Occupational Therapy for Bipolar Disorder

Addressing cognition for well-rounded interventions

occupational therapy for bipolar

Bipolar disorder describes a group of mood disorders that are characterized by extreme changes in mood. An individual with this condition may range between states of heightened energy and feelings of grandiosity, known as mania, and states of extremely low energy, marked by fatigue and feeling worthless or depressed. This disorder can affect every aspect of an individual’s life and make daily tasks difficult or impossible to keep up with. In this case, an individual with bipolar disorder may seek medical and therapeutic interventions to help them live daily life with the disorder. Occupational therapists (OTs) play an important role in helping individuals manage their lifestyles and workloads, while learning to living with the disorder. On this page, we’ll explore how Occupational Therapy may benefit individuals with bipolar.

How Bipolar disorder affects cognition

To understand how OTs can help individuals with bipolar, we should first understand how bipolar affects cognitive function. Even after the disorder is managed by medication, environmental changes, and therapy, it’s common for individuals to feel like they still aren’t thinking or remembering as clearly as they could.

 

This is typically because cognitive skills such as memory, attention, and executive function can be impaired by bipolar disorder over time. Individuals with the disorder may experience trouble remembering details like the name of an acquaintance or have trouble paying attention during class or work. Higher-level cognitive functions, known as executive functions, can also be impacted. Some examples of these are planning and problem-solving. Therefore, complex tasks like making plans with friends, making time to finish school work, cleaning a bedroom, and maintaining hygiene may feel difficult.


The mental health impacts of psychiatric disorders are well-known, however, the cognitive impacts are sometimes overlooked. The addition of cognitive remediation therapy addresses these cognitive skills for a well-rounded treatment plan.

How can Occupational Therapy help individuals with Bipolar?

OTs can provide cognitive remediation therapy, which consists of practicing cognitive skills through exercises and activities. With an OT, individuals can practice skills using digital cognitive exercises, worksheets, and role-playing daily situations in individual or group settings. The following aspects of cognitive health may be worked on in Occupational Therapy:

Lifestyle and behavior management

An OT can help their client work on the cognitive skills needed to manage their daily responsibilities, behaviors, and habits. This can include:

 

  • Daily hygiene
  • Cleaning and organizing
  • Emotion regulation
  • Keeping up with communication such as emails and texts
  • Maintaining a schedule
  • Practicing healthy habits like daily exercise and getting enough sleep

Occupation management

An OT can help their client work on the cognitive skills needed to manage their daily responsibilities, behaviors, and habits. This can include:

 

  • Daily hygiene
  • Cleaning and organizing
  • Emotion regulation
  • Keeping up with communication such as emails and texts
  • Maintaining a schedule
  • Practicing healthy habits like daily exercise and getting enough sleep

Family involvement

OTs can give the individual’s family tips for how to best support them. Having family support can help to achieve the best results after therapy.

Recommended Exercises

Bipolar disorder can lead to impairments in certain cognitive skills, such as memory, attention, and executive function. In this case, OTs can provide cognitive remediation, and work with patients on exercising these cognitive skills

Executive function exercises

The Towers of Hanoi

Planning, strategy

Decipher

Reasoning, strategy

Basketball in NY

Strategy, inhibition

Memory Exercises

Heraldry

Visual working memory

I Remember You!

Visual and verbal memory

Restaurant

Working verbal memory

Attention Exercises

Private Eye

Visual scanning, sustained attention

Find Your Way!

Attention, working memory

Two-Timing

Divided attention

Conclusion

Bipolar is a complex disorder and may require in-depth, multifaceted solutions to achieve the most effective management of the disorder. A combination of interventions for bipolar disorder, including Occupational Therapy, may help individuals address all aspects of the condition and achieve lasting symptom management and high quality of life.

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