Family-Focused Therapy for a Young Adult with Bipolar Affective Disorder and Family Dysfunction: A Case Report

Abstract

Background: Bipolar disorder involves severe manic episodes affecting patients and families. We report a 25-year-old female with his first manic episode (YMRS = 42), marked by insomnia, grandiosity, aggression, and family conflict. Interventions: Hospitalization with mood stabilizers and antipsychotics provided partial relief (YMRS = 27). Twelve family-focused therapy (FFT) sessions over 7 weeks with the patient, parents, and spouse addressed psychoeducation, communication, and problem-solving. Outcomes: YMRS declined to 5, indicating remission. Family functioning improved on the McMaster Family Assessment Device (e.g., problem solving 2.70→2.16, communication 3.30→2.00). Expressed emotion and Family Attitude Scale scores decreased (55→22), reflecting healthier dynamics. No adverse effects beyond mild sedation occurred. At 6 months, the patient remained stable with sustained family improvements. Conclusion: Combining FFT with pharmacotherapy in acute bipolar mania, especially in family-centered cultures, enhances symptom control, adherence, and long-term outcomes.