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.
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.
The Critical Zeitgeibers for Bipolar Stability
In IPSRT, getting light in the morning and consistent wake-up times are essential zeitgeibers. Studies have shown that the time patients get out of bed has the greatest impact on stability, followed by the time they start goal-directed activity and their first meaningful interactions. While patients should find their own zeitgeibers, suggesting common ones like maintaining a consistent sleep-wake schedule and exposure to morning light proves helpful. The therapy emphasizes patient choice while also encouraging regularity in daily activities.
The Role of Social Relationships and Social Rhythm Therapy
Social rhythm therapy, a part of IPSRT, recognizes the impact of social interactions on biological clocks. The therapy focuses not only on timing activities but also on the intensity of others' involvement during those activities. By regulating both timing and social engagement, social rhythm therapy helps stabilize mood and build support networks. Furthermore, the therapy's behavioral nature makes it a suitable addition to medication management visits and complements other lifestyle interventions like healthy diet and exercise.
Social Rhythm Therapy helps patients regulate their circadian rhythm. It treats bipolar disorder, and here we show how to weave it in with medication therapy.
Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
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