The approach includes the identification of (and preparation for) high-risk situations, rehearsal of coping skills, relapse-crisis debriefing, education, and lifestyle modification.
Such programmes tend to include a number of different techniques including self-monitoring, goal setting, self-control training, interpersonal skills training, relapse prevention, group work and lifestyle modification.
Finally, session 11 is spent reviewing material learned and planning for ongoing use of skills and relapse prevention.
We will incorporate partial meal replacements, frequent contacts, and an intensive behavioral intervention that emphasizes self-regulatory skills and relapse prevention.
Each lesson was designed using a cartoon narrative and included: psychoeducation, behavioural activation, cognitive restructuring, graded exposure, problem solving, assertiveness skills and relapse prevention.
However, the evidence base for using RPIs is weak; a 2006 Cochrane review of pharmacotherapy, extended treatment interventions and interventions designed to provide smokers with skills to avoid relapse to smoking, found no evidence that any of these approaches worked for relapse prevention, although the evidence base was small [ 5].
Additionally, time constraints associated with the neighborhood site visit will also limit the provision of support, teaching of coping skills, and general relapse prevention assistance.
It may be explained by the cognitive and relapse skills that patients learn during treatment and can still apply afterwards 64, 65.
The topics addressed during the sessions include psychoeducation on the disorder, stimulus control (e.g., avoidance of risk situations), response prevention (alternative and compensatory behaviors), cognitive restructuring, reinforcement and self-reinforcement, social skills training, and relapse prevention techniques.
Psychoeducation has been defined as the education of patients and their families that provides information, knowledge and the skills necessary for relapse prevention and health restoration of patients with psychiatric illness [ 1].
Taken together, these observations suggest that clinical approaches (therapy, medication, exercise, mindfulness) together with environmental and personal factors may potentially gradually change some of the emergent properties of bipolar disorder (e.g., self-awareness of the precursor of the disorder, skills to prevent relapses).
