Bipolar disorder affects about 1 million people in the UK. It is characterised by periods of elevated mood (mania) and low mood (depression). In between these periods people with this diagnosis often continue to experience significant levels of mood problems which can interfere with their relationships, quality of life and work. Traditionally bipolar disorder has been treated with medication as the front line therapy. However, there is clear evidence that many individuals do not take their medication as prescribed and even amongst those who do clinical benefits can be limited. This has led to increasing calls for the development of effective psychological therapies. The Spectrum Centre has developed and evaluated a series of such novel interventions including group psychoeducation, and integrated psychological therapy for anxiety and substance use issues. A particular focus has been on understanding, measuring and promoting personal recovery in bipolar in response to service user priorties. As such we have developed and evaluated the bipolar recovery questionnaire as a sensitive measure of personal recovery and recovery focused therapy as an intervention with improves personal recovery outcomes.
To improve access we have conducted web based studies exploring the benefits of psychoeducation, relapse prevention and parenting support for bipolar parents. In addition we have evaluated the benefits of providing support to relatives of people with psychosis and bipolar including understanding how this might best be implemented in the NHS.
In addition to intervention studies we also conduct work on the psychological processes associated with bipolar disorder including try understand more about both the positive and negative experiences that people living with bipolar disorder report. Recent work has highlighted how people's explanations of their experiences influencetheir personal recovery and experiences of inspiration. We are also examining sociodemographic factors impacting on high functioning in bipolar and how people describe their bipolar experience, partciularly personal recovery, through social media.
Our work has been supported by a range of funders including, NIHR programme grants, NIHR RfPB grants, MRC, ESRC, Cripps Trust and NHS Trusts.