Metacognitive therapy for bipolar disorder. A clinical case report from Denmark

Main Article Content

Dr. Pia Callesen Tina Bihal, HCPC approved Clinical Psychologist

Abstract

Bipolar disorder is one of the most serious psychiatric disorders that has recurrent and sometimes chronic nature. Metacognitive therapy is a new treatment for this population with promising results from the previous studies reported. A clinical case report referring to a 35-year old male suffering from bipolar disorder is presented describing the stages of metacognitive therapy. Firstly, a case formulation is produced evaluating strategies and how they backfire and maintain symptoms. Afterwards, the patients’ negative and positive metacognitive beliefs about uncontrollability and the usefulness of worrying and ruminating are restructured. Further larger scale investigations are needed to further document the effect of metacognitive therapy for bipolar disorder.

Keywords: Bipolar Disorder, Metacognitive Therapy, Case Report, Psychiatric Disorders, Cognitive Restructuring, Mental Health Treatment, Therapy Outcomes

Article Details

How to Cite
CALLESEN, Dr. Pia; BIHAL, Tina. Metacognitive therapy for bipolar disorder. A clinical case report from Denmark. Medical Research Archives, [S.l.], v. 12, n. 10, oct. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5777>. Date accessed: 13 nov. 2024. doi: https://doi.org/10.18103/mra.v12i10.5777.
Section
Case Reports

References

1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association; 2013. doi:10.11 76/appi.books.9780890425596.

2. Özdel K, Kart A, Türkçapar MH. Cognitive behavioural therapy in treatment of bipolar disorder. Arch Neuropsychiatry. 2021.

3. Bebbington P, Ramana R. The epidemiology of bipolar affective disorder. Soc Psychiatry Psychiatr Epidemiol. 1995;30(6):279-292. doi:10.1007/BF00805795.

4. Newman CF, Leahy RL, Beck AT, Reilly-Harrington NA, Gyulai L. Bipolar disorder: A cognitive therapy approach. American Psychological Association; 2002. doi:10.1037/10442-001.

5. Szentagotai A, David D. The efficacy of cognitive-behavioral therapy in bipolar disorder: A quantitative meta-analysis. J Clin Psychiatry. 2010;71(1):66-72. doi:10.4088/JCP.08r04559yel.

6. Chiang KJ, Tsai JC, Liu D, Lin CH, Chiu HL, Chou KR. Efficacy of cognitive-behavioral therapy in patients with bipolar disorder: A meta-analysis of randomized controlled trials. PLoS One. 2017;12(5) . doi:10.1371/journal.pone.0176849.

7. Wells A. Metacognitive Therapy for Anxiety and Depression. Guilford Press; 2009.

8. Wells A, Matthews G. Attention and emotion: A clinical perspective. L Erlbaum; 1995.

9. Wells A, Matthews G. Modelling cognition in emotional disorder: The S-REF model. Behav Res Ther. 1996;34(11-12):881-888. doi:10.1016/S0005-7967(96)00050-2.

10. Normann N, Van Emmerik AAP, Morina N. The efficacy of metacognitive therapy for anxiety and depression: A meta-analytic review. Depress Anxiety. 2014;31(5):402-411. doi:10.1002/da.22273.

11. Normann N, Morina N. The efficacy of metacognitive therapy: A systematic review and meta-analysis. Front Psychol. 2018;9:2211. doi:10. 3389/fpsyg.2018.02211.

12. Rochat L, Manolov R, Billieux J. Efficacy of metacognitive therapy in improving mental health: A meta-analysis of single-case studies. J Clin Psychol. 2018;74(6):896-915. doi:10.1002/jclp.22567.

13. Østefjells T, Melle I, Aminoff SR, et al. An exploration of metacognitive beliefs and thought control strategies in bipolar disorder. Compr Psychiatry. 2017;73:84-92. doi:10.1016/j.comppsy ch.2016.11.008.

14. Palmer-Cooper EC, Woods C, Richardson T. The relationship between dysfunctional attitudes, maladaptive perfectionism, metacognition and symptoms of mania and depression in bipolar disorder: The role of self-compassion as a mediating factor. J Affect Disord. 2023;341:265-274. doi:10.1016/j.jad.2023.08.117.

15. Reinholdt-Dunne ML, Seeberg I, Blicher A, et al. Residual Anxiety in Patients with Bipolar Disorder in Full or Partial Remission: Metacognitive Beliefs and Neurocognitive Function. Cognit Ther Res. 2021;45(1):179-189. doi:10.1007/s10608-020-10148-7.

16. Callesen P. Live More Think Less. Icon Books; 2020.

17. Callesen P, Pedersen ML, Andersen CK, Wells A. Metacognitive therapy for bipolar II disorder: A single case series study. Neurol Psychiatry Brain Res. 2020;38:107-113. doi:10.1016/j.npbr.2020.08.004.

18. Wells A. Detached mindfulness in cognitive therapy: A metacognitive analysis and ten techniques. J Ration Emot Cogn Behav Ther. 2005;23(4). doi:10.1007/s10942-005-0018-6.