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Published: 2021-08-27

The role of cognitive-behavioral psychotherapy in the treatment of Bipolar Disorder

Department of Psychosomatic Medicine and Psychotherapy, Bogomolets National Medical University
Bipolar disorder Cognitive-behavioural therapy CBT Treatment


Background. Bipolar disorder (BD) is a chronic, recurrent condition that causes impaired quality of life and disability. This disorder is not only difficult for diagnosis, but also for maintenance and treatment. Apparently the most compliant patients get tired of constant medication. Therefore, it is important to understand how CBT can help patients overcome the shortcomings of pharmacotherapy and better control the various phases of the disease in both acute phase and remission.

Results. There are enough techniques in the CBT to monitor symptoms in different phases of BD.

Materials. Review of literature on the topic.

Conclusions. CBT plays an important role in the maintenance and treatment of bipolar disorder. Living with BD is like running a "marathon" that will never end. If you look at the CBT / psychotherapist and their role in the life of a patient with BD - this is like "relationship" between coach and athlete.

It is important to run this "marathon" and try not to go out of the race. This can be done only if you run consciously, calculating your strength, at the right pace to know how to breathe properly, how to find helpful thoughts so as not to fall or overestimate yourself and not make mistakes, how to change running technique, how to keep focus despite fatigue and exhaustion, how to achieve goals.

CBT is a "Coach" who teaches how to run properly, technically, how fast, when to take a "break", when to accelerate, when to slow down during a "marathon". In addition, the coach supports, accepts, envy when the athlete is angry or crying from fatigue, wants to give up, but the marathon does not stop. The coach finds the right words, in a good Socratic way, to encourage the athlete not to stop running. And a life-long "marathon" can only be run by a well-trained athlete!


Full-text of the article is available for this locale: Українська.


  1. Khahustova OO. Suicide and household mortality in ukraine: results of 2012. Ukrains'kyi visnyk psykhonevrolohii. 2013;21(4):12-8. URL:
  2. Chaban OS, Yur’yeva LN, Khaustova OO, Mamchur AY, Nikolenko AY, Barna ON. Modern realities of medical care for patients with depression: results of the first year of implementation of the national protocol. Arkhiv Psykhiatrii. 2015;21(3):25-9. URL:
  3. NICE. Bipolar disorder, the assessment and management of bipolar disorder in adults, children and young people in primary and secondary care. London: The British Psychological Society and The Royal College of Psychiatrists; 2020. URL:
  4. Mosolov SN, Kostjukova YG, Kuzavkova MV. Bipolar affective disorder: diagnosis and treatment. Moscow: MEDPress-Inform; 2008.
  5. Nusslock R, Almeida JR, Forbes EE. Waiting to win: elevated striatal and orbitofrontal cortical activity during reward anticipation in euthymic bipolar disorder adults. Bipolar Disord. 2012;14(3):249-60. DOI:
  6. American Psychiatric Association. Diagnostic and statistic manual of mental disorders Fifth edition. Washington: APA Publishing; 2013. URL:
  7. Baldessarini RJ, Vazquez GH, Tondo L. Bipolar depression: a major unsolved challenge. Int J Bipolar Disord. 2020;8(1):1. DOI: PMID:
  8. Khaustova OO. Results of 2017: updated clinical guidelines. PMGP. 2017;2(4):e020496. URL:
  9. Chaban OS, Khaustova OO. Bipolar depression: problems of diagnosis and therapy. Neuro News. 2011;32(5). URL:
  10. Khaustova OO, Bezsheiko VG, Romaniv AP. Modern aspects of diagnosis and treatment of bipolar depression. Neuro News,. 2012;36(1). URL:
  11. Miklowitz DJ. An update on the role of psychotherapy in the management of bipolar disorder. Curr Psychiatry Rep. 2006; 8: 498–503.
  12. Beynon S, Soares-Weiser K, Woolacott N. Psychosocial interventions for the prevention of relapse in bipolar disorder: systematic review of controlled trials. Br J Psychiatry. 2008; 192: 5–11.
  13. 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: PMID:
  14. Miklowitz DJ. An update on the role of psychotherapy in the management of bipolar disorder. Curr Psychiatry Rep. 2006;8(6):498-503. doi: PMID:
  15. YuYe Bi, Jiang Ze-Yu Li H. Effectiveness of cognitive behavioral therapy in treating bipolar disorder: An updated meta-analysis with randomized controlled trials. Psychiatry Clin Neurosci. 2016 Aug;70(8):351-61. PMID:
  16. Vallarino M, Henri C, Etain B. An evidence map of psychosocial interventions for the earliest stages of bipolar disorder. Lancet Psychiatry. 2015; 2(6): 548–63.
  17. Suppes T, Swann AC, Dennehy EB. Texas Medication Algorithm Project: development and feasibility testing of a treatment algorithm for patients with bipolar disorder. Journal of Clinical Psychiatry. 2001;62(6):439–47.
  18. Meyer N, Faulkner SM, McCatcheon RA. Sleep and Circadian Rhythm Disturbance in Remitted Schizophrenia and Bipolar Disorder: A Systematic Review and Meta-analysis. Schizophr Bull. 2020;46(5):1126–43.
  19. Basco MR, Rush AJ. Cognitive-behavioral therapy for bipolar disorder. New Yok: Guilford Press; 2005.

How to Cite

Asanova A. The role of cognitive-behavioral psychotherapy in the treatment of Bipolar Disorder. PMGP [Internet]. 2021Aug.27 [cited 2022Aug.8];6(3):e0603324. Available from: