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(p. 167) Bipolar Disorder 

(p. 167) Bipolar Disorder
(p. 167) Bipolar Disorder

Myrna M. Weissman

, John C. Markowitz

, and Gerald L. Klerman

Page of

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date: 28 October 2020

This chapter covers the treatment of bipolar disorder using an adaptation of IPT called Interpersonal and Social Rhythm Therapy (IPSRT). An amalgam of IPT with behavioral therapy developed by Frank and colleagues, IPSRT is an efficacious adjunct to medication for patients with bipolar I disorder. The behavioral component addresses coordination and stabilization of daily behaviors, especially the preservation of sleep, which is a critical factor in avoiding manic episodes, and modulation of environmental stimulation, whereas IPT targets the depressive aspects of the disorder. This combination represents an important extension of IPT into novel treatment territory. IPSRT is the first IPT adaptation to be designed as an adjunct to medication, rather than as a standalone, primary treatment; it is also the first attempt to integrate IPT with a behavioral approach. A case example is provided of the use of IPSRT in a patient with bipolar II disorder.

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