The approach is based on a stress-vulnerability model that allows patients with bipolar disorder to develop a personalized understanding of the triggers to relapse and their response to these triggers. The intervention incorporates the characteristics identified by Scott (1996) as the promotion of independent use of the skills learned and enhancement of the individual’s sense of self-efficacy. The collaborative development of a clinical formulation that emphasizes the individual’s triggers, early warning signs and resources is central to the intervention.