- Sep 14, 2020
I have been researching for awhile and came to the conclusion that behavior methods aren't as helpful in the acute phase. I agree with Julie Fast's opinion in her post below:But this is MY view; Keith you seem to be pretty sure that behavioural methods won't help your wife. Try to keep an open mind, I've learnt a lot from websites like this and the experience of others. I'd also advise you and your wife to read round the subject of bipolar - there's a vast amount of info out there that will help. Best wishes, GK.
Practices that do help with emotional regulation and psychological problems are often suggested to us as treatment for Bipolar Disorder.
They rarely work. It’s not that they can’t be part of a management plan, they can. But when it comes to addressing a first Bipolar Disorder mood swing and finding stability once you have a diagnosis, the goal is to regulate the brain chemistry that is creating the unstable moods.
We do this with medications, sleep regulation and trigger management. Take Charge of Bipolar Disorder explains this system.
Adding meditation, mindfulness and gratitude usually comes after a big episode has calmed down.
Julie is a pretty well regarded expert on bipolar disorder, with numerous books and articles on the subject. My wife's psychiatrist also agrees with this assessment. When my wife booked one-on-one therapy sessions with a DBT therapist, her therapist basically said that it is hard for her to absorb and practice DBT while in the throes of an acute depression and suggested they postpone the sessions until she is closer to baseline.
Again, I'm not saying that they don't work. They can be very helpful. But like Julie says, it is helpful as part of an overall management plan and not when you are already suffering through a mood swing.