The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

Bipolar Upgrade 7: Social Rhythm Therapy

Oct 2, 2023
This podcast explores the impact of social stressors on depression, the components and benefits of Interpersonal and Social Rhythm Therapy (IPSRT) for bipolar disorder, the role of daily rhythms and light exposure in maintaining well-being, the theory behind IPSRT and its impact on sleep patterns, and potential lifestyle techniques like the ketogenic diet for bipolar disorder.
21:12

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Quick takeaways

  • IPSRT therapy combines circadian biology with social understanding to improve functioning and relationships in bipolar disorder.
  • Social rhythm therapy regulates timing and social engagement to stabilize mood and build support networks in bipolar disorder.

Deep dives

IPSRT: A Fusion of Circadian Biology and Social Understanding

IPSRT therapy, developed by Dr. Ellen Frank, combines the circadian biology of bipolar disorder with the social understanding of depression. Through practical techniques, IPSRT helps patients adjust to the social relationships affected by their bipolar diagnosis. It has been shown to hasten the speed of recovery in bipolar depression, improve functioning and relationships, and even reduce inflammation in bipolar II depression. By finding and regularizing key activities called zeitgeibers, IPSRT helps patients track their mood and identify patterns, enabling them to stay out of mood episodes.

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