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Interpersonal and social rhythm therapy (IPSRT)

IPSRT was developed based on the belief that regulating social rhythms and effectively managing social relationships can help reduce the risk of developing depressive and manic mood symptoms.1 Patients work with a therapist to identify potential triggers for rhythm dysregulation and learn skills to help identify and manage affective symptoms, maintain regular daily rhythms, and understand the link between mood and life events. Establishing steady and regular sleep patterns is especially emphasized.2 Patients are also taught skills to help improve adherence to medication.1,2 Treatment is divided into 4 stages, with sessions starting weekly and becoming less frequent.2  Effective as either a maintenance or acute treatment, treatment can last anywhere from weeks to months.1
 
Description: IPSRT was developed based on the belief that regulating social rhythms and effectively managing social relationships can help reduce the risk of developing depressive and manic mood symptoms.1 Patients work with a therapist to identify potential triggers for rhythm dysregulation and learn skills to help identify and manage affective symptoms, maintain regular daily rhythms, and understand the link between mood and life events. Establishing steady and regular sleep patterns is especially emphasized.2 Patients are also taught skills to help improve adherence to medication.1,2 Treatment is divided into 4 stages, with sessions starting weekly and becoming less frequent.2  Effective as either a maintenance or acute treatment, treatment can last anywhere from weeks to months.1
 
Potentially effective for the following mental health concerns: Bipolar disorder, Depressive disorders
Potentially effective in the following age groups: Adolescent, Adult
Treatment setting options: Individual, Group
Treatment format options: In-person
Typical treatment duration: < 10 sessions, 10-20 sessions, 20+ sessions
Potential limitations: The efficacy of IPSRT in improving mood symptoms for bipolar disorder and major depressive disorder is not yet completely established, and more research is needed3,8
 

Footnotes:

Supporting references for the filters are as follows:
Potentially effective for the following mental health concerns: Bipolar disorder2, Depressive disorders3; Potentially effective in the following age groups: Adolescent4,5, Adult1; Treatment setting options: Individual2, Group2; Treatment format options: In-person6; Typical treatment duration: < 10, 10–20 sessions, 20+ sessions6,7

References:

  1. Swartz, HA & Swanson, J. Focus (Am Psychiatr Publ). 2014;12(3):251-266.
  2. Interpersonal and Social Rhythm Therapy. Substance Abuse and Mental Health Services Administration (SAMHSA),. 2018. https://www.samhsa.gov/sites/default/files/programs_campaigns/wellness_initiative/interpersonal-social-rhythm-therapy-fact-sheet.pdf. Accessed
  3. Crowe, M et al. Am J Psychother. 2020;73(1):29-34.
  4. Adaptations of IPT: What works for whom? International Society for Interpersonal Psychotherapy. 2020. https://interpersonalpsychotherapy.org/ipt-basics/adaptations-of-ipt-what-works-for-whom/. Accessed March 2, 2020.
  5. Hlastala, SA et al. Depress Anxiety. 2010;27(5):457-464.
  6. Swartz, HA et al. Bipolar Disord. 2012;14(2):211-216.
  7. Frank, E et al. Arch Gen Psychiatry. 2005;62(9):996-1004.
  8. Haynes, PL et al. Curr Psychiatry Rep. 2016;18(8):75.

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