ABSTRACT
Introduction: Bipolar affective disorder (BPAD) is a chronic psychiatric disorder with an admixture of frequent and recurrent episodes of mania, hypomania, depression, or mixed episodes. More than 1% of the world's population and at least 0.3% of the Indian population are affected by BPAD. We have chosen a case of BPAD with multiple episodes to study the impact of psychosocial intervention in the management of the illness of the affected person and family. The index client, a male, Presentation of the case: 32 years of age, visited the Institute of Psychiatry (IOP) with caregivers and was referred to the psychiatric social work department of the IOP on April 24, 2019, with symptoms of mania and psychosis. He had 7-years history of psychiatric illness, including multiple episodes of mania and depression, as well as frequent irregular medication; burden and conflict, insufficient social support, poor communication and interaction patterns, poor coping and problem-solving skills in the family. Therapists imparted Interpersonal and Social Rhythm Therapy (IPSRT) and family-focused therapy to the client and family members. It was found that there Discussion: was a significant difference between pre- and postpsychosocial interventions in the life and wellbeing of a person with BPAD and his family. Post intervention, client's level of social and occupational functioning was increased, high expressed emotion had been notably decreased, adaptive patterns had been improved, and cohesion in the family had been strengthened. The client and his family members learned to prevent development of future episodes. Conclusion: Psychiatric social work interventions have been a key area in the management of BPAD involving the family, which helps in maintaining a prolonged euthymic period and better treatment compliance.
ABSTRACT
Las personas que padecen patologías de salud mental con frecuencia sufren estigma y exclusión por parte de la sociedad. El desconocimiento y el temor a ser discriminado evita el acercamiento de las personas a los servicios de salud, provocando latencias y abandono del tratamiento. La psicoeducación es una herramienta que busca que pacientes y familias conozcan la naturaleza de la enfermedad, promoviendo la autonomía, el empoderamiento y la reintegración social. El siguiente artículo recoge evidencia en torno a esta temática, discutiendo sobre la aplicabilidad de sus resultados, la importancia de replicar métodos y sistematizar experiencias.
Mental health illness are often related with social stigma. The unknowledge and the generalization of conducts of people with mental health illness, impacts the approach to social or medical services and sometimes quit the treatment. Psychoeducation as a tool in this area, persuits that patients and family know the nature of the illness, his ethiology, course, therapeutic approaches and outcomes. This article takes evidence sorround psychoeducation in mental health illness, discuss the appliance of the results and the importance of replying and systematization of experiences.