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Levels of familial expressed emotion during an acute episode are consistently associated with rates of recurrence among bipolar patients. This article briefly reviews the evidence for expressed emotion (EE) as a prognostic indicator and then illustrates family-focused treatment (FFT) with adults and adolescents suffering from bipolar disorder. FFT is a time-limited, modularized treatment consisting of psychoeducation, communication enhancement training, and problem-solving skills. Controlled trials indicate that FFT is an efficacious adjunct to pharmacotherapy for patients with bipolar disorder. We describe its recent application to early onset bipolar patients and include a clinical vignette.

Original publication

DOI

10.1002/jclp.20359

Type

Journal article

Journal

J Clin Psychol

Publication Date

05/2007

Volume

63

Pages

433 - 445

Keywords

Adolescent, Adult, Bipolar Disorder, Colorado, Expressed Emotion, Family Relations, Family Therapy, Female, Humans, Program Development