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Bipolar Disorder

Bipolar Disorder worksheets

6 evidence-based resources for Bipolar Disorder. Preview any worksheet, then assign it to a client as an interactive digital worksheet.

Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed

CBT for bipolar disorder works alongside medication and psychiatric care rather than in place of them, and relapse prevention is a central focus: knowing a client's own pattern well enough to act early. The Bipolar Longitudinal Formulation maps episodes across time against life events, stressors and medication changes, and the Bipolar Mood Diary tracks daily mood alongside sleep, medication and key events — the record from which personal early warning signs emerge.

Those signs then become the Bipolar Early Warning Signs & Action Plan, with a stepped response for each mood polarity. The Social Rhythm & Routine Diary and the Sleep Protection Plan target disrupted routine and sleep, and the Pro-Mania Beliefs Worksheet addresses the appeal of highs that can undercut early action. Do this work when mood is relatively stable, not mid-episode. Assess suicide risk throughout, especially in depressive phases, and risk-taking when mood is elevated, and liaise with the prescriber over medication. The sleep restriction used in CBT-I needs adapting or avoiding here.

Frequently asked questions

Is CBT an alternative to medication in bipolar disorder?

No — it is an adjunct. Medication decisions stay with the prescriber. What CBT can do is explore the client's beliefs about medication and how adherence has related to past episodes, as part of the formulation, and support the routines, early detection and planned responses that make relapse less likely to escalate.

When should the early warning signs plan be written?

During a period of relative stability, when the client can reflect on past episodes — not during one, when judgement and insight are affected. Build it from their own history and mood diary rather than a generic list, rehearse it, share it with people they trust where they agree, and revisit it after any episode or near miss.

Why work on positive beliefs about mania?

Beliefs such as "I am more creative when I am high" can make early signs of elevated mood feel welcome rather than worth acting on. The aim is not to take valued experiences away but to review specific past episodes together — how they began, how they ended, and what they cost — so that acting early protects what the client values.

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