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Chapter 8 - Interpersonal and Social Rhythm Therapy (IPSRT) for Bipolar Disorder

from Part III - Application and Adaptations for Mental Health Disorders

Published online by Cambridge University Press:  26 September 2026

Laura J. Dietz
Affiliation:
University of Pittsburgh, Pennsylvania
Fiona Duffy
Affiliation:
NHS Lothian, Edinburgh
Patricia Graham
Affiliation:
NHS Lanarkshire, Bothwell
Paula Ravitz
Affiliation:
University of Toronto
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Summary

This chapter describes Frank and colleagues’ adaptation of IPT for bipolar disorder known as Interpersonal and Social Rhythm Therapy (IPSRT) and is guest authored by two prominent IPSRT experts, Drs Danielle Novick and Holly Swartz. In this chapter, they describe the rationale and adaptations made to the original treatment model to address aspects of mood dysregulation central to bipolar disorder. They describe aspects of working with clients to monitor and address social rhythms, such as maintaining consistent sleep–wake schedules, routine activity and engagement with social support networks, to stabilise their mood and prevent future episodes. Novick and Swartz also include a detailed case study with examples of the Social Rhythm Metric (SRM-II), a mood and activity monitoring checklist and the mood and illness timeline and conclude with a brief review of the research evidence supporting the efficacy of IPSRT for the treatment of bipolar disorder.

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