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CREST.BDBipolar Wellness Center Webinars
Connect. Learn. Engage.
2
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Home
3
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BDCREST.BD
Home
Featuring: Don Kattler
CREST.BD Peer Researcher
4
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Defining home
Home and BD
Why home life is important to your QoL
How you can take action
Webinar focus
5
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Defining home
The daily elements of your home life
Encompasses:
•	 your living space and possessions
	 e.g., keeping your home tidy and 	comfortable
•	 household management
	 e.g., staying on top of daily household tasks
6
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Home and BD
1
Fagiolini, A., Kupfer, D.J., Masalehdan, A., Scott, J.A., Houck, P.R., Frank, E. (2005). Functional impairment in the
remission phase of BD. Bipolar Disorders, 7: 281–285.
Little specific research in this area
Existing evidence suggests:
•	 link between BD depression and decreased care for 	
	 your home
•	 episodes of hypomania and mania can be 					
	 associated with decreased ability to maintain home 	
	 order and organization1
7
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why is home life important to QoL?
Increased messiness in your
home can be an early warning
sign of a mood episode1
Can have downstream effects
(e.g, may be less likely to
receive visitors, reducing social
contact, in itself a risk factor
for BD episodes)2
1
Fagiolini, A., Kupfer, D.J., Masalehdan, A., Scott, J.A., Houck, P.R., Frank, E. (2005). Functional impairment in the
remission phase of BD. Bipolar Disorders, 7: 281–285.
2
Johnson, S. L., Winett, C. A., Meyer, B., Greenhouse, W. J., & Miller, I. (1999). Social support and the course of BD.
Journal of Abnormal psychology, 108(4): 558.
8
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why is home life important to QoL?
Some people with BD may experience OCD-type problems in
their home lives:
•	 obsessions (persistent thoughts, urges or images that feel 		
	 intrusive and cause distress)3
•	 compulsions (excessive repetitive behaviours, e.g., 				
	 handwashing, in response to an obsession or rigid rules)3
•	 hoarding (compulsion to buy unnecessary and fairly useless 	
	 items that you’re later emotionally unable to get rid of)4
3
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington,
VA: American Psychiatric Publishing.
4
Steketee, G., Frost, R. (2003). Compulsive hoarding: Current status of the research. Clinical Psychology Review, 23:905-
927. Page 910.
9
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
SMART criteria. (n.d.). Retrieved Jan 13, 2015 from Wikipedia: http://en.wikipedia.org/wiki/SMART_criteria#cite_note-
Siegert-12
Setting reasonable goals (SMART)
•	 S - Specific [what, how, where, when]
•	 M- Measurable [how will I know when it’s achieved?]
•	 A - Acceptable [will I feel good about this?]
•	 R - Realistic [can I do this?]
•	 T - Time-limited [when will this be achieved?]
Taking Action: Just Do It!
Assessing Your Progress
	
Goal setting
10
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action
Act first, motivate later!
Set goals even if you don’t want to, or don’t feel
“motivated”
If motivation is a problem for you in terms of home
tasks, try writing a pros and cons list of doing your
chores versus not doing them
Challenge negative thought patterns
Start small and work your way up
11
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action
Establish routine
Evidence that routine is important for health and QoL in BD5
Ask yourself, are there areas of your home life where you can
introduce routine and stability?
•	 Added advantage of helping you keep on top of mundane 		
	tasks
Reward yourself after completion!
5
Frank, E., Hlastala, S., Ritenour, A., Houck, P., Tu, X. M., Monk, T. H. & Kupfer, D. J. (1997). Inducing lifestyle regularity
in recovering BD patients: results from the maintenance therapies in BD protocol. Biological Psychiatry, 41(12): 1165-
1173.
12
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action
Self-compassion
Practicing kindness and non-judgment towards
yourself
Seeing your experiences and flaws as part of a larger,
common human experience
Taking comfort in knowing that everybody shares this
human experience
Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & Hancook, J. (2007). Self-compassion and reactions to unpleasant
self-relevant events: the implications of treating oneself kindly. Journal of personality and social psychology, 92(5):
887.
13
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action
Practice self-compassion in your home life
Have realistic expectations
Avoid striving for perfection
If you struggle with this, ask yourself: what are the real
consequences of this task not getting done? Does it
really matter that much?
14
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
How you can take action
Dealing with obsessive or compulsive issues in your home
Serious issues may require professional help and/or
specific psychosocial treatment interventions
15
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Tools and Resources
16
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
How to keep your house clean in less than 30 minutes a day
Offers some practical tips for keeping your home tidy on the go.
Focuses on starting small and on the importance of the little
things.
http://www.healthguidance.org/entry/14584/1/How-to-Keep-Your-House-
Clean-and-Less-Than-30-Minutes-a-Day.html
17
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Chorma for Chores
A free smartphone app that
offers an easy, lighthearted
way to keep track of and
organize your chores. Can be
used by one person or shared
between partners, families or
roommates.
https://itunes.
apple.com/us/app/
chorma-for-chores/
18
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
How bipolar disorder can lead to clutter
A practical, BD focused article about clutter and hoarding
behaviours, the links and ways to cope.
http://www.everydayhealth.com/bipolar-disorder/how-bipolar-disorder-can-
lead-to-clutter.aspx
19
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Applying the QoL in BD scale: Vignette #2
This video touches on the relationship between home life and
mood.
http://www.youtube.com/watch?v=KyVgxpAktbk
20
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
For more information and resources,
visit our Bipolar Wellness Center at:
http://www.bdwellness.com/
To assess your quality of life,
visit our QoL tool at:
http://www.bdqol.com/
21
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Acknowledgments

