Psychological Therapy for Bipolar Disorder in Those with Intellectual Disabilities

People with an intellectual disability are a vulnerable group with high rates of mental illness including bipolar affective disorder. In this chapter, the authors discuss psychological therapy for bipolar affective disorder in people with intellectual disabilities, illustrated by two case examples. The first step to an effective psychological treatment plan is an accurate case formulation and diagnosis. Following this, the choice and format of psychotherapy varies depending on the individual. Cognitive behavioral therapy (CBT) is the most well-studied psychological intervention for depression in intellectual disability and has shown promising results. Behavioral interventions have shown effectiveness in mania. However, modifications must be made to any therapeutic approaches to ensure successful outcomes from therapy. Adaptations applicable to various forms of psychological therapy, including the caregiver role, are discussed. Although psychological therapies are an important tool alongside medication, behavioral interventions, and social support, lessons have been learned from research in a wider context. There is a need to increase research in this field to ensure people with intellectual disability have access to effective evidence-based treatment.