A conceptual model was developed during interviews with 33 participant
s that depicts the processes of information search and self-management
of hospitalized people with bipolar disorder, Grounded theory methodo
logy guided data collection and analysis, Barriers were reported as en
countered throughout the processes; denial of the disorder was the mos
t prevalent obstacle, Critical areas of intervention are helping the p
erson accept the disorder and achieving the basis to be motivated for
self-management. Recommendations are for relapse reduction programs to
be structured on the awareness that relapse is most likely to occur w
hen barriers are encountered, and that people with the disorder percei
ve barriers to be everywhere. Copyright (C) 1995 by W.B. Saunders Comp
any