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Non-Pharmacological Treatments for Mood Disorders
Published in Dr. Ather Muneer, Mood Disorders, 2018
This section describes the most recent studies of empirically based, manualized psychosocial interventions for mood disorders. In particular, the following treatment modalities are examined: psychoeducation (PE), cognitive behavioral therapy (CBT), interpersonal and social rhythm therapy (IPSRT), dialectical behavior therapy (DBT), mindfulness-based cognitive behavioral therapy (MBCT), and family therapies such as family-focused therapy (FFT). Also discussed briefly are future areas of research to elucidate the current understanding of evidence-based treatments for major mood disorders. Accumulating evidence suggests psychotherapy can be an effective treatment for mood disorders when combined with pharmacotherapy.3 Some psychotherapy techniques (e.g., PE, FFT, CBT) have been the focus of more randomized controlled studies whereas others have not (e.g., IPSRT, DBT, MBCT). The most promising strategies to date include PE, CBT and family therapies, with preliminary but positive findings for DBT and MBCT. These implications are schematically depicted in Figure 11.2 which summarizes the abovementioned arguments.
Advances in the psychopharmacotherapy of bipolar disorder type I
Published in Expert Opinion on Pharmacotherapy, 2021
Ahmad Sleem, Rif S. El-Mallakh
A meta-analysis of placebo-controlled maintenance studies examining lithium, anticonvulsants (lamotrigine, VPA), and antipsychotics (aripiprazole – oral and long-acting injectable, asenapine, quetiapine, olanzapine, paliperidone, and long-acting injectable risperidone) found that continuing treatment significantly reduces the risk ratio to recurrence at 6 months (0.61, 95% CI 0.54–0.70, NNT = 5) and continues to be effective for as long as 12 months. Nearly half of placebo-treated patients (47.3%) remained well at 6 months [197]. Nonpharmacological treatment has an important role as well and many psychotherapy modalities were found to be effective including psychoeducation, family-focused treatment, cognitive-behavioral therapy, and interpersonal and social rhythm therapy [198].
The temporal experience in depression: from slowing down and delayed help seeking to the emergency setting and length of treatment
Published in International Review of Psychiatry, 2022
Recent psychopathology and psychiatric nosology seem to neglect the temporal experience in our patients, and disregards inner (subjective) lived time (self-time). One partial exception being the interpersonal and social rhythm therapy (IPSRT) developed by Ellen Frank for patients with bipolar disorder, although also here the emphasis is more on outer (objective) clock time (world time), where external Zeitgebers are used to synchronise internal and external time (Frank et al., 2007). Another example is sleep deprivation/light therapy as an antidepressant treatment, but again this is manipulating objective (outer) time with an expected favourable impact on subjective (inner) time.
Adrift in time: the subjective experience of circadian challenge during COVID-19 amongst people with mood disorders
Published in Chronobiology International, 2022
Piyumi Kahawage, Marie Crowe, John Gottlieb, Holly A. Swartz, Lakshmi N. Yatham, Ben Bullock, Maree Inder, Richard Porter, Andrew A. Nierenberg, Ybe Meesters, Marijke Gordjin, Bartholomeus C. M. Haarman, Greg Murray
A few participants mentioned the use of various Cognitive Behavioral Therapy (CBT) (Beck 2011) and Interpersonal and Social Rhythm Therapy (IPSRT) (Frank 2005) techniques to help establish and structure their routines: I keep a structure using the IPSRT booklet. I try to get up out of bed, plan dinner and go to bed at fixed times (…) I do mindfulness exercises from mindfulness-based cognitive therapy training [Bipolar Disorder, age 44]