"Recovery" in bipolar disorder: how can service users be supported through a self-management intervention? A qualitative focus group study

J Ment Health. 2012 Apr;21(2):114-26. doi: 10.3109/09638237.2011.621471. Epub 2011 Dec 5.

Abstract

Background: Bipolar disorder (BD) is a chronic and recurrent affective disorder. Recovery is defined as the process by which people can live fulfilling lives despite experiencing symptoms.

Aims: To explore how an opportunistically recruited group of service users with BD experience recovery and self-management to understand more about how a service users' recovery may be supported.

Method: Twelve service users with BD took part in a series of focus groups. Service users' responses to questions about their personal experiences of self-management and recovery were analysed. Focus groups were transcribed verbatim and thematic analysis ([ Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101]) was employed to identify common themes in the data.

Results: Four key themes were identified: (1) Recovery is not about being symptom free; (2) Recovery requires taking responsibility for your own wellness; (3) Self-management: building on existing techniques; (4) Overcoming barriers to recovery: negativity, stigma and taboo.

Conclusion: Service users with BD have provided further support for the concept of recovery and have suggested a number of ways recovery can be supported. A self-management approach informed by the recovery literature has been proposed as a way to support service users' recovery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Bipolar Disorder / psychology
  • Bipolar Disorder / rehabilitation*
  • England
  • Female
  • Focus Groups
  • Humans
  • Internal-External Control
  • Internet*
  • Male
  • Middle Aged
  • Qualitative Research
  • Self Care / psychology*
  • Self-Help Groups*
  • Social Stigma