A qualitative exploration of clinician views and experiences of treatment decision-making in bipolar II disorder

Alana Fisher*, Vijaya Manicavasagar, Louise Sharpe, Rebekah Laidsaar-Powell, Ilona Juraskova

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

This study qualitatively explored clinicians’ views and experiences of treatment decision-making in BPII. Semi-structured interviews were conducted with 20 practising clinicians (n = 10 clinical psychologists, n = 6 GPs, n = 4 psychiatrists) with experience in treating adult outpatients with BPII. Interviews were audiotaped, transcribed verbatim and thematically analysed using framework methods. Professional experience, and preferences for patient involvement in decision-making were also assessed. Qualitative analyses yielded four inter-related themes: (1) (non-)acceptance of diagnosis and treatment; (2) types of decisions; (3) treatment uncertainty and balancing act; and (4) decision-making in consultations. Clinician preferences for treatment, professional experience, and self-reported preferences for patient/family involvement seemed to influence decision-making. This study is the first to explore clinician views and experiences of treatment decision-making in BPII. Findings demonstrate how clinician-related factors may shape treatment decision-making, and suggest potential problems such as patient perceptions of lower-than-preferred involvement.
Original languageEnglish
Pages (from-to)958–971
Number of pages14
JournalCommunity Mental Health Journal
Volume53
Issue number8
DOIs
Publication statusPublished - Nov 2017
Externally publishedYes

Keywords

  • bipolar II disorder
  • treatment decision-making
  • qualitative
  • clinician attitudes
  • patient involvement
  • family involvement

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