{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:11:49Z","timestamp":1791223909099,"version":"4.1.0"},"reference-count":79,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,6,21]],"date-time":"2010-06-21T00:00:00Z","timestamp":1277078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Introduction:\u2002Bipolar disorder (BD) is a complex mental illness that results in substantial costs, both at a personal and societal level. Research into BD has been driven by a strongly medical model conception, with a focus upon pathology and dysfunction. Little research to date has focused upon strategies used to maintain or regain wellness in BD. Here, we present results from a qualitative study of self\u2010management strategies used by a Canadian sample of \u2018high\u2010functioning\u2019 individuals with BD. The aims of the present paper are two\u2010fold: (1) To provide a description of the self\u2010management strategies identified as effective by this sample of high functioning individuals and 2) to explore these results from a clinical perspective.<\/jats:p><jats:p>Methods:\u2002High functioning (determined as a score of either 1 or 2 on the objectively\u2010rated Multidimensional Scale of Independent Functioning) individuals with BD type I or II (<jats:italic>N<\/jats:italic> = 33) completed quantitative scales to assess depression, mania, psychosocial functioning and quality of life, and underwent either an individual interview or focus group about the self\u2010management strategies they used to maintain or regain wellness.<\/jats:p><jats:p>Results:\u2002The specific self\u2010management strategies that individuals enacted are contained within the following categories: (1) sleep, diet, rest and exercise; (2) ongoing monitoring; (3) reflective and meditative practices; (4) understanding BD and educating others; (5) connecting to others and (6) enacting a plan. These strategies are discussed in the context of current treatment interventions and research findings, offering clinicians a broad range of potential techniques or tools to assist with their efforts to support individuals with BD in maintaining or regaining wellness.<\/jats:p><jats:p>Conclusions:\u2002The strategies adopted by a sample of people coping well with their BD show remarkable overlap with the targets of existing adjunctive psychosocial interventions for BD. The clinician can use this information to motivate clients to engage with such strategies. The present findings also serve to remind the clinician of significant individual differences in the personal meaning and concrete application of superficially similar strategies. Copyright \u00a9 2010 John Wiley &amp; Sons, Ltd.<\/jats:p><jats:p><jats:bold>Key Practitioner Message:<\/jats:bold><\/jats:p><jats:p>\u2022 People who function well despite a significant history of bipolar disorder identify a range of strategies that are critical in their wellbeing.<\/jats:p><jats:p>\u2022 Key wellbeing strategies are: (1) managing sleep, diet, rest and exercise; (2) ongoing monitoring; (3) reflective and meditative practices; (4) understanding BD and educating others; (5) connecting to others and (6) enacting a plan.<\/jats:p><jats:p>\u2022 These strategies constitute \u2018tips from the experts\u2019 that can be offered to clients to increase hopefulness and improve engagement with psychosocial interventions.<\/jats:p><jats:p>\u2022 Clinicians will be familiar with these strategies as elements of existing psychosocial interventions\u2014the present qualitative data provides significant cross\u2010validation of the importance of these behaviours.<\/jats:p>","DOI":"10.1002\/cpp.710","type":"journal-article","created":{"date-parts":[[2010,6,22]],"date-time":"2010-06-22T01:33:56Z","timestamp":1277170436000},"page":"95-109","source":"Crossref","is-referenced-by-count":108,"title":["Self\u2010management strategies used by \u2018high functioning\u2019 individuals with bipolar disorder: from research to clinical practice"],"prefix":"10.1002","volume":"18","author":[{"given":"Greg","family":"Murray","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Suto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachelle","family":"Hole","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Hale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Amari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin E.","family":"Michalak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,4,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v67n1009"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2008.03.015"},{"key":"e_1_2_7_4_1","volume-title":"The bipolar workbook: Tools for controlling your mood swings","author":"Basco M.R.","year":"2006"},{"key":"e_1_2_7_5_1","volume-title":"Cognitive\u2010behavioral therapy for bipolar disorder","author":"Basco M.R.","year":"1996"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1399-5618.2003.00085.x"},{"key":"e_1_2_7_7_1","volume-title":"The life goals program: Structured group pschotherapy for bipolar disorder","author":"Bauer M.","year":"1996"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1991.01810330031005"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v59n0902"},{"key":"e_1_2_7_10_1","volume-title":"Qualitative data analysis with NVivo","author":"Bazeley P.","year":"2007"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5618.2004.00154.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5618.2007.00305.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2005.03.005"},{"key":"e_1_2_7_14_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun V.","year":"2005","journal-title":"Qualitative Research in Psychology"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_2_7_16_1","unstructured":"ChronoRecord Background. 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