Interpersonal and social rhythm therapy
Encyclopedia
Interpersonal and Social Rhythm Therapy (ISRT) or simply Social rhythm therapy is a type of behavioral therapy used to treat the disruption in circadian rhythm
Circadian rhythm
A circadian rhythm, popularly referred to as body clock, is an endogenously driven , roughly 24-hour cycle in biochemical, physiological, or behavioural processes. Circadian rhythms have been widely observed in plants, animals, fungi and cyanobacteria...

s that is related to bipolar disorder
Bipolar disorder
Bipolar disorder or bipolar affective disorder, historically known as manic–depressive disorder, is a psychiatric diagnosis that describes a category of mood disorders defined by the presence of one or more episodes of abnormally elevated energy levels, cognition, and mood with or without one or...

. ISRT provides a biopsychosocial model for bipolar disorder and recognizes that the illness cannot be fully treated with medication alone, although it is biologically based. It postulates that stressful events, disruptions in circadian rhythms and personal relationships, and conflicts arising out of difficulty in social adjustment often lead to relapses.

The idea was developed by Ellen Frank at the University of Pittsburgh
University of Pittsburgh
The University of Pittsburgh, commonly referred to as Pitt, is a state-related research university located in Pittsburgh, Pennsylvania, United States. Founded as Pittsburgh Academy in 1787 on what was then the American frontier, Pitt is one of the oldest continuously chartered institutions of...

who published a book on her theories: Treating Bipolar Disorder, a Clinician's Guide Interpersonal and Social Rhythm Therapy. She found that solving interpersonal problems and maintaining regular daily rhythms in activities such as sleeping, waking, eating, and exercise can increase quality of life, reduce symptoms, and help prevent relapse. In most cases, the patients continue to receive medications.

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