Bipolar Disorder - How Can Therapists Support Clients and Their Families?: An interview with Dr. David J. Miklowitz, PhD

Bipolar Disorder - How Can Therapists Support Clients and Their Families?: An interview with Dr. David J. Miklowitz, PhD

Curt and Katie interview Dr. David Miklowitz about his work with people with Bipolar Disorder and their families. We look at what therapists can often get wrong when working with patients presenting with this disorder. We explore differential diagnosis, treatment options, lifestyle coping strategies, and family support. We also talk about how to walk the line between self-responsibility and accommodation.

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode, we interview an expert on Bipolar Disorder

Many clinicians can miss or over-diagnose bipolar disorder. We wanted to make sure that our modern therapists have enough of the basics to identify if it is coming in their offices. We also talked with our guest about non-medication options to supporting bipolar clients and their family members.

What makes it hard to diagnose bipolar disorder?

·      Therapists need to get adequate information, which is often self-report or family history

·      There are a number of rule outs and comorbidities such as depression (unipolar), anxiety, trauma, personality disorders, substance use

·      If someone is inaccurately dx, it can lead to the wrong treatments, including the wrong medications

·      It is challenging to differentiate normal adolescent behavior from bipolar, so careful assessment is needed.

What can get in the way of treatment compliance for bipolar disorder?

·      Desire to be more creative or feel all of ones emotions can lead to lack of meds compliance

·      Perceptions about productivity during hypomania

·      Substance use and abuse can cause a lack of compliance or efficacy with medications, substances can also lead to exacerbation of symptoms

·      Medication side effects can be challenging, which requires active communication with psychiatrist to adjust dosages

What role can the family and loved ones play in supporting someone with bipolar?

·      Family-Focused Therapy (FFT) is a protocol that can be helpful

·      Family members can provide accommodation for client

·      There is a balance to be struck between family support, medication, and personal responsibility

·      Boundaries are very important

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Music by Crystal Grooms Mangano https://groomsymusic.com/