The role of cognitive behavioral psychotherapy in treatment of bipolar disorder

Abstract

Until recently bipolar disorder (BD) was regarded as a biological illness that should be treated biologically with pharmachotherapy. This view has changed in the recent years due to many reasons. This paper discusses some of the reasons why psychotherapy and particularly disorder specific cognitive behavioral psychotherapy should be combined with pharmacotherapy in treatment of BD. A combined approach is expected to improve treatment adherence, outcome and reduce cognitive vulnerabilites thereby preventing relapse.

Keywords

• bipolar disorder, cognitive behavioral therapy

İki uçlu bozuklukta bilişsel davranışçı terapilerin yeri ve önemi

Öz

Çok yakın bir geçmişe kadar iki uçlu bozukluk biyolojik bir hastalık olarak görülüyor ve bu nedenle tedavisinin de biyolojik olarak farmakoterapi ile yapılması gerektiği düşünülüyordu. Bu görüş günümüzde çeşitli nedenlerle değişikliğe uğramıştır. Bu yazıda psikoterapilerin ve özellikle hastalığa özgü geliştirilmiş bilişsel davranışçı psikoterapilerin iki uçlu bozukluk tedavisinde farmakoterapi ile kombine edilmesinin nedenleri ve yararları tartışılmıştır. Kombine bir yaklaşımın tedavi uyumunu ve sonuçlarını iyileştireceği ve bilişsel duyarlılıkları azaltarak nüksleri önlemekte daha yararlı olacağı umulmaktadır.

Anahtar Kelimeler

• iki uçlu bozukluk, bilişsel davranışçı terapi

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