Citation

Moring JC, Koch LM, Cherrington A, Peterson AL, Resick PA. Cogn. Behav. Pract. 2022; 29(2): 425-433.

Copyright

(Copyright © 2022, Association for Advancement of Behavior Therapy, Publisher Elsevier Publishing)

DOI

10.1016/j.cbpra.2020.10.004

PMID

unavailable

Abstract

There is a strong comorbidity between Posttraumatic Stress Disorder (PTSD) and bipolar disorder. Unfortunately, there is lack of dissemination regarding modifications of evidence-based therapies for PTSD among individuals with comorbid bipolar I disorder. Cognitive Processing Therapy (CPT) is one such evidence-based, gold-standard psychotherapy for PTSD that can be modified to address a wide-scope of symptoms either directly, or indirectly, related to traumatic events. This case study describes a female veteran with PTSD and comorbid bipolar I disorder who received CPT. Modifications of CPT were implemented during the later phase of therapy and were related to the management of hypomanic symptoms, medication adherence, and anxiety related to her self-trust and control regarding future manic episodes. The patient exhibited few symptoms of PTSD or depression at a 3-month follow-up and reported that CPT simultaneously helped her manage symptoms of bipolar disorder. A description the patient, necessary modifications, and strategies to address comorbid PTSD and bipolar I disorder are provided. © 2022 Association for Behavioral and Cognitive Therapies

Language: en

Keywords

adult; human; trauma; female; PTSD; case report; anxiety; military; suicide attempt; comorbidity; veteran; posttraumatic stress disorder; case study; psychoeducation; army; distress syndrome; clinical article; self report; middle aged; self concept; psychotropic agent; diazepam; family history; tramadol; child sexual abuse; mania; bipolar I disorder; hypomania; Beck Depression Inventory; aripiprazole; Article; crying; DSM-5; medication compliance; sexual trauma; cognitive processing therapy; self blame; posttraumatic stress disorder checklist