CBT as Treatment for Bipolar Disorder

Bipolar disorder, known by many as manic depression, is a mental illness caused by a combination of factors, including neurological, biological, emotional, and environmental factors. It is most commonly described as mood cycling or mood swings, in which the patient cycles through moods of depression, mania, and normal behavior.

There are many treatment options for bipolar disorder. The most common treatment for bipolar disorder includes a combination of medication and therapy. However, some patients are not candidates for medication treatment. Patients that have a history of drug abuse, for instance, should in most cases not be placed on medication for bipolar disorder, as the risk for abuse is too great. Additionally, patients may not have a case of bipolar disorder severe enough to warrant medication. Other patients may choose to avoid the route of medication until it becomes absolutely necessary.

In response to these special cases in which medication treatment is not a viable option for bipolar disorder, that Cognitive Behavioral Therapy, or CBT, was developed. CBT is a type of therapy that assists patients in recognizing triggers and causes for their manic and depressive states. The patient can then learn techniques to avoid these triggers, and cope with symptoms during episodes. Seventy percent of bipolar disorder type one patients that undergo CBT experience one or fewer episodes within four years of starting the CBT treatment.

There are two main goals that are met by using CBT as treatment for bipolar disorder. The first goal is to recognize manic episodes before they become uncontrollable, and consciously change how they react to the episode. The second goal is to learn techniques, reactions, thoughts, and behaviors that can help to offset depression. These goals are realized through various techniques and activities prescribed by the therapist. With CBT, the treatment of bipolar disorder rests with the patient, who is given homework in the form of exercises and reading, which helps them to understand their condition and learn methods to cope with it.

The first step to successful treatment of bipolar disorder through CBT is to develop a treatment contract with the patient. This is a treatment plan that the patient agrees to follow, and also involves the patient's promise to complete all homework assignments and take any prescribed medication as directed. Because the success of CBT depends largely on the patient's responsibility and desire to cope with bipolar disorder, this is an important first step to successful treatment.

The second step to successful treatment of bipolar disorder through CBT is to monitor and grade moods. This is done with various worksheets that the therapist gives the patient. The patient may record their mood for the day, how many hours they have slept, their level of anxiety, and their level of irritability. Those with type two bipolar disorder may need to record their mood two or more times per day, as their moods cycle more often.

Understanding the pattern to mood cycling can help the patient then undergo the next step to CBT treatment for bipolar disorder. This step of CBT for treatment of bipolar disorder requires the patient to do homework in the form of worksheets and reading that will help the patient to understand how their thoughts effect their emotions. By understanding these things, the patient will be able to then practice altering their thoughts in a rational way to make emotions more rational as well, decreasing the number and severity of depressive and manic episodes.

The next step to CBT treatment for bipolar disorder is to learn how to recognize triggers. Triggers are the thoughts, emotions, situations, times of year, events, or environments that set off a depressive or manic episode. By learning how to understand and recognize their triggers, the patient can then learn to avoid the triggers entirely, thereby decreasing the number and severity of depressive and manic episodes.

Overall, CBT is a viable and quite successful treatment for bipolar disorder, and can be a healthy alternative to medication in some cases. If you feel you may be a candidate for CBT, you should contact your doctor or therapist to discuss this and other bipolar disorder treatment options.

Skin care treatment for the most common skin conditions

A glowing and healthy skin is an asset. Skin is not all about beauty but also health. So, skin care treatment should be treated with all seriousness. If you develop a skin related dilemma, you need an appropriate skin care treatment. Skin care treatment, for any skin disorder, starts with actions that are aimed at prevention of the disorder (what we can also call as proactive or preventive skin care treatment). Building and following basic skin care procedures is what one could classify as preventive/proactive skin care treatment. Skin disorders can occur even if you have followed this preventive skin care treatment. Preventive skin care treatment just reduces the probability of occurrence. Let’s check the skin care treatment for some of the common skin conditions.

Acne is one of the most common problems. Again, the first type of skin care treatment is to control acne and prevent it from getting worse. So avoid tight clothes; they are known to cause body acne by trapping sweat. Do not touch the blemishes over and over again (rather don’t touch them at all), you might end up aggravating the condition. Also, do not try to scrub too hard or squeeze them. Use of mild cleansers is a recommended skin care treatment for acne. Obtain an over-the-counter skin care treatment for faster treatment of acne.

Skin care treatment of dry skin is generally easy. Moisturisers, applied in the right way and in the right quantity, are the best form of skin care treatment for dry skin. For best results, apply moisturiser while your skin is still damp. Also, do not apply too much or too little moisturiser. In exceptional cases, where you don’t notice any improvements in 3-4 weeks, you might have to visit your dermatologist for skin care treatment of your dry skin.

Brown spots, which appear on sun-exposed areas of skin i.e. face and hands, are caused by over-exposure to UV radiations. As a skin care treatment for brown spots, use a sunscreen lotion which has a high SPF (sun protection factor), say 15. This should be used irrespective of weather – sunny/cloudy. Another form of skin care treatment is covering up the exposed areas with clothing (caps, full sleeved shirts/t-shirts, and umbrella).

Also, if the general skin care treatment or the over-the-counter medication is not working for you, you should immediately consult your dermatologist for professional skin care treatment. You should also inform the doctor about the skin care treatment that you have undertaken till that time. So take the details of the till-date skin care treatment (and products) along with you. Based on the skin condition and the details of your till-date skin care treatment, the dermatologist will prescribe a skin care treatment e.g. oral antibiotics, chemical peels, retinoid etc and you will be on your way to recovery.