The strengths and limitation of group therapy in patients with manic episode

Introduction. Group therapy is a psychosocial treatment designed to educate patients on the importance of sharing and gaining personal insight into their pathology. It also improves coping strategies and fosters appropriate relationships among patients. Aim. This paper aims to assess the strengths and limitations of group therapy in patients diagnosed with bipolar disorder who are experiencing a manic episode. Material and methods. We organized bi-weekly group therapy sessions led by a psychotherapist trained in the Yalom method. Each group consisted of 6-8 patients, and sessions were observed by 2-3 psychiatry trainees. Interviews were conducted with each patient, and trainees took notes during the sessions. Results. Over the course of one year, we organized 84 group therapy sessions, with at least one patient diagnosed with a manic episode in 52 of these sessions. A total of 52 interviews and 123 trainee notes were analyzed. We found that small, closed groups promote cohesion and positive dynamics, while peer learning helps reduce loneliness. Serving as a model for others increases openness and the willingness to share personal experiences. Additionally, patients gained a better understanding of others with mental illness and developed social skills. Conclusion. Psychotherapy provides an individualized approach to treatment, improving adherence to therapy and social functioning. Group therapy can also benefit patients with manic episodes, though the group leader must be attentive to maintaining structure and protecting all participants.