Interpersonal and social rhythm therapy: an intervention addressing rhythm dysregulation in bipolar disorder

Nov 1, 2007Dialogues in clinical neuroscience

Therapy to improve daily routine and social patterns in bipolar disorder

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Abstract

Two large controlled trials support (IPSRT) for bipolar disorder.

  • Bipolar disorder frequently recurs, which may be linked to noncompliance with treatment and stressful life events.
  • IPSRT focuses on stabilizing daily routines to help maintain a stable emotional state.
  • The therapy is effective as both an acute intervention and a preventive treatment for bipolar I and II disorders.
  • IPSRT incorporates therapeutic methods that emphasize the circadian basis of daily rhythms.

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Key numbers

P≤0.001
Higher Regularity of Social Rhythms
Patients receiving acute vs. those receiving acute intensive clinical management.
P=0.01
Longer Time Without New Episodes
Survival analysis of patients receiving acute .
64% vs 52%
Higher Recovery Rates
Year-end recovery rates in intensive psychotherapy vs. collaborative care.

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