Interpersonal and social rhythm therapy

What is interpersonal and social rhythm therapy for bipolar disorder?

The social environment can exert influence on synchronisation of circadian rhythms by entraining neurohormonal events such as cortisol and melatonin secretion. These are key components of circadian physiology, and disruptions to them can influence mood. Interpersonal and social rhythm therapy aims to improve interpersonal problem solving and social rhythm regularization. It involves psychoeducation about regulating routines and discussion around strategies for solving current interpersonal problems and preventing them in the future.

What is the evidence for social rhythms interventions?

Moderate to high quality evidence finds improved occupational, social, and general functioning following IPSRT compared to various control conditions. However, there were no consistent improvements in symptoms.
Control conditions included clinical status and symptom review treatment, intensive clinical management, specialist supportive care, and collaborative care. One included study incorporated family-focused therapy and cognitive-behavioural therapy with IPSRT.

November 2021

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Last updated at: 4:55 pm, 8th November 2021
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