14. Further Integration of Patient, Provider, and Systems Treatment Approaches in Bipolar Disorder: Where New Evidence Meets Practice Reality

  1. Mick Power
  1. Sagar V. Parikh1 and
  2. Sidney H. Kennedy2

Published Online: 1 AUG 2013

DOI: 10.1002/9781118316153.ch14

The Wiley-Blackwell Handbook of Mood Disorders, Second Edition

The Wiley-Blackwell Handbook of Mood Disorders, Second Edition

How to Cite

Parikh, S. V. and Kennedy, S. H. (2013) Further Integration of Patient, Provider, and Systems Treatment Approaches in Bipolar Disorder: Where New Evidence Meets Practice Reality, in The Wiley-Blackwell Handbook of Mood Disorders, Second Edition (ed M. Power), John Wiley & Sons Ltd, Chichester, UK. doi: 10.1002/9781118316153.ch14

Author Information

  1. 1

    Continuing Mental Health Education, Canada, University of Toronto, Canada

  2. 2

    Continuing Mental Health Education, Canada, University Health Network, Canada

Publication History

  1. Published Online: 1 AUG 2013
  2. Published Print: 24 JUL 2013

ISBN Information

Print ISBN: 9781119978923

Online ISBN: 9781118316153

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Keywords:

  • bipolar disorder (BD);
  • chronic disease management;
  • patient interventions;
  • provider interventions;
  • psychosocial interventions;
  • service delivery system interventions;
  • treatment approaches

Summary

Bipolar disorder (BD) is often characterized by grandiosity as a cardinal symptom of mania, but grandiosity may also characterize the illness from another perspective: Virtually no other psychiatric disorder is as grand in its plethora of clinical presentations. Given the enormous public health burden of BD, a complex approach that offers interventions at the level of the patient, the provider, and the service delivery system is required. This chapter explores several dominant approaches to treatment, and attempts to provide a chronic disease model for weaving a therapeutic tapestry. The challenges of treatment are perhaps best provoked by examining a common clinical scenario, illustrating how different experts might approach the problem and then offering a sequence of recommendations based on the integration of approaches at the end of the chapter.