Interpersonal and social rhythm therapy: A means of improving depression and preventing relapse in bipolar disorder
Abstract
Interpersonal and social rhythm therapy (IPSRT) was designed to directly address the major pathways to recurrence in bipolar disorder, namely medication nonadherence, stressful life events, and disruptions in social rhythms. The efficacy of IPSRT has been supported by two large studies examining it in conjunction with pharmacotherapy in patients with bipolar illness. In this article, the author discusses the advantages of IPSRT as both an acute intervention and a prophylactic treatment for bipolar depression. The author outlines the four phases of IPSRT, indicating the appropriate focus and duration for each, and discusses IPSRT as a modular treatment. The article concludes with a case example that further illustrates the basic therapeutic methods and processes of IPSRT.
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Chronotherapies such as bright light therapy and social rhythm therapy are efficacious treatments for certain mood disorders in adults and have favorable side effect profiles.
“Chronotherapies, such as bright light therapy and social rhythm therapy, are efficacious treatments for certain mood disorders in adults, and have favorable side effect profiles (147,148).”
From Impact of Sleep and Circadian Rhythms on Addiction Vulnerability in Adolescents (2018) · cites this paper as [148]
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References 20 · Cited by 139
- Authors
- Frank, E.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Frank, Ellen
- ORCID
- Frank, Ellen
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2007-04-06
- Volume
- 63
- Issue
- 5
- Pages
- 463-473
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2031232217
- Cited by
- 139
- References
- 20
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 7 · 2023: 6 · 2022: 5 · 2021: 9 · 2020: 5 · 2019: 6 · 2018: 1 · 2017: 8 · 2016: 3 · 2015: 7 · 2014: 7 · 2013: 6 · 2012: 7
- FWCI
- 9.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- interpersonal and social rhythm therapy, bipolar disorder, bipolar depression, relapse prevention, medication non-adherence, life events, social rhythms, prophylaxis, treatment phases
- MeSH terms
- Adult, Behavior Therapy, Bipolar Disorder, Depression, Female, Humans, Interpersonal Relations, Psychotherapy, Social Behavior, Secondary Prevention
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