PSYCHOSOCIAL INTERVENTION IN BPAD

S.N. Intervention Description

1. Cognitive behaviour therapy Cognitive behavioral therapy (CBT),
which involves trying to change your
patterns of thinking, is effective for
bipolar disorder. Strategies that are
used in CBT include role-playing to get
ready for interactions that could be
problematic, facing fears directly rather
than practicing avoidance, and learning
techniques to calm and relax the mind
and body.
2. Interpersonal and Social Rhythm Therapy IPSRT, an adjunctive therapy for
(IPSRT) individuals with mood disorders,
outlines techniques to improve
medication adherence, manage stressful
life events, and reduce disruptions in
social rhythms. With this form of
therapy, patients learn skills that can
help them protect themselves against
the development of future episodes.
Managing the patient’s symptoms and
improving his interpersonal relations is
the primary focus of IPSRT.
3. Family-Focused Therapy This can also be beneficial for those
with bipolar disorder. 3 Family
members are taught to recognize the
warning signs of either a manic or a
depressive episode. Family Focused
Therapy starts with a deep appreciation
of the ways that patients' family system
and the complicated web of
relationships found therein may support
patients' conditions, or alternatively,
exacerbate them. FFT therapists work
to identify difficulties and conflicts
within the family that may contribute to
patient and family stress, and then help
the involved family members to find
ways to resolve those difficulties and
conflicts.
4. Psychoeducation Psychoeducation seeks to enable the
patient regarding the characteristics of
the disease and its management,
promoting their active role in the
treatment and in informed decision
making. The psychoeducational
interventions pursue the construction
of an adequate therapeutic alliance
 focused on collaboration, information
and trust. As the exposition of
patients with BD to stress is considered
to be an important predictive factor of
recurrences and that the beliefs,
attitudes and behaviors that the
subject assumes regarding his/her
disease has a prognostic value,
the establishment of appropriate styles
of life would significantly reduce the
index of recurrences and increase the
quality of life.