Chapter 8.Mania
Sections
Excerpt
It may go without saying, but the peak of a manic episode when thoughts are racing, sleep loss is causing fatigue, mood is irritable, and agitation is high may not be the best time to teach CBT skills. Interventions can have greater impact and information is more likely to be retained if conveyed when the person is much less symptomatic. As manic symptoms emerge, the patient can call on previously acquired skills to help manage them. As symptoms worsen, clinician guidance is usually needed to help the patient slow down, focus on one symptom at a time, and utilize structured interventions.
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