Historique
Périodique
Treating patients with bipolar disorder and substance dependence : lessons learned
(Traiter des patients dépendants de substances psychoactives souffrant d'un trouble bipolaire, qu'avons-nous appris ?)
Auteur(s) :
WEISS, R. D.
Année
2004
Page(s) :
307-312
Langue(s) :
Anglais
Refs biblio. :
33
Domaine :
Plusieurs produits
Thésaurus mots-clés
COMORBIDITE
;
PSYCHIATRIE
;
TROUBLES DE L'HUMEUR
;
THERAPIE DE GROUPE
;
DEPRESSION
;
MANIE
;
AUTOMEDICATION
;
TRAITEMENT
;
INTERDISCIPLINARITE
Note générale :
Journal of Substance Abuse Treatment, 2004, 27, (4), 307-312
Résumé :
ENGLISH :
Although bipolar disorder is the Axis I psychiatric disorder associated with the highest rate of co-occurring substance use disorders, little research has focused on treatments specifically designed for these patients. The author and his colleagues have developed and studied Integrated Group Therapy (IGT) for this population. This paper describes common themes that have emerged in carrying out IGT for patients with bipolar disorder and substance dependence. These include the strong emphasis on depression, as opposed to mania; the predominance of hopelessness; specific patterns of medication noncompliance; and the implications of patients' labeling their substance use as self medication. Therapeutic aspects involved in addressing these themes are discussed. (Editor's abstract.)
Affiliation :
McLean Hospital, 115 Mill Street, Belmont, MA 02478. E-mail : rweiss@mclean.harvard.edu
Etats-Unis. United States.
Etats-Unis. United States.