O papel da equipe multidisciplinar no manejo do paciente bipolar

Abstract

Bipolar disorder is a chronic and recurrent disorder, and many factors have been associated with its course and prognosis. Dysfunction in social, professional or family life has been correlated with poor outcomes and increased risk of relapse and recurrence, especially when the patient does not adhere to the treatment regimen. Within the last decade, new treatments, intended to promote better adherence and minimize the risk of morbidity or hospitalization, have been tested. The multidisciplinary team approach attempts to educate patients and their families about such factors. Herein, we evaluate the therapeutic efficacy of this approach in applying the various psychosocial interventions employed in the treatment of bipolar disorder. The objective of this approach is early identification of prodromal symptoms in order to prevent hospitalization and behavioral dysfunction.

Bipolar affective disorder: medication adherence and satisfaction with treatment and guidance by the health team in a mental health service

“…This aspect suggests that, many times, patients can assume a passive attitude so as not to displease the professionals who provide care. (17) . Reports of patients reflect, thus, the lack of listening by health professionals and that they do not understand how patients think, how they give meaning to the world and that they are able to produce and systematize knowledge.…”

Mental healthcare in Saint Lucia

“…There is a strong focus on medication (which of course is important), without other forms of rehabilitation and support. It is well established that a multidimensional care approach is more effective in practice (Burns, 2004 ), particularly when objectives are focused, quantifiable and reproducible (Machado-Vieira et al , 2004 ). Lack of investment has hindered the development of such approaches.…”

Grupo de psicoeducação no transtorno afetivo bipolar: reflexão sobre o modo asilar e o modo psicossocial

“…In fact, the referred roles should be seen as a duty of healthcare professionals towards patients, as being informed about the disease is among the many patient rights (16)(17) .…”