Brief Psychological Intervention For Bipolar Disorder In Integrated Care Settings In Rural Ethiopia

Bipolar disorder is a severe mental illness characterized by recurrent manic and depressive or mixedrnepisodes. Bipolar disorder leads to a significant impairment in functioning, considerable stigma andrnpremature mortality. The social disruption caused by acute episodes related to the illness oftenrnpersists beyond clinical remission. Various factors affect the outcome of bipolar disorder such asrndistressing life events, substance use, poor coping mechanisms, sleep disturbance and treatment nonadherence.rnComplementing pharmacotherapy with psychological interventions has been shown tornbe more effective in preventing or delaying relapse and improving the course and outcome of therndisorder compared to pharmacotherapy alone. In LMICs, there is very limited evidence on thernadaptation, effectiveness and implementation of such psychological interventions. Furthermore,rnthere is limited understanding of the particular risk factors and coping mechanisms relevant tornLMICs that may be addressed with psychological interventions

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