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Abstract

Aim: Early intervention in bipolar disorder (BD) has received increasing attention in recentyears. The identification of risk factors has improved, but researchers continue to struggle tofind an effective treatment once the illness has become established. The aetiology of BD andfeasibility of early intervention present a challenge, making it difficult to decide who to target,as well as how.Methods: This essay seeks to address the lack of guidance for managing patients with a possibleemerging bipolar illness, by presenting a rough roadmap to psychological care. The psychologicaltechniques currently showing the most potential for this challenging group arereviewed. Markers of risk and supplementary clinical targets, such as anxiety and sleep disruption,are also discussed.Results: While research in this group remains in its infancy, various avenues of enquiry showpromise, such as family-based approaches, CBT that targets features beyond the core illness,psychoeducation, and interventions that consider physical health. However, clearer pathwaysfor establishing the course and stage of the illness are required to inform the intensity and typeof treatment.Conclusion: It is argued that treating early, indistinct symptoms of psychological distress, thatmay or may not signify prodromal BD, is valuable beyond its utility as an early interventiontool, as it has the capacity to improve help-seeking behaviour, quality of life and the likelihoodof functional recovery in those who go on to develop the illness as adults.

Item Type:	Article
Authors/Creators:	McAulay, C and Mond, J and Touyz, S
Keywords:	Adolescence, Bipolar disorder, Early intervention, Functional recovery, Staging
Journal or Publication Title:	Early intervention in psychiatry
Publisher:	Wiley-Blackwell
ISSN:	1751-7885
DOI / ID Number:	10.1111/eip.12474
Copyright Information:	Copyright 2017 John Wiley & Sons Australia, Ltd
Related URLs:	Google Scholar: Mond, J
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