Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

© Cambridge University Press 2012. The general issues around diagnosis and communication about diagnosis are well put in model 1 (Chapter 17). The involvement of family members can make a lot of sense, although I think one has to be sensitive to where the diagnosis is a cause of tension between them. At the end of the day, the relationship of the doctor is with the patient, if necessary without the family. I now find the educational experience of mood monitoring an important means whereby patients find out what their diagnosis means, so I am close to model 2 (Chapter 18) in its emphasis on education. But I think I am a little lighter now on the didactic presentation of the illness and its prognosis unless I am asked. My ability to predict what will really happen is rather poor, so I stick with what has already happened. It is indeed depression that is the lever to accepting that something is wrong and further that highs may make depression more likely. I think it is difficult often to distinguish hypomania from the hyperthymia that is common in BP II.

Original publication





Book title

Bipolar II Disorder: Modelling, Measuring and Managing, Second Edition

Publication Date



241 - 244