Problem-Solving Therapy (PST) addresses an underappreciated driver of bipolar disorder: actual, real-world problems that therapy doesn't directly resolve.
The Problem-Solving Model of Bipolar Disorder
PST proposes that bipolar disorder often reflects deficits in problem-solving ability — making real stressors feel unsolvable, which drives hopelessness and bipolar disorder.
The Problem-Solving Process for Bipolar Disorder
- Problem orientation: Recognize problems as solvable, not catastrophic
- Problem definition: Clearly define what you're actually dealing with
- Generate alternatives: Brainstorm multiple possible responses
- Decision-making: Evaluate options against values and feasibility
- Implementation: Carry out the solution
- Evaluation: Assess results and adjust
When PST Is Especially Helpful for Bipolar Disorder
PST is particularly effective when bipolar disorder is driven by or worsened by concrete life stressors — financial problems, relationship conflicts, work challenges. Addressing these directly often produces significant bipolar disorder relief.