PT Journal
AU Isaac, C
   M.-C., C
   Andrianisaina, P
   Durand, F
   Moulier, V
   Januel, D
TI The Ecological Cognitive training program (ECo) for bipolar disorders: a case report.
SO Cognitive Remediation Journal
PY 2022
BP 1
EP 5
VL 11
IS 1
DI 10.5507/crj.2022.001
DE Bipolar Disorder; Cognitive Impairments; Cognitive Remediation; Rehabilitation
AB Objective: Cognitive deficits remain underdiagnosed and difficult to treat in bipolar disorders. Cognitive remediation programs should take more into account the specificities of these illnesses, such as potential mood variations during cognitive training. We report on the design of a new ecological cognitive remediation program for mood disorders (called "ECo") that we administered to a patient suffering from a type II bipolar disorder.Methods: Before and after administering this 28-session program, we assessed the patient's cognitive and functional abilities, using standardized neuropsychological tests and clinical scales and questionnaires.Results: After the therapy, we observed major improvements in executive functions, moderate improvements in attentional processes, and mixed results for verbal memory. Improvements occurred despite a worsening of the patient's symptomatology during the last month of therapy. The conventional assumption that cognitive remediation should only apply to patients with minimal residual symptoms raises ethical concerns regarding the exclusion of patients with more serious symptoms. Furthermore, this assumption may not be applicable to patients with bipolar disorders, as these patients frequently experience mood variations, even during periods of remission.Conclusions and Implications for Practice: The flexibility of the ECo program may represent an asset in multiple clinical contexts, or places where treatment is provided, or when treating patients at different stages of the recovery process.
ER