Integrated psychological therapy for people with bipolar disorder (BD) and co-morbid alcohol use: a feasibility randomised trial

INTERVENTION: MI‐CBT, The intervention is a time limited, psychological intervention incorporating Motivational interviewing (MI) and Cognitive Behaviour Therapy (CBT) for alcohol use in bipolar disorder. The intervention was developed by a Manchester based group headed by CB for people with substance abuse and psychosis (Barrowclough et al, 2005). Initial sessions will focus on engagement and use motivational interviewing to develop a shared understanding of the client?s key life goals and concerns; to elicit and select; Follow Up Length: 12 month(s); Study Entry : Single Randomisation only CONDITION: Topic: Mental Health Research Network; Subtopic: Bipolar affective disorder; Disease: Bipolar affective disorder ; Mental and Behavioural Disorders ; Bipolar disorder PRIMARY OUTCOME: Bipolar relapse; Timepoint(s): Baseline, 3, 6, 9 and 12 months SECONDARY OUTCOME: Alcohol Use and other substance use; Timepoint(s): Baseline, 3, 6, 9 and 12 months INCLUSION CRITERIA: 1. Primary Diagnosis of Bipolar disorder I or II 2. Current alcohol use (a score of 8 or more on the Alcohol Use Disorders Identification Test, AUDIT) 3. In current contact with mental health services 4. Age 18 years or older 5. An ability to provide informed consent 6. Having a fixed abode.; Target Gender: Male & Female ; lower age limit 18 years