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Interpersonal and Social Rhythm Therapy (IPSRT)

Interpersonal and social rhythm therapy (IPSRT) was developed based on the belief that regulating social rhythms and effectively managing social relationships can help reduce the risk of developing depressive and manic mood symptoms.1 Patients work with a therapist to identify potential triggers for rhythm dysregulation and learn skills to help identify and manage affective symptoms, maintain regular daily rhythms, and understand the link between mood and life events. Establishing steady and regular sleep patterns is especially emphasized.2 Patients are also taught skills to help improve adherence to medication.1,2 Treatment is divided into 4 stages, with sessions starting weekly and becoming less frequent.2  Effective as either a maintenance or acute treatment, IPSRT can last anywhere from weeks to months.1
Description: Interpersonal and social rhythm therapy (IPSRT) was developed based on the belief that regulating social rhythms and effectively managing social relationships can help reduce the risk of developing depressive and manic mood symptoms.1 Patients work with a therapist to identify potential triggers for rhythm dysregulation and learn skills to help identify and manage affective symptoms, maintain regular daily rhythms, and understand the link between mood and life events. Establishing steady and regular sleep patterns is especially emphasized.2 Patients are also taught skills to help improve adherence to medication.1,2 Treatment is