The key goals for psychosocial interventions recommended in the APA guidelines are illness management (including enhancing medication compliance, making lifestyle changes, relapse education/prevention) and decreasing interpersonal conflicts.4 Various forms of psychosocial interventions may be needed, even in one particular patient. As always, practitioners must retain flexibility in their approaches (keeping evidence-based medicine principles in mind) while individualizing treatment. CBT may be beneficial in reducing subsyndromal residual symptoms and enhancing medication compliance. IPSRT has demonstrated efficacy in terms of reducing symptoms and stabilizing patient routines but is not necessarily preferred.
- Interventions should target illness management and interpersonal conflicts.
4. American Psychiatric Association. Practice guideline for the treatment of patients with bipolar disorders. Washington (DC): The Association; 1994.
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Seminars in Medical Practice
Hospital Physician Board Review Manuals
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