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(p. 86) The Unified Protocol for Bipolar and Comorbid Disorders 

(p. 86) The Unified Protocol for Bipolar and Comorbid Disorders
(p. 86) The Unified Protocol for Bipolar and Comorbid Disorders

Kristen K. Ellard

, Emily E. Bernstein

, Andrew A. Nierenberg

, and Thilo Deckersbach

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date: 17 April 2021

Bipolar disorder is a chronic and severe mental disorder characterized by affective lability and emotion dysregulation. In addition, it is associated with high rates of comorbidity, particularly with anxiety disorders. Approximately 90% of bipolar patients have been diagnosed with at least one comorbid anxiety disorder across the lifespan, with as many as two-thirds of patients meeting criteria for comorbid anxiety disorder at any given time. As such, transdiagnostic treatments that directly target emotion dysregulation in bipolar disorder are needed. In this chapter, we discuss evidence supporting an emotion dysregulation model of bipolar disorder and its roots in neuroticism. We then present a recent case of a patient with bipolar disorder with comorbid anxiety who received 18 sessions of treatment with the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP).

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