggested that providing CBT to patients with bipolar II disorder during depressive episodes as an adjunct to pharmacotherapy is feasible.
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institution Kabale University
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spelling doaj-art-b280f3f004c446e6977f0d8f26ab59c12025-02-03T06:46:39ZengWileyCase Reports in Psychiatry2090-682X2090-68382020-01-01202010.1155/2020/38920243892024Cognitive Behavioral Therapy for Three Patients with Bipolar II Disorder during Depressive EpisodesYasuhiro Kimura0Sayo Hamatani1Kazuki Matsumoto2Eiji Shimizu3Department of Welfare Psychology, Faculty of Welfare, Fukushima College, Fukushima, JapanResearch Fellow of Japan Society for the Promotion of Science, JapanResearch Center for Child Mental Development, Chiba University, Chiba, JapanResearch Center for Child Mental Development, Chiba University, Chiba, JapanBipolar II disorder is a recurrent mental health disorder characterized by alternating hypomanic and depressive episodes. Providing cognitive behavioral therapy (CBT) as an adjuvant to pharmacotherapy can reduce the recurrence rate of bipolar disorder. It has not been examined whether CBT can be started during a depressive episode in patients with bipolar II disorder; however, the use of CBT during the remission period has been demonstrated to reduce recurrence. The current study is a case report involving three Japanese patients with bipolar II disorder, who started CBT during the depressive phase after a hypomanic episode was stabilized by pharmacotherapy. All patients experienced excessively positive thinking one week apart and were able to choose behaviors that would stabilize bipolar mood by observing its precursors. After intervention, patients’ bipolar mood according to the Internal State Scale (ISS) and the Beck Depression Inventory-II (BDI-II) was improved. Our findings suggested that providing CBT to patients with bipolar II disorder during depressive episodes as an adjunct to pharmacotherapy is feasible.http://dx.doi.org/10.1155/2020/3892024
spellingShingle Yasuhiro Kimura
Sayo Hamatani
Kazuki Matsumoto
Eiji Shimizu
Cognitive Behavioral Therapy for Three Patients with Bipolar II Disorder during Depressive Episodes
Case Reports in Psychiatry
title Cognitive Behavioral Therapy for Three Patients with Bipolar II Disorder during Depressive Episodes
title_full Cognitive Behavioral Therapy for Three Patients with Bipolar II Disorder during Depressive Episodes
title_fullStr Cognitive Behavioral Therapy for Three Patients with Bipolar II Disorder during Depressive Episodes
title_full_unstemmed Cognitive Behavioral Therapy for Three Patients with Bipolar II Disorder during Depressive Episodes
title_short Cognitive Behavioral Therapy for Three Patients with Bipolar II Disorder during Depressive Episodes
title_sort cognitive behavioral therapy for three patients with bipolar ii disorder during depressive episodes
url http://dx.doi.org/10.1155/2020/3892024
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