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Functional remediation therapy for bipolar disorder 

Functional remediation therapy for bipolar disorder
Chapter:
Functional remediation therapy for bipolar disorder
Author(s):

Carla Torrent

, Caterina del Mar Bonnin

, and Anabel Martinez-Arán

DOI:
10.1093/med/9780198748625.003.0014
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date: 20 August 2019

Impairment in functional outcome is commonly observed even when patients are euthymic and includes multiple areas of functioning. Many factors such as sociodemographic, clinical, pharmacological, and neurocognitive variables have been associated with functional impairment. The term ‘functional remediation’ has been coined to define an innovative strategy aimed at targeting the critical factors for full psychosocial adjustment and functional recovery in the context of psychoses and more specifically bipolar disorders. Functional remediation involves not only neurocognitive techniques and training but also psychoeducation on cognition-related issues and problem-solving within an ecological framework. The inclusion of context processing, performance monitoring, encoding, and manipulation of the information as well as fostering compensatory strategies must be included in the functional remediation intervention. In this regard, real-world problems affecting daily functioning are used for bipolar disorder to be transferred to daily practice.

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