A commonly noted factor causing BPD is reported to be environmental stress. How much of a contributor is stress from the patient's immediate family in initially triggering the onset of the disease, Until diagnosed and treated, would immediate family conflicts and tensions from reactions to the emerging behaviour symptoms further aggravate the patient's conditions ? Finally, can the patient's immediate family positively contribute to the diagnosis, treatment, recovery and rehabilitation phases.
One area that CBT is focussed in the last2 decades is Bipolar Disorder
Please check David Miklowitz papers for Family Focussed Treatments for Bipolar Disorder. I believe you will find them very useful.He is the expert on this topic and you can contact him directly. Please do not hesitate to give my name if you contact him directly
There are stress scales, and stressors like family show very high on the scale. The reason is simple, family stressors can't be normally escaped as long as you live, or visit the family for family events. Further family can accept or reject someones coping strategies and can see coping strategies as an attack on family values.
If there is a family rejection dynamic family will not be helpful in treatment. recovery, or rehabilitation phases.
Anecdotally, which is the only way this non-professional/non-academic can answer questions, From my personal experience as a family member and my work as a parent-support provider in mobile crisis -- Bipolar affective disorder (BPAD) in youth and young adults is strongly influenced by family stressors, but if the chemistry and wiring are there (and research suggests that this is the most heritable major mental illness of all), it will happen in the most supportive and/or prepared (by family history) families.
In addition to attitude and shared experience of the trauma of having a family member with MI, family situation (on Axis IV for another eight months) affects sleep hygiene, economic stressors, and adherence to treatment in terms of transportation -- things one thinks of as being within control of the patient, until one thinks about the patient as living in a crowded homeless shelter, as some of my team's client's do.
One area that CBT is focussed in the last2 decades is Bipolar Disorder
Please check David Miklowitz papers for Family Focussed Treatments for Bipolar Disorder. I believe you will find them very useful.He is the expert on this topic and you can contact him directly. Please do not hesitate to give my name if you contact him directly
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