Packed with practical clinical tools, this book presents an empirically supported treatment expressly designed for clients with both bipolar disorder and substance use disorders. Integrated group therapy teaches essential recovery behaviors and relapse prevention skills that apply to both illnesses. The volume provides a complete session-by-session overview of the approach, including clear guidelines for setting up and running groups, implementing the cognitive-behavioral treatment techniques, and troubleshooting frequently encountered problems. In a large-size format for easy reference and photocopying, the book features 29 reproducible handouts and forms.
"Bipolar disorder complicated by substance abuse is an enormous clinical challenge. This book presents timely and clinically relevant information that will be of extraordinary value to any clinician interested in learning about and treating individuals who have both disorders. This is a readily understandable, well-organized, and practical 'how-to' guide to one of the most efficacious treatments available for individuals with co-occurring substance abuse and psychiatric disorders."
-Kathleen T. Brady, MD, PhD, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
"A valuable clinical resource. Weiss and Connery provide an excellent guide to the nature of bipolar disorder and substance abuse, their interactions, and the role of group therapy in fostering recovery. The practicalities of implementing the approach are succinctly described, including the logistics of setting up and running group sessions. The heart of the book lies in its clear, step-by-step explication of each session. This book is destined to become a classic in the treatment of dual disorders. It deserves to be on the shelf of any clinician working with this challenging population."
-Kim T. Mueser, PhD, Department of Psychiatry, Dartmouth Medical School * description
Table of Contents
I. Overview of Integrated Group Therapy
1. An Introduction to Integrated Group Therapy
2. General Principles of Integrated Group Therapy for Co-Occurring Bipolar Disorder and Substance Abuse
3. Therapist Guide for the Integrated Group Therapy Pregroup Interview
4. Conducting an Integrated Group Therapy Session
II. Integrated Group Therapy Sessions
Session 1. It's Two against One, but You Can Win!
Session 2. Identifying and Fighting Triggers
Session 3. Dealing with Depression without Abusing Substances
Session 4. Dealing with Family Members and Friends
Session 5. Denial, Ambivalence, and Acceptance
Session 6. Reading Your Signals: Recognizing Early Warning Signs of Trouble
Session 7. Refusing Alcohol and Drugs: Thinking It Through and Knowing What to Say
Session 8. Using Self-Help Groups
Session 9. Taking Medication
Session 10. Recovery versus Relapse Thinking: It Matters What You Do
Session 11. Taking Care of Yourself
Session 12. Taking the Group with You
Appendix A. Rating Adherence and Fidelity: Ensuring That Integrated Group Therapy Is Done Properly
Appendix B. Bulletin Board Material
Appendix C. Frequently Asked Questions about Integrated Group Therapy
About the Authors
Roger D. Weiss, MD, is Professor of Psychiatry at Harvard Medical School and Chief of the Division of Alcohol and Drug Abuse at McLean Hospital in Belmont, Massachusetts. His research, international teaching, clinical work, and publications have focused on substance use disorders, with a particular focus on individuals with co-occurring psychiatric illness. Dr. Weiss is a recipient of the H. David Archibald Award for Outstanding Research and/or Practice in the Addictions from the Centre for Addiction and Mental Health in Toronto.
Hilary Smith Connery, MD, PhD, is Medical Director of the Alcohol and Drug Abuse Treatment Program at McLean Hospital and Instructor in Psychiatry at Harvard Medical School. Dr. Connery's clinical research focuses on innovative behavioral treatments for patients with co-occurring substance use disorders and mental illness. She has special interest in treatment of patients with opioid dependence and mental illness, and is a recipient of the Eleanor and Miles Shore/Harvard Medical Scholars Fellowship to study this population.
--- from the publisher