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CREST.BD Home & Bipolar Disorder Slides

  • 1. 1 CREST.BDBipolar Wellness Center Webinars Connect. Learn. Engage.
  • 2. 2 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Home
  • 3. 3 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BDCREST.BD Home Featuring: Don Kattler CREST.BD Peer Researcher
  • 4. 4 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Defining home Home and BD Why home life is important to your QoL How you can take action Webinar focus
  • 5. 5 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Defining home The daily elements of your home life Encompasses: • your living space and possessions e.g., keeping your home tidy and comfortable • household management e.g., staying on top of daily household tasks
  • 6. 6 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Home and BD 1 Fagiolini, A., Kupfer, D.J., Masalehdan, A., Scott, J.A., Houck, P.R., Frank, E. (2005). Functional impairment in the remission phase of BD. Bipolar Disorders, 7: 281–285. Little specific research in this area Existing evidence suggests: • link between BD depression and decreased care for your home • episodes of hypomania and mania can be associated with decreased ability to maintain home order and organization1
  • 7. 7 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Why is home life important to QoL? Increased messiness in your home can be an early warning sign of a mood episode1 Can have downstream effects (e.g, may be less likely to receive visitors, reducing social contact, in itself a risk factor for BD episodes)2 1 Fagiolini, A., Kupfer, D.J., Masalehdan, A., Scott, J.A., Houck, P.R., Frank, E. (2005). Functional impairment in the remission phase of BD. Bipolar Disorders, 7: 281–285. 2 Johnson, S. L., Winett, C. A., Meyer, B., Greenhouse, W. J., & Miller, I. (1999). Social support and the course of BD. Journal of Abnormal psychology, 108(4): 558.
  • 8. 8 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Why is home life important to QoL? Some people with BD may experience OCD-type problems in their home lives: • obsessions (persistent thoughts, urges or images that feel intrusive and cause distress)3 • compulsions (excessive repetitive behaviours, e.g., handwashing, in response to an obsession or rigid rules)3 • hoarding (compulsion to buy unnecessary and fairly useless items that you’re later emotionally unable to get rid of)4 3 American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. 4 Steketee, G., Frost, R. (2003). Compulsive hoarding: Current status of the research. Clinical Psychology Review, 23:905- 927. Page 910.
  • 9. 9 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD SMART criteria. (n.d.). Retrieved Jan 13, 2015 from Wikipedia: http://en.wikipedia.org/wiki/SMART_criteria#cite_note- Siegert-12 Setting reasonable goals (SMART) • S - Specific [what, how, where, when] • M- Measurable [how will I know when it’s achieved?] • A - Acceptable [will I feel good about this?] • R - Realistic [can I do this?] • T - Time-limited [when will this be achieved?] Taking Action: Just Do It! Assessing Your Progress Goal setting
  • 10. 10 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action Act first, motivate later! Set goals even if you don’t want to, or don’t feel “motivated” If motivation is a problem for you in terms of home tasks, try writing a pros and cons list of doing your chores versus not doing them Challenge negative thought patterns Start small and work your way up
  • 11. 11 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action Establish routine Evidence that routine is important for health and QoL in BD5 Ask yourself, are there areas of your home life where you can introduce routine and stability? • Added advantage of helping you keep on top of mundane tasks Reward yourself after completion! 5 Frank, E., Hlastala, S., Ritenour, A., Houck, P., Tu, X. M., Monk, T. H. & Kupfer, D. J. (1997). Inducing lifestyle regularity in recovering BD patients: results from the maintenance therapies in BD protocol. Biological Psychiatry, 41(12): 1165- 1173.
  • 12. 12 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action Self-compassion Practicing kindness and non-judgment towards yourself Seeing your experiences and flaws as part of a larger, common human experience Taking comfort in knowing that everybody shares this human experience Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & Hancook, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of personality and social psychology, 92(5): 887.
  • 13. 13 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action Practice self-compassion in your home life Have realistic expectations Avoid striving for perfection If you struggle with this, ask yourself: what are the real consequences of this task not getting done? Does it really matter that much?
  • 14. 14 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action Dealing with obsessive or compulsive issues in your home Serious issues may require professional help and/or specific psychosocial treatment interventions
  • 15. 15 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Tools and Resources
  • 16. 16 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources How to keep your house clean in less than 30 minutes a day Offers some practical tips for keeping your home tidy on the go. Focuses on starting small and on the importance of the little things. http://www.healthguidance.org/entry/14584/1/How-to-Keep-Your-House- Clean-and-Less-Than-30-Minutes-a-Day.html
  • 17. 17 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Chorma for Chores A free smartphone app that offers an easy, lighthearted way to keep track of and organize your chores. Can be used by one person or shared between partners, families or roommates. https://itunes. apple.com/us/app/ chorma-for-chores/
  • 18. 18 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources How bipolar disorder can lead to clutter A practical, BD focused article about clutter and hoarding behaviours, the links and ways to cope. http://www.everydayhealth.com/bipolar-disorder/how-bipolar-disorder-can- lead-to-clutter.aspx
  • 19. 19 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Applying the QoL in BD scale: Vignette #2 This video touches on the relationship between home life and mood. http://www.youtube.com/watch?v=KyVgxpAktbk
  • 20. 20 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD For more information and resources, visit our Bipolar Wellness Center at: http://www.bdwellness.com/ To assess your quality of life, visit our QoL tool at: http://www.bdqol.com/
  • 21. 21 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Acknowledgments