Think Effectively About Mood Swings (TEAMS): A case series of cognitive–behavioural therapy for bipolar disorders
Abstract
Background and objectives An integrative cognitive model for bipolar disorder proposes that multiple and extreme appraisals of changes in internal state and their reciprocal impact on behaviour, physiology and the environment provide the core mechanism in maintaining and escalating bipolar symptoms (Mansell, Morrison, Reid, Lowens, & Tai, 2007a). Methods A case series of cognitive-behavioural therapy (CBT) based on this model, known as the TEAMS approach (Think Effectively About Mood Swings), with seven participants was conducted. An A-B direct replication design with multiple baseline and follow-up assessments at one, three and six months was used. Treatment involved 12 sessions of CBT with an emphasis on addressing extreme positive and negative appraisals of internal state change. Results Improvements were reported for symptoms, functioning, cognitions and self-critical processes with large effect sizes on a range of measures, especially depression, at end of therapy and one-month follow-up. Five participants also showed clinically significant change in depression at both time-points. Conclusions This study provides preliminary evidence for the feasibility, acceptability and efficacy of CBT based on this model which warrants further evaluation.
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A case series has demonstrated TEAMS therapy to be preliminarily effective and acceptable.
“A case series has demonstrated TEAMS therapy to be preliminarily effective and acceptable (Searson et al., 2012).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Searson et al., 2012
TEAMS aims to help clients increase awareness of extreme appraisals of internal states and conflicted attempts at controlling them, and develop more helpful ways of responding to them.
“TEAMS aims to help clients increase awareness of extreme appraisals of internal states and conflicted attempts at controlling them, and develop more helpful ways of responding to them (Searson, Mansell, Lowens, & Tai, 2012).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Searson, Mansell, Lowens, & Tai, 2012
TEAMS incorporates metacognitive techniques such as worry and rumination monitoring, alongside cognitive behavioural techniques.
“TEAMS incorporates metacognitive techniques such as worry and rumination monitoring, alongside cognitive behavioural techniques (Searson et al., 2012).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Searson et al., 2012
TEAMS therapy is delivered according to a hierarchical Pyramid of Principles.
“TEAMS therapy is delivered according to a hierarchical Pyramid of Principles (Searson et al., 2012).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Searson et al., 2012
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Self-citation
- Authors
- Searson, R., Mansell, W., Lowens, I., & Tai, S.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Mansell, Warren
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2012-06
- Volume
- 43
- Issue
- 2
- Pages
- 770-779
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2080419141
- Cited by
- 40
- References
- 10
- Citations by year
- 2024: 4 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 4 · 2013: 3 · 2012: 1
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Funders
- University of Manchester
- ESRC Emotion Regulation of Others and the Self Network Grant (RES 060-25-0044)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- bipolar disorder, cognitive behavioral therapy, mood swings, depression, self-criticism, treatment efficacy, feasibility and acceptability
- MeSH terms
- Adult, Bipolar Disorder, Female, Follow-Up Studies, Humans, Male, Neuropsychological Tests, Psychiatric Status Rating Scales, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Self Report
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