A Compassionate-focused Intervention for Older People with Bipolar Disorder

A Brief Compassionate-focused Intervention for Older People with Bipolar Disorder

The aim of this study is to determine whether it is feasible to deliver a 9-session compassionate-focused therapy for older people with bipolar disorder. Participants will be asked to complete baseline measures and at post-intervention follow-up (12 weeks and 24 weeks) to understand any potential clinical benefits of the therapy.

The present study will evaluate the feasibility of a compassionate-focused intervention targeting rumination that is specifically tailored for older people with bipolar disorder. In addition to evaluating its feasibility, the study will also investigate whether there are any clinical benefits associated with the intervention, namely, any potential reductions in negative rumination and feelings of guilt and shame. To date, there has been no research evaluating the feasibility of this type of intervention.

Inclusion Criteria:

• Adults aged 60 years and above.
• Have a nominated healthcare professional (i.e. GP/Care Coordinator)
• Meet the criteria for a diagnosis of bipolar disorder I or II according to the MINI.
• Score of >57 on Ruminative Response Scale (RRS)
• Be able to provide written informed consent.
• Be able to speak sufficient English to engage in the assessments and intervention.

Exclusion Criteria:

• Currently in an episode of mania or hypomania according to the MINI.
• Experiencing 'severe depression' according to the Hamilton Depression Rating Scale, which equates to a score of over 24.
• MoCA score of <22 to exclude for moderate and severe cognitive impairment.
• Currently receiving psychological therapy.