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Conceptualizing A Cycle Of Ascent Into Mania: A Case Report

  • Warren Mansell (a1) and Dominic Lam (a1)

Abstract

This case study describes the collaborative development of an idiosyncratic cognitive model of the ascent into mania in a patient with bipolar affective disorder. The client held the belief that he could rise above his depression and feelings of low self-esteem through the pursuit of highly demanding goals and rewarding activity. While still depressed and anxious, small increases in positive mood and energy triggered hyper-positive thoughts about himself (e.g. “I am back to my attractive, intelligent and outgoing self again”). Consequently, he engaged in a range of “ascent” behaviours that were consistent with the pursuit of this self-view. The direct effects of these behaviours and their effects on other people led to further increases in positive mood and physiological activation, which in turn triggered more hyper-positive self-relevant thoughts. The client reported that he found the model an extremely useful component of cognitive behavioural therapy.

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Corresponding author

Reprint requests and requests for extended report to Warren Mansell, Department of Psychology, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. E-mail: warren@mansellw.freeserve.co.uk An extended version is also available online in the table of contents for this issue: http://journals.cambridge.org/jid_BCP

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Conceptualizing A Cycle Of Ascent Into Mania: A Case Report

  • Warren Mansell (a1) and Dominic Lam (a1)

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Conceptualizing A Cycle Of Ascent Into Mania: A Case Report

  • Warren Mansell (a1) and Dominic Lam (a1)
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