Just my thoughts but - I find it strange that CBT can be so effective for treating depression yet not for treating mania, surely similar mechanisms are at work. The literature seems to be saying that CBT can only treat 'negative' schemas and not 'positive'. If we take the view that we all have two matching schemas at opposite ends of the spectrum eg. I am worthless, I am worthwhile, could it not be that as depression may be indicative of a bias toward the 'negative' schema, mania could be a bias towards the 'positive'? Surely then, the task would be to search for evidence for these thoughts in the same way. The medical model view seems to be that mania is purely biochemical and therefore could only be treated by drug therapy but this used to be the view of depression - or am I just very naive and missing the point?
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