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    Early intervention in psychosis for first episode psychotic mania: the experience of people diagnosed with bipolar disorder

    Farr, Joanna and Rhodes, John and Baruch, E. and Smith, Jonathan (2023) Early intervention in psychosis for first episode psychotic mania: the experience of people diagnosed with bipolar disorder. Journal of Mental Health , ISSN 0963-8237. (In Press)

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    Abstract

    Background: Early intervention for people diagnosed with bipolar disorder has been identified as a priority, but little is known about how existing early intervention services are experienced by this group or could be tailored to their needs. Aims: This study examined the experience of early intervention in psychosis (EIP) services for people diagnosed with bipolar disorder, following first episode psychotic mania. Method: Semi-structured interviews were conducted with 11 adults in EIP services and analysed using Interpretative Phenomenological Analysis. Results: One superordinate theme was formed, Rebuilding within EIP service, consisting of five subthemes: i) Piecing together episode through talking to staff; ii) Exploring other perspectives during CBT; iii) Empowered through shared decision-making; iv) Reconsidering future and purpose; v) Service as safety-net. EIP provision was pivotal in helping participants understand their episode, adjust their perspective, build confidence and progress. Conclusions: Aspects of the service that were valued, including person-centred relationships with staff, shared decision-making and the development of motivation and opportunities, reflect key principles of mental health care for young people following first episode psychosis. Furthermore, findings point to elements that may be particularly relevant to early intervention following first episode psychotic mania including managing mood escalation and individualised approaches to goals.

    Metadata

    Item Type: Article
    Keyword(s) / Subject(s): Early intervention, bipolar disorder, first episode psychotic mania, qualitative, recovery
    School: Birkbeck Faculties and Schools > Faculty of Science > School of Psychological Sciences
    Research Centres and Institutes: Interdisciplinary Research on Mental Health, Birkbeck Centre for
    Depositing User: Joanna Farr
    Date Deposited: 01 Feb 2024 15:48
    Last Modified: 01 Mar 2024 01:10
    URI: https://eprints.bbk.ac.uk/id/eprint/52950

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