Early Intervention in Bipolar Disorder

Power, Paddy; Conus, Philippe; Macneil, Craig A.; Scott, Jan

doi:10.1002/9781118557174.ch21

Cited by 1 publication

(2 citation statements)

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“…The challenge is to identify who is most at risk of progression and targeting stage-specific treatments more effectively so that the risk of unnecessary treatment is minimised. This model has already been applied to schizophrenia , BPD (Culebra, 2010;McNamara et al 2010;Scott et al 2013;Berk et al 2014;Power et al 2014) and eating disorders. The following below outlines this model in BPD Type I (Fig.…”

Section: Ei In Bpd: Detection Intervention and Prevention At Each Stmentioning

confidence: 98%

“…However, their broad remit risks diluting the clinical expertise required for EI in BPD. It is essential therefore that the open front end of these youth services have established pathways into a range of more specialist EI programmes, such as for BPD, either within or closely linked to their service (Power et al 2014). Otherwise they risk evolving separately and a golden opportunity will be lost.…”

Section: Specialised Ei Services For Bpdmentioning

confidence: 99%

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Intervening early in bipolar disorder in young people: a review of the clinical staging model

Power

2015

Ir. j. psychol. Med.

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Bipolar disorder (BPD) essentially has its onset during adolescence and early adulthood. It has the capacity to be highly disruptive, dislocating individuals from their normal developmental trajectory and potentially causing significant long-term co-morbidity and chronicity. At a societal level the burden created is greater than schizophrenia. This is not helped by the very substantial delays in its diagnosis and appropriate treatment. Thus, there is a clear rationale for intervening earlier and at a younger age. However, the field of early intervention in BPD is in its infancy. One approach that conceptually provides a basis for early intervention is the Clinical Staging Model (used widely in general medicine). This article outlines how this model helps in an understanding of the emerging stages of BPD. It also summarises the interventions that might be appropriately introduced if a person progresses from an early to a late stage of the illness. Early intervention has a well-established record in psychotic disorders. If it can be realised for BPDs, then it may hold out hope of better outcomes for the next generation of young people at risk.

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Section: Ei In Bpd: Detection Intervention and Prevention At Each Stmentioning

confidence: 98%

Section: Specialised Ei Services For Bpdmentioning

confidence: 99%