The British Journal of Psychiatry (2006) 188: 321-322. doi: 10.1192/bjp.188.4.321
© 2006 The Royal College of Psychiatrists
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What can we conclude from studies on psychotherapy in bipolar disorder?

Invited commentary on.. .Cognitive–behavioural therapy for severe and recurrent bipolar disorders{dagger},{ddagger}

DOMINIC LAM, PhD

Professor of Clinical Psychology, University of Hull, Hertford Building, University of Hull, Hull HU6 7RX, UK.

Correspondence: E-mail: d.lam{at}hull.ac.uk

Declaration of interest None.

{dagger} See pp. 313–320, this issue.

{ddagger} A letter by Scott et alin reply to this commentary will appear in the May issue of the Journal.

The study by Scott et al in this issue of the Journal is at odds with other published studies.Their design of a mixed group of relatively well or acutely ill bipolar patients who may or may not be on medication leads to difficulties in interpreting the results.Important clinical decisions should not be based on a post hoc analysis with a retrospective variable.


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