Source [[(Guides to individualized evidence-based treatment) Frank, Ellen - Treating Bipolar Disorder_ a Clinician's Guide to Interpersonal and Social Rhythm Therapy-Guilford Publications (2014).pdf]] [[Theoretical Foundation of IPSRT]] [[Interpersonal and Social Rhythm Therapy]] [[Bipolar Disorder]] --- - IPSRT is a prophylactic treatment, to prevent relapse. - Three path to illness or relapses - (1) nonadherence to medication - (2) Stressful life events, especially interpersonal events and changes in social roles - (3) disruptions in social rhythms ==?What is social rhythms?== ## Basic Elements of IPSRT - Management of Affect Symtpoms - Use of meds, and - regulate social rhythms - Resolution of Interpersonal Problems - Four Key problems areas: - unresolved grief, - social role transitions - interpersonal role disputes - generalised interpersonal deficits (chronic isolation.. personality?) - Additionally - "Grief for the lost healthy self" #grief [[Grief and Loss]] Phases of approach ## Initial Treatment Phase - History taking - Psychoeducation - Assess quality of pt's interpersonal relationships - Assess the regularity of pt's social routines - select an interpersonal problem area (5 problem area) - Unresolved grief #grief - Role transitions - interpersonal role disputes - interpersonal deficits - grief for the lost healthy self ==Some of the steps can be standardised for EPIP group as well, such as history taking, psychoeducation, and formulation during the #hope-s onboarding stage== Suggested pointers ![[Screenshot 2022-03-04 at 3.01.41 PM.png]]![[Screenshot 2022-03-04 at 3.01.48 PM.png]] ## Intermediate Phase of Treatment - Regularising the patient's social rhythms, - intervening in the selected interpersonal problem area - Frequency of session : Weekly. Depends on patient's condition ## Continuation or maintenance phase - Maintaining regular social rhythms - Maintaining or further improving their interpersonal relations ==? Does psychosis patient have similar social rhythms issues that can benefit from this?== ## Final Phase of Treatment - Termination - Reduce frequency of session This is a modular approach. Depending on the patient's need, to select modules that suit the need for patient ---- Next : Chapter 8. [[Symptom Management - Stabilising Social Rhythms and Behavioural Activation]]