Our expert says:
I agree, haven't seen convincing evidence of great value of CBT in true bipolar disorder, as compared with chemical means, but I think it depends very much on what would be the purpose of using it ( I have even seen intriguing evidence of its value in schizophrenia, to assist in the control of some symptoms ).
FOr a curative / major control of full bipolar disorder, I wouldn't see CBT as effective, and that would be an unrealistic expectation for it. But maybe that's positing a false alternaive. COMBINED with chemical mood stabilizers, it could still be useful in helping someone deal with problems caused or exacerbated by the BD, for instance
Physiotherapy doesn't cure or heal broken backs or other bones - but can be most valuable in helping the broken individual, once the bone is healing through traditional methods, to regain strength and mobility. Maybe that's a more appropriate view of what CBT might help to do
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