Understanding Cognitive Behavioural Therapy (CBT) for bipolar disorder
If you’ve been offered Cognitive Behavioural Therapy (CBT) for bipolar disorder, you might have questions about what it is, how it works, and how it can help. This page explains the basics and answers some common questions.
What is bipolar disorder?
Bipolar disorder affects mood, causing periods of extreme highs and lows. These mood swings can impact energy levels, thoughts, behaviours, and daily life.
People with a diagnosis of bipolar disorder might experience:
- Mania or hypomania: Feeling unusually energised, euphoric, or irritable, with racing thoughts or impulsive behaviour.
- Depression: Feeling low, hopeless, or lacking energy and interest in life.
People with a diagnosis of bipolar disorder often find medication and/or talking therapies helpful in learning to cope with these difficulties.
What is CBT for bipolar disorder and why can it be helpful?
Cognitive Behavioural Therapy (CBT) is an evidence-based talking therapy that helps you understand how your thoughts and beliefs (cognition) influence feelings and behaviour.
CBT for bipolar disorder focuses on:
- Recognising early warning signs of mood changes.
- Developing strategies to manage highs and lows.
- Exploring unhelpful thinking patterns that may worsen mood swings.
CBT is a practical therapy which aims to teach you new skills. CBT has been shown to be an effective therapy to help people with mood problems, including those with a diagnosis of bipolar disorder. CBT is recommended for use in the NHS.
What happens in CBT?
You’ll work with a trained therapist, usually for at least 12 sessions over several months. Sessions may include:
- Getting to know you: Your therapist will want to learn about your experiences and
what is important to you. - Understanding your difficulties: Learning together about how you are feeling and finding helpful ways forward.
- Setting goals: Together, you’ll identify areas you’d like to work on, such as spotting patterns or situations that lead to changes in how you feel.
- Coping techniques: Developing practical tools to help reduce anxiety and stress
and build feelings of safety. - Challenging unhelpful thoughts: Reflecting on how we think and images
that come to mind, particularly when we feel worried or distressed. - Building resilience: Strengthening your ability to cope and plan for the future.
Common questions
Will CBT stop my mood swings?
CBT doesn’t stop mood swings but can help you find tools to manage them more effectively. CBT can help reduce the frequency, intensity, or impact of mood changes.
Is CBT suitable for me?
Many people find CBT useful, but it’s not the right fit for everyone. Your therapist or mental health team will work with you to assess if it’s a good fit for your needs. CBT works best when you actively take part and stay committed.
Do I have to talk about everything?
Your therapy is a safe, confidential space. You’re in control of what you discuss.
How do I access CBT for bipolar disorder?
Speak to your mental health practitioner about how to access CBT or other psychological therapies that may suit your individual needs and circumstances.
Where can I learn more?
Remember, you are not alone.
CBT can be a valuable tool in coping with mental health problems and improving your overall wellbeing.
As a service user, relative or carer using our services, sometimes you may need to turn to someone for help, advice, and support.
Find resources for carers and service users Contact the Trust