Priority 3 from the Bipolar PSP

UNCERTAINTY: What is the most effective combination of self-management approaches, therapy and medication? (JLA PSP Priority 3)
Overall ranking	3
JLA question ID	0041/3
Explanatory note	Not available for this PSP
Evidence	None identified
Health Research Classification System category	Mental Health

Extra information provided by this PSP
Original uncertainty examples	For full examples, see Category ID M3 on spreadsheet. Even though I accept I have this, can I learn to manage my bi polar and lead a productive life? ~ Can we effectively use cognitive therapy methods - e.g., working on core beliefs, appraisals of mood states, imagery, dysfunctional assumptions. How important is it to include this work alongside traditional behavioural approaches (e.g., emphasising medication adherence, coping strategies, stabilising routines)? ~ Is there any evidence, anecdotal or otherwise, of CBT/psychotherapy/CAT/mindfulness being successful at managing bipolar - with or without concurrent drug therapy? ~ Can more people be helped to recover through self management and health support and education and arts projects to increase their self esteem, redirect energy and learn skills to help them to make lifestyle changes and form communities of a positive and supporting nature. ~ How helpful is psychotherapy in managing bipolar? Or is only medication needed?
Submitted by	Patients x 184 ~ Carers x 80 ~ Health Professionals x 27 ~ Others x 10

Extra information provided by this PSP

Original uncertainty examples

For full examples, see Category ID M3 on spreadsheet. Even though I accept I have this, can I learn to manage my bi polar and lead a productive life? ~ Can we effectively use cognitive therapy methods - e.g., working on core beliefs, appraisals of mood states, imagery, dysfunctional assumptions. How important is it to include this work alongside traditional behavioural approaches (e.g., emphasising medication adherence, coping strategies, stabilising routines)? ~ Is there any evidence, anecdotal or otherwise, of CBT/psychotherapy/CAT/mindfulness being successful at managing bipolar - with or without concurrent drug therapy? ~ Can more people be helped to recover through self management and health support and education and arts projects to increase their self esteem, redirect energy and learn skills to help them to make lifestyle changes and form communities of a positive and supporting nature. ~ How helpful is psychotherapy in managing bipolar? Or is only medication needed?

Submitted by

Patients x 184 ~ Carers x 80 ~ Health Professionals x 27 ~ Others x 10

PSP information
PSP unique ID	0041
PSP name	Bipolar
Total number of uncertainties identified by this PSP.	363 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	14 June 2016