Interpersonal and Social Rhythm Therapy (IPSRT)
IPSRT focuses on stabilizing mood by enhancing daily routines and interpersonal relationships, specifically designed for individuals with bipolar disorder to improve their overall mental health and well-being.
Core Principles
Therapeutic Approach Explained
Treatment phases include psychoeducation, regularizing daily routines, and addressing interpersonal issues, all aimed at improving medication adherence and fostering lasting mood stability for our patients.
Key Components
Core Principles
IPSRT is based on a chronobiological model that recognizes how disruptions in daily routines and social rhythms can trigger mood episodes. The therapy focuses on:
Stabilizing circadian rhythms
Improving interpersonal relationships
Helping patients maintain regular daily routines
Key Components
Therapeutic Approach:
Combines principles of interpersonal psychotherapy with behavioral techniques
Helps patients regularize daily routines
Addresses interpersonal problems
Improves medication adherence
Treatment Phases
IPSRT typically proceeds through four distinct phases:
Initial Phase:
Review patient's mental health history
Identify patterns between social routine disruptions and mood episodes
Provide psychoeducation about bipolar disorder
Assess interpersonal relationships
Choose a focus area (grief, role transitions, role disputes, or interpersonal deficits)
Intermediate Phase:
Bring regularity to social rhythms
Explore sources of interpersonal distress
Identify supportive and destabilizing relationships
Maintenance Phase:
Reinforce learned techniques
Monitor symptomatic and functional changes
Review early warning signs of mood episodes
Final Phase:
Gradually reduce therapy session frequency
Ensure patient can maintain learned skills
Therapeutic Goals
The primary objectives of IPSRT include:
Stabilizing social rhythms
Improving interpersonal relationship quality
Preventing mood episode recurrence
Enhancing overall functioning for individuals with bipolar disorder
Unique Features:
Uses Social Rhythm Metric to track daily routine regularity
Helps patients develop skills to maintain mood stability
Addresses both biological and psychosocial factors
IPSRT is typically used as an add-on therapy for bipolar disorder and other mood disorders, working in conjunction with medication to provide comprehensive treatment