Objective. An analysis of the family system influence on the diagnosis and therapy of a female patient with bipolar affective disorder.
Case report. The 32-year-old woman suffering from bipolar affective disorder, with a history of five previous psychiatric hospitalizations, receives pharmacotherapy and participates in group and individual psychotherapy sessions. Remaining under the influence of her family system based on co-dependence she has developed the dependent personality traits. There is a strong association between the family system influence and relapses of her bipolar disorder with atypical course and occurrence of mixed states. In the management of the patient a combination of pharmacological treatment with psychotherapy tailored to meet her exceptional needs turned out to be most effective.
Commentary. The reported case confirms the importance of individually tailored therapeutic approach and the need for developing flexible diagnostic guidelines that would provide for intermediate conditions.