Loading...
Mood-stabilizing medications constitute the cornerstone of treatment for bipolar disorder, but they rarely are curative. These investigators studied the relative efficacy of two manual-based psychotherapies. Interpersonal and social rhythms therapy (IPSRT) combines interpersonal therapy, facilitation of mourning for the person the patient would have been without illness, and careful attention to circadian cues (e.g., mealtime and bedtime). Intensive clinical management (ICM) includes education about the illness and sleep hygiene, nonspecific support, and attention to physical symptoms and adverse effects. Both acute treatment (through 4 weeks of remission) and maintenance (27 months) were studied.
The researchers randomized 175 acutely ill b…