SlideShare a Scribd company logo
“Recovery is Such a Huge
                                  Word”: Understandings of
                                  ‘Recovery’ in People with
                                       Bipolar Disorder and
                            Implications for Psychiatric Care


             Hou, Sharon; Michalak, Erin; Hole, Rachelle; Holmes, Cindy;
         Velyvis, Vytas; Austin, Jehannine; Pesut, Barbara; and CREST.BD


                Department of Psychiatry, University of British Columbia, Canada


International Review of Bipolar Disorders
May 21, 2012
Recovery in Bipolar Disorder (BD)

•   There are differing understandings of recovery

•   One concept of recovery is clinical recovery (a linear
    process: rate of relapse into depressive or manic
    episodes, reduction of symptoms)

•   Another concept of recovery is psychosocial recovery
    (a non-linear process: quality and meaningfulness of
    life)

“Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
Objective
•   Very little is known about how people with BD
    define recovery from their own perspectives

•   This study explored what the term recovery meant
    to a sample of Canadian individuals living with BD
    via qualitative research methods




“Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
Method
•   Three focus groups (N= 13; 3 men and 10 women)

•   Focus groups were digitally recorded
    and transcribed

•   Transcripts were coded manually and analyzed
    thematically

Focus Group Questions:
1. What does recovery mean to you?
2. What strategies have helped/hindered your recovery?
3. Have you experienced recovery?


“Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
Results
Four dominant themes were identified:
1.       Re-thinking the Language of Recovery
           •   To accurately reflect the complexities of living with a chronic mental
               health condition

2.       Shifting the Framework
           •   Toward wellness, quality of life, and self-management strategies

3.       The Art of Managing BD
           •   Such as getting exercise, taking medication, accepting peer and family
               support, etc.

4.       Understanding the Journey
           •   Gaining a sense of self, accepting loss and letting go of stigma

“Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
In Their Own Words…
“So there is hope but                                                                           “I could use
     it’s moving                            “I think each one of us should                   [recovery], but to
     forward as                                have the opportunity to                           me I think
opposed to trying to                       determine for themselves what                      management is a
 get the past back.                          it means to be well, what it                   really good word …
      That’s my                                means to be recovered.”                          because it is
  interpretation of                                                                         chronic. You’re sort
     recovery.”                                                                                of in-between
                                                                                               recoveries...”
                                     “...What recovery
                                      means is tools, it
                                     means finding ways
                                      of bringing more
                                     health to myself in
  “I need...work that I                different ways
      can manage...                   whether it’s, you
     it shows me how                know, diet, exercise                    “For me, the end result
    important it is to                  and all these                           of recovery like
     stay within your               things, medication…                     is…bipolar being a part
  abilities and not be              .So it’s acceptance.”                    of what I am and not a
    overwhelmed...”                                                              tattoo on my
                                                                                  forehead….”


  “Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
Practice Implications
•   It is important to find a language of recovery that reflects
    the complexities of living with a chronic mental health
    condition

•   Quality of life should be given priority in the treatment
    process

•   Emphasis should be placed upon the capacity of people
    living with BD to self-manage their condition

•   A collaborative therapeutic relationship is foundational
    to enabling individuals to rebuild a sense of self and
    lower the stigma associated with living with BD
Conclusion
•   Insights such as these into the meanings of recovery for
    individuals living with BD are essential to high quality care

•   Limitations: Sample size was relatively small, all self-
    referred and not ethnically diverse

•   Research is required to further our understandings of
    recovery in more diverse populations




“Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care

More Related Content

More from Collaborative RESearch Team to study Bipolar Disorder, UBC

CREST.BD Work & Bipolar Disorder Slides
CREST.BD Work & Bipolar Disorder SlidesCREST.BD Work & Bipolar Disorder Slides
CREST.BD Work & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Study & Bipolar Disorder Slides
CREST.BD Study & Bipolar Disorder SlidesCREST.BD Study & Bipolar Disorder Slides
CREST.BD Study & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Spirituality & Bipolar Disorder Slides
CREST.BD Spirituality & Bipolar Disorder SlidesCREST.BD Spirituality & Bipolar Disorder Slides
CREST.BD Spirituality & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Sleep & Bipolar Disorder Slides
CREST.BD Sleep & Bipolar Disorder SlidesCREST.BD Sleep & Bipolar Disorder Slides
CREST.BD Sleep & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Self-Esteem & Bipolar Disorder Slides
CREST.BD Self-Esteem & Bipolar Disorder SlidesCREST.BD Self-Esteem & Bipolar Disorder Slides
CREST.BD Self-Esteem & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Relationships & Bipolar Disorder Slides
CREST.BD Relationships & Bipolar Disorder SlidesCREST.BD Relationships & Bipolar Disorder Slides
CREST.BD Relationships & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Physical Health & Bipolar Disorder Slides
CREST.BD Physical Health & Bipolar Disorder SlidesCREST.BD Physical Health & Bipolar Disorder Slides
CREST.BD Physical Health & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Mood & Bipolar Disorder Slides
CREST.BD Mood & Bipolar Disorder SlidesCREST.BD Mood & Bipolar Disorder Slides
CREST.BD Mood & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Money & Bipolar Disorder Slides
CREST.BD Money & Bipolar Disorder SlidesCREST.BD Money & Bipolar Disorder Slides
CREST.BD Money & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Leisure & Bipolar Disorder Slides
CREST.BD Leisure & Bipolar Disorder SlidesCREST.BD Leisure & Bipolar Disorder Slides
CREST.BD Leisure & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Independence & Bipolar Disorder Slides
CREST.BD Independence & Bipolar Disorder SlidesCREST.BD Independence & Bipolar Disorder Slides
CREST.BD Independence & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Identity & Bipolar Disorder Slides
CREST.BD Identity & Bipolar Disorder SlidesCREST.BD Identity & Bipolar Disorder Slides
CREST.BD Identity & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Home & Bipolar Disorder Slides
CREST.BD Home & Bipolar Disorder SlidesCREST.BD Home & Bipolar Disorder Slides
CREST.BD Home & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
CREST.BD Cognition & Bipolar Disorder Slides
CREST.BD Cognition & Bipolar Disorder SlidesCREST.BD Cognition & Bipolar Disorder Slides
CREST.BD Cognition & Bipolar Disorder Slides
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
"Recovery Focused CBT for bipolar disorder" with Dr. Steven Jones
"Recovery Focused CBT for bipolar disorder" with Dr. Steven Jones"Recovery Focused CBT for bipolar disorder" with Dr. Steven Jones
"Recovery Focused CBT for bipolar disorder" with Dr. Steven Jones
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
“Cognitive Behaviour Therapy (CBT) and Bipolar Disorder” with Dr. Nasreen Khatri
“Cognitive Behaviour Therapy (CBT) and Bipolar Disorder” with Dr. Nasreen Khatri“Cognitive Behaviour Therapy (CBT) and Bipolar Disorder” with Dr. Nasreen Khatri
“Cognitive Behaviour Therapy (CBT) and Bipolar Disorder” with Dr. Nasreen Khatri
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
"Successful Aging and Bipolar Disorder" - with Dr. Colin Depp
"Successful Aging and Bipolar Disorder" - with Dr. Colin Depp"Successful Aging and Bipolar Disorder" - with Dr. Colin Depp
"Successful Aging and Bipolar Disorder" - with Dr. Colin Depp
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
How to Fit a Square Peg in a Round Hole: Perspectives from a Service User Res...
How to Fit a Square Peg in a Round Hole: Perspectives from a Service User Res...How to Fit a Square Peg in a Round Hole: Perspectives from a Service User Res...
How to Fit a Square Peg in a Round Hole: Perspectives from a Service User Res...
Collaborative RESearch Team to study Bipolar Disorder, UBC
 
Greg Murray - Workplan
Greg Murray - WorkplanGreg Murray - Workplan
Greg Murray - PK
Greg Murray - PKGreg Murray - PK

More from Collaborative RESearch Team to study Bipolar Disorder, UBC (20)

CREST.BD Work & Bipolar Disorder Slides
CREST.BD Work & Bipolar Disorder SlidesCREST.BD Work & Bipolar Disorder Slides
CREST.BD Work & Bipolar Disorder Slides
 
CREST.BD Study & Bipolar Disorder Slides
CREST.BD Study & Bipolar Disorder SlidesCREST.BD Study & Bipolar Disorder Slides
CREST.BD Study & Bipolar Disorder Slides
 
CREST.BD Spirituality & Bipolar Disorder Slides
CREST.BD Spirituality & Bipolar Disorder SlidesCREST.BD Spirituality & Bipolar Disorder Slides
CREST.BD Spirituality & Bipolar Disorder Slides
 
CREST.BD Sleep & Bipolar Disorder Slides
CREST.BD Sleep & Bipolar Disorder SlidesCREST.BD Sleep & Bipolar Disorder Slides
CREST.BD Sleep & Bipolar Disorder Slides
 
CREST.BD Self-Esteem & Bipolar Disorder Slides
CREST.BD Self-Esteem & Bipolar Disorder SlidesCREST.BD Self-Esteem & Bipolar Disorder Slides
CREST.BD Self-Esteem & Bipolar Disorder Slides
 
CREST.BD Relationships & Bipolar Disorder Slides
CREST.BD Relationships & Bipolar Disorder SlidesCREST.BD Relationships & Bipolar Disorder Slides
CREST.BD Relationships & Bipolar Disorder Slides
 
CREST.BD Physical Health & Bipolar Disorder Slides
CREST.BD Physical Health & Bipolar Disorder SlidesCREST.BD Physical Health & Bipolar Disorder Slides
CREST.BD Physical Health & Bipolar Disorder Slides
 
CREST.BD Mood & Bipolar Disorder Slides
CREST.BD Mood & Bipolar Disorder SlidesCREST.BD Mood & Bipolar Disorder Slides
CREST.BD Mood & Bipolar Disorder Slides
 
CREST.BD Money & Bipolar Disorder Slides
CREST.BD Money & Bipolar Disorder SlidesCREST.BD Money & Bipolar Disorder Slides
CREST.BD Money & Bipolar Disorder Slides
 
CREST.BD Leisure & Bipolar Disorder Slides
CREST.BD Leisure & Bipolar Disorder SlidesCREST.BD Leisure & Bipolar Disorder Slides
CREST.BD Leisure & Bipolar Disorder Slides
 
CREST.BD Independence & Bipolar Disorder Slides
CREST.BD Independence & Bipolar Disorder SlidesCREST.BD Independence & Bipolar Disorder Slides
CREST.BD Independence & Bipolar Disorder Slides
 
CREST.BD Identity & Bipolar Disorder Slides
CREST.BD Identity & Bipolar Disorder SlidesCREST.BD Identity & Bipolar Disorder Slides
CREST.BD Identity & Bipolar Disorder Slides
 
CREST.BD Home & Bipolar Disorder Slides
CREST.BD Home & Bipolar Disorder SlidesCREST.BD Home & Bipolar Disorder Slides
CREST.BD Home & Bipolar Disorder Slides
 
CREST.BD Cognition & Bipolar Disorder Slides
CREST.BD Cognition & Bipolar Disorder SlidesCREST.BD Cognition & Bipolar Disorder Slides
CREST.BD Cognition & Bipolar Disorder Slides
 
"Recovery Focused CBT for bipolar disorder" with Dr. Steven Jones
"Recovery Focused CBT for bipolar disorder" with Dr. Steven Jones"Recovery Focused CBT for bipolar disorder" with Dr. Steven Jones
"Recovery Focused CBT for bipolar disorder" with Dr. Steven Jones
 
“Cognitive Behaviour Therapy (CBT) and Bipolar Disorder” with Dr. Nasreen Khatri
“Cognitive Behaviour Therapy (CBT) and Bipolar Disorder” with Dr. Nasreen Khatri“Cognitive Behaviour Therapy (CBT) and Bipolar Disorder” with Dr. Nasreen Khatri
“Cognitive Behaviour Therapy (CBT) and Bipolar Disorder” with Dr. Nasreen Khatri
 
"Successful Aging and Bipolar Disorder" - with Dr. Colin Depp
"Successful Aging and Bipolar Disorder" - with Dr. Colin Depp"Successful Aging and Bipolar Disorder" - with Dr. Colin Depp
"Successful Aging and Bipolar Disorder" - with Dr. Colin Depp
 
How to Fit a Square Peg in a Round Hole: Perspectives from a Service User Res...
How to Fit a Square Peg in a Round Hole: Perspectives from a Service User Res...How to Fit a Square Peg in a Round Hole: Perspectives from a Service User Res...
How to Fit a Square Peg in a Round Hole: Perspectives from a Service User Res...
 
Greg Murray - Workplan
Greg Murray - WorkplanGreg Murray - Workplan
Greg Murray - Workplan
 
Greg Murray - PK
Greg Murray - PKGreg Murray - PK
Greg Murray - PK
 

Recently uploaded

vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
Dr.pavithra Anandan
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
NephroTube - Dr.Gawad
 
MRI for Surgeons introduction and basics
MRI for Surgeons  introduction and basicsMRI for Surgeons  introduction and basics
MRI for Surgeons introduction and basics
rohitsharma19711
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
NX Healthcare
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
SIVAVINAYAKPK
 
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIESLOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
ShraddhaTamshettiwar
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Health Advances
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
FFragrant
 
Histololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptxHistololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptx
AyeshaZaid1
 
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
shruti jagirdar
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Kanhu Charan
 
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfTest bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
rightmanforbloodline
 
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of RespirationThe Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
MedicoseAcademics
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
LEFLOT Jean-Louis
 
What are the different types of Dental implants.
What are the different types of Dental implants.What are the different types of Dental implants.
What are the different types of Dental implants.
Gokuldas Hospital
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
NX Healthcare
 
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
Université de Montréal
 
pharmacology for dummies free pdf download.pdf
pharmacology for dummies free pdf download.pdfpharmacology for dummies free pdf download.pdf
pharmacology for dummies free pdf download.pdf
KerlynIgnacio
 
DECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principlesDECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principles
anaghabharat01
 
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfNAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
Rahul Sen
 

Recently uploaded (20)

vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
 
MRI for Surgeons introduction and basics
MRI for Surgeons  introduction and basicsMRI for Surgeons  introduction and basics
MRI for Surgeons introduction and basics
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
 
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIESLOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
 
Histololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptxHistololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptx
 
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
 
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfTest bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
 
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of RespirationThe Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
 
What are the different types of Dental implants.
What are the different types of Dental implants.What are the different types of Dental implants.
What are the different types of Dental implants.
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
 
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...
 
pharmacology for dummies free pdf download.pdf
pharmacology for dummies free pdf download.pdfpharmacology for dummies free pdf download.pdf
pharmacology for dummies free pdf download.pdf
 
DECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principlesDECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principles
 
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfNAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
 

'Recovery is such a huge word'

  • 1. “Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with Bipolar Disorder and Implications for Psychiatric Care Hou, Sharon; Michalak, Erin; Hole, Rachelle; Holmes, Cindy; Velyvis, Vytas; Austin, Jehannine; Pesut, Barbara; and CREST.BD Department of Psychiatry, University of British Columbia, Canada International Review of Bipolar Disorders May 21, 2012
  • 2. Recovery in Bipolar Disorder (BD) • There are differing understandings of recovery • One concept of recovery is clinical recovery (a linear process: rate of relapse into depressive or manic episodes, reduction of symptoms) • Another concept of recovery is psychosocial recovery (a non-linear process: quality and meaningfulness of life) “Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
  • 3. Objective • Very little is known about how people with BD define recovery from their own perspectives • This study explored what the term recovery meant to a sample of Canadian individuals living with BD via qualitative research methods “Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
  • 4. Method • Three focus groups (N= 13; 3 men and 10 women) • Focus groups were digitally recorded and transcribed • Transcripts were coded manually and analyzed thematically Focus Group Questions: 1. What does recovery mean to you? 2. What strategies have helped/hindered your recovery? 3. Have you experienced recovery? “Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
  • 5. Results Four dominant themes were identified: 1. Re-thinking the Language of Recovery • To accurately reflect the complexities of living with a chronic mental health condition 2. Shifting the Framework • Toward wellness, quality of life, and self-management strategies 3. The Art of Managing BD • Such as getting exercise, taking medication, accepting peer and family support, etc. 4. Understanding the Journey • Gaining a sense of self, accepting loss and letting go of stigma “Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
  • 6. In Their Own Words… “So there is hope but “I could use it’s moving “I think each one of us should [recovery], but to forward as have the opportunity to me I think opposed to trying to determine for themselves what management is a get the past back. it means to be well, what it really good word … That’s my means to be recovered.” because it is interpretation of chronic. You’re sort recovery.” of in-between recoveries...” “...What recovery means is tools, it means finding ways of bringing more health to myself in “I need...work that I different ways can manage... whether it’s, you it shows me how know, diet, exercise “For me, the end result important it is to and all these of recovery like stay within your things, medication… is…bipolar being a part abilities and not be .So it’s acceptance.” of what I am and not a overwhelmed...” tattoo on my forehead….” “Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care
  • 7. Practice Implications • It is important to find a language of recovery that reflects the complexities of living with a chronic mental health condition • Quality of life should be given priority in the treatment process • Emphasis should be placed upon the capacity of people living with BD to self-manage their condition • A collaborative therapeutic relationship is foundational to enabling individuals to rebuild a sense of self and lower the stigma associated with living with BD
  • 8. Conclusion • Insights such as these into the meanings of recovery for individuals living with BD are essential to high quality care • Limitations: Sample size was relatively small, all self- referred and not ethnically diverse • Research is required to further our understandings of recovery in more diverse populations “Recovery is Such a Huge Word”: Understandings of ‘Recovery’ in People with BD and Implications for Psychiatric Care