C entre for

CI linical
nterventions
Psychotherapy Research Training

Cognitive Behavioural
Programme For
Bipolar Affective Disorder

Therapist Manual for Individual Therapy

Louella Lim
Paula Nathan

Centre for Clinical Interventions

Psychotherapy Research Training
Perth, Western Australia
 C entre for
CI linical
nterventions
Psychotherapy Research Training

Overview of Therapy
MODULE MODULE CONTENT HANDOUTS WORKSHEETS/FORMS

Assessment & Introduction WAIPR Pre-Treatment (Baseline) Assessment Protocol WAIPR Pre-treatment Assessment
to Therapy Overview & Introduction to Therapy Package
Goals of Therapy Goals of Therapy Worksheet
Participants Expectations Questionnaire

Module 1: What is Bipolar Disorder? HO 1-1: Overview of Bipolar Symptom Record

Overview of Bipolar Symptoms of acute episodes of mania & depression Disorder Weekly Self-Monitoring Diary
Disorder Epidemiology & Diagnosis of bipolar disorder HO1-2: Medication Treatment for Session Summary
Stress vulnerability (genetic/familial mechanisms; role of Bipolar Disorder
stress & life events)
Mood & symptom monitoring
Module 2: Life Charts (overview of life events, illness episodes, HO 2: Symptom Monitoring Life Charts
Symptom Monitoring for treatment, etc.) Early Warning Signs
Relapse Prevention Identifying sub-syndromal symptoms & early warning signs A Plan of Action
Developing a plan to prevent a full blown episode of Weekly Self-Monitoring Diary
mania or depression Session Summary

Module 3: Symptoms of depression & changes in behaviour HO 3-1: The Depression Cycle Pleasurable Activities Schedule
Behavioural Strategies for The Depression Cycle HO 3-2: Pleasurable Activities Weekly Activity Schedule
Managing & Preventing Scheduling pleasurable activities Catalog Prioritising the To Do List
Depression Prioritising the TO DO List Weekly Self-Monitoring Diary
Session Summary

Cognitive Behavioural Therapy for Bipolar Disorder

 C entre for
CI linical
nterventions
Psychotherapy Research Training

Overview of Therapy (Cont)

MODULE MODULE CONTENT HANDOUTS WORKSHEETS/FORMS

Module 4: Influence of Thoughts on Feelings (ABCs) HO 4-1: The ABCs of How We Think & Making the B-C Connection
Cognitive Strategies for Feelings & Thoughts associated with Depression Feel Feelings & Thoughts Associated with
Managing & Preventing Unhealthy thinking patterns & styles HO 4-2: The Feelings Catalog Depression
Depression Disputation & Detective Work (D) - Challenging HO 4-3: Unhealthy Thinking Patterns & Thought Diary: My ABCs for Managing
automatic thoughts & unhealthy thinking styles Styles When Depressed Depression (1, 2, 3)
Developing Balanced Thoughts (E) HO 4-4: Moving on to D Integrating the E
Integrating balanced thoughts HO 4-5: Now for the E Weekly Self-Monitoring Diary
HO 4-6: Integrating Healthy Thoughts & Session Summary
Beliefs

Module 5: Feelings & thoughts associated with hypomania & HO 5-1: Cognitive Changes in Mania The Balance Sheet
Cognitive Strategies for mania HO 5-2: Unhealthy Thinking Patterns & Weekly Self-Monitoring Diary
Preventing Mania Unhealthy thinking patterns & styles Styles when Manic Session Summary
Challenging automatic thoughts associated with
hypomania & mania
Developing & integrating balanced thoughts

Module 6: Guiding principles to behavioural strategies for HO 6: Behavioural Strategies for Case Study Susan
Behavioural Strategies for prevention of mania Preventing Mania Organising the Ideas List
Preventing Mania Minimising sleep disruption Weekly Self-Monitoring Diary
Activity monitoring & scheduling Session Summary
Organising the Ideas List

Cognitive Behavioural Therapy for Bipolar Disorder

 C entre for
CI linical
nterventions
Psychotherapy Research Training

Overview of Therapy (Cont)

MODULE MODULE CONTENT HANDOUTS WORKSHEETS/FORMS

Module 7: Assessment of psychosocial functioning, coping HO7-1: Coping with Psychosocial Coping with Psychosocial Stressors
Coping with Psychosocial resources & barriers to effective coping Stressors Problem Solving
Stressors Effective Ways of Coping HO7-2: Problem Solving Weekly Self-Monitoring Diary
Problem Solving Session Summary

Module 8: Review of Key Strategies Self-Management Plan

Progress Review & Progress Review Goal Setting
Termination of Therapy Self-Management Plan
Goal Setting

Cognitive Behavioural Therapy for Bipolar Disorder