Although bipolar disorder is the Axis I disorder associated with the highes
t risk of having a coexisting substance use disorder, no specific treatment
approaches for this dually diagnosed patient population have thus far been
developed. This paper describes a 20-session relapse prevention group ther
apy that the authors have developed for the treatment of patients with coex
isting bipolar disorder and substance use disorder. The treatment uses an i
ntegrated approach by discussing topics that are relevant to both disorders
and by highlighting common aspects of recovery,from and relapse to each di
sorder. (C) 1998 Elsevier Science Inc.