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Multimodal Treatment of Acute Psychiatric IllnessA Guide for Hospital Diversion$
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Justin Simpson and Glendon Moriarty

Print publication date: 2013

Print ISBN-13: 9780231158831

Published to Columbia Scholarship Online: November 2015

DOI: 10.7312/columbia/9780231158831.001.0001

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Major Depression and Bipolar Disorder

Major Depression and Bipolar Disorder

(p.90) 7 Major Depression and Bipolar Disorder
Multimodal Treatment of Acute Psychiatric Illness

Justin M. Simpson

Glendon L. Moriarty

Columbia University Press

This chapter describes a treatment plan for people suffering from major depression and bipolar disorder. The first step is to perform assessment, which includes interviewing the patient, suicide/self-harm assessment, drug screening, crisis action plan, and safety contract. The second step is to establish equilibrium by means of improving the patient’s coping skills, ensuring that the patient adheres to the medication prescribed to him/her, activity scheduling, and assertiveness training. The third step is to address social and environmental issues that could prevent the patient from stabilizing fully or cause relapse of crisis episodes and involves building social supports, linking to resources, and interpersonal and social rhythm therapy. The last two steps cover relapse prevention (increasing internal locus of control, motivational enhancement, changing dysfunctional thinking, schema therapy), and recovery philosophy (client-led treatment, utilizing/improving personal strengths and resources, empowerment, prevention and recovery).

Keywords:   treatment, major depression, bipolar disorder, assessment, drug screening, equilibrium, assertiveness training, social supports, relapse prevention, recovery

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