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