CREST.BD Home & Bipolar Disorder Slides

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CREST.BDBipolar Wellness Center Webinars Connect. Learn. Engage.

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Bipolar Wellness Center Webinars Connect. Learn. Engage. CREST.BD

Home

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Bipolar Wellness Center Webinars Connect. Learn. Engage. CREST.BD CREST.BD

Home

Featuring: Don KattlerCREST.BD Peer Researcher

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Defining homeHome and BD Why home life is important to your QoL How you can take action

Webinar focus

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Defining homeThe daily elements of your home lifeEncompasses: • your living space and possessions e.g., keeping your home tidy and comfortable• household management e.g., staying on top of daily household tasks

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Home and BD

1Fagiolini, A., Kupfer, D.J., Masalehdan, A., Scott, J.A., Houck, P.R., Frank, E. (2005). Functional impairment in the remission phase of BD. Bipolar Disorders, 7: 281–285.

Little specific research in this area Existing evidence suggests: • link between BD depression and decreased care for your home • episodes of hypomania and mania can be associated with decreased ability to maintain home order and organization1

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Why is home life important to QoL?Increased messiness in your home can be an early warning sign of a mood episode1 Can have downstream effects (e.g, may be less likely to receive visitors, reducing social contact, in itself a risk factor for BD episodes)2

1 Fagiolini, A., Kupfer, D.J., Masalehdan, A., Scott, J.A., Houck, P.R., Frank, E. (2005). Functional impairment in the remission phase of BD. Bipolar Disorders, 7: 281–285.2Johnson, S. L., Winett, C. A., Meyer, B., Greenhouse, W. J., & Miller, I. (1999). Social support and the course of BD. Journal of Abnormal psychology, 108(4): 558.

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Why is home life important to QoL?Some people with BD may experience OCD-type problems in their home lives: • obsessions (persistent thoughts, urges or images that feel intrusive and cause distress)3 • compulsions (excessive repetitive behaviours, e.g., handwashing, in response to an obsession or rigid rules)3

• hoarding (compulsion to buy unnecessary and fairly useless items that you’re later emotionally unable to get rid of)4

3American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.4Steketee, G., Frost, R. (2003). Compulsive hoarding: Current status of the research. Clinical Psychology Review, 23:905-927. Page 910.

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SMART criteria. (n.d.). Retrieved Jan 13, 2015 from Wikipedia: http://en.wikipedia.org/wiki/SMART_criteria#cite_note-Siegert-12

Setting reasonable goals (SMART)• S - Specific [what, how, where, when]• M- Measurable [how will I know when it’s achieved?]• A - Acceptable [will I feel good about this?]• R - Realistic [can I do this?]• T - Time-limited [when will this be achieved?]Taking Action: Just Do It!Assessing Your Progress

Goal setting

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How you can take actionAct first, motivate later!

Set goals even if you don’t want to, or don’t feel “motivated”If motivation is a problem for you in terms of home tasks, try writing a pros and cons list of doing your chores versus not doing themChallenge negative thought patterns Start small and work your way up

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How you can take actionEstablish routine

Evidence that routine is important for health and QoL in BD5 Ask yourself, are there areas of your home life where you can introduce routine and stability? • Added advantage of helping you keep on top of mundane tasks Reward yourself after completion!

5Frank, E., Hlastala, S., Ritenour, A., Houck, P., Tu, X. M., Monk, T. H. & Kupfer, D. J. (1997). Inducing lifestyle regularity in recovering BD patients: results from the maintenance therapies in BD protocol. Biological Psychiatry, 41(12): 1165-1173.

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How you can take actionSelf-compassion

Practicing kindness and non-judgment towards yourselfSeeing your experiences and flaws as part of a larger, common human experienceTaking comfort in knowing that everybody shares this human experience

Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & Hancook, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of personality and social psychology, 92(5): 887.

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How you can take actionPractice self-compassion in your home life

Have realistic expectations Avoid striving for perfection If you struggle with this, ask yourself: what are the real consequences of this task not getting done? Does it really matter that much?

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How you can take actionDealing with obsessive or compulsive issues in your home

Serious issues may require professional help and/or specific psychosocial treatment interventions

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Tools and Resources

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ResourcesHow to keep your house clean in less than 30 minutes a dayOffers some practical tips for keeping your home tidy on the go. Focuses on starting small and on the importance of the little things. http://www.healthguidance.org/entry/14584/1/How-to-Keep-Your-House-Clean-and-Less-Than-30-Minutes-a-Day.html

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ResourcesChorma for Chores A free smartphone app that offers an easy, lighthearted way to keep track of and organize your chores. Can be used by one person or shared between partners, families or roommates.

https://itunes.apple.com/us/app/chorma-for-chores/

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ResourcesHow bipolar disorder can lead to clutterA practical, BD focused article about clutter and hoarding behaviours, the links and ways to cope. http://www.everydayhealth.com/bipolar-disorder/how-bipolar-disorder-can-lead-to-clutter.aspx

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Resources

Applying the QoL in BD scale: Vignette #2This video touches on the relationship between home life and mood. http://www.youtube.com/watch?v=KyVgxpAktbk

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For more information and resources, visit our Bipolar Wellness Center at:

http://www.bdwellness.com/

To assess your quality of life, visit our QoL tool at:

http://www.bdqol.com/

http://www.bdwellness.com/

http://www.bdqol.com/

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Acknowledgments

CREST.BD Home & Bipolar Disorder Slides

Education

Transcript of CREST.BD Home & Bipolar Disorder Slides