Chapter 21. Treatment Adherence in Bipolar Disorder

  1. Lakshmi N. Yatham3 and
  2. Mario Maj4
  1. Jan Scott1 and
  2. Mary Jane Tacchi2

Published Online: 13 AUG 2010

DOI: 10.1002/9780470661277.ch21

Bipolar Disorder

Bipolar Disorder

How to Cite

Scott, J. and Tacchi, M. J. (2010) Treatment Adherence in Bipolar Disorder, in Bipolar Disorder (eds L. N. Yatham and M. Maj), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470661277.ch21

Editor Information

  1. 3

    Department of Psychiatry, The University of British Columbia, Vancouver, Canada

  2. 4

    Department of Psychiatry, University of Naples SUN, Naples, Italy

Author Information

  1. 1

    University Department of Psychiatry, Newcastle University, Institute of Psychiatry, Institute of Neuroscience, Newcastle-upon-Tyne NE1 4RU, UK

  2. 2

    Institute of Psychiatry, Institute of Neuroscience, Newcastle University, Newcastle-upon-Tyne, NE1 7RU, UK

Publication History

  1. Published Online: 13 AUG 2010
  2. Published Print: 1 OCT 2010

ISBN Information

Print ISBN: 9780470721988

Online ISBN: 9780470661277



  • treatment adherence in bipolar disorder;
  • safe and successful delivery of efficacious treatments - for BD, relying on patients;
  • therapeutic relationship, series of interactions between clinician and patient;
  • factors associated with increased risk of nonadherence in bipolar disorders;
  • shared understanding and agreeing treatment goals;
  • health belief model called cognitive representation of illness - exploring patient's understanding of problems;
  • agreement on nature of problem - critical first step, allowing patient to make informed choices about treatments available;
  • acceptable? understandable? manageable? - aiding in effective prescribing;
  • unintentional non-adherence, responding to behavioural approach;
  • necessity-concerns framework


This chapter contains sections titled:

  • Introduction

  • Adherence

  • Therapeutic relationships

  • Developing a shared understanding and agreeing treatment goals

  • Three questions to aid effective prescribing

  • Monitoring and enhancing adherence

  • Future directions – using a necessities-concerns framework

  • References