CBT for Problematic Impulsive Behaviours in Bipolar Disorder: A Case Series / CBT-PIB

University of Exeter

Status

Suspended

Conditions

Bipolar II Disorder

Impulsive Behavior

Bipolar I Disorder

Bipolar Disorder

Bipolar Affective Disorder

Impulsivity

Hypomania

Treatments

Behavioral: Cognitive Behavioural Therapy for Problematic Impulsive Behaviours

Study type

Interventional

Funder types

Other

Identifiers

NCT06129500

2022-23-07

Details and patient eligibility

About

The goal of this case series is to explore whether a talking therapy, specifically Cognitive Behavioural Therapy (CBT) is acceptable and feasible in the management of mood-driven impulsive behaviours in people with bipolar disorder (BD).

The main questions it aims to answer are:

Whether CBT Is a feasible intervention for participants with BD who report mood-driven, problematic impulsive behaviours.
Whether CBT for mood-driven, problematic impulsive behaviours (CBT-PIB) is acceptable to service users with BD and therapists.
Whether clinical outcomes are consistent with the potential for this novel intervention to offer clinical benefit to participants with BD.

The study also hopes to:

conduct a preliminary examination of the safety of CBT-PIB and the research procedures.
gather information on the potential mechanisms of action of CBT-PIB and,
gather information on the types of mood-driven impulsive behaviours individuals with BD may seek support for.

Participants will:

be offered up to 12 individual sessions of CBT focusing on mood-driven impulsive behaviours.
be asked to complete a battery of self-report measures (5) when they enter the study and at the start and end of treatment.
be asked to track mood and impulsive behaviours by completing a brief set of measures (3) weekly during the two-week baseline phase, the intervention phase and the 2-week post-intervention phase.
be asked to complete a survey on the acceptability of the intervention and
be invited to an optional semi-structured interview on their research experience.

Enrollment

10 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

meeting diagnostic criteria for Bipolar I or II Disorder (SCID-5- Structured clinical interview for depression )
able to identify at least one impulsive, problematic behaviour to target during the intervention;
participants will require working knowledge of written and spoken English, sufficient to be able to make use of therapy and to be able complete research assessments without the need of a translator.

Exclusion criteria

major depressive episode (identified through SCID-DSM-5);
current experience of mania;
current/past learning disability (IQ of less than 70 with impairment of social and adaptive functioning)
organic brain change or substance dependence (drugs and alcohol) that would compromise ability to use therapy;
current marked risk to self (i.e. self-harm or suicide) that we deem could not be appropriately managed in by the therapy site;
currently lacking capacity to give informed consent;
currently receiving other psychosocial therapy for impulsivity or bipolar disorder;
current engagement in another psychological intervention addressing bipolar disorder or impulsivity;
presence of another area of difficulty that the therapist and client believe should be the primary focus of intervention (for example, Post-Traumatic Stress Disorder, psychosis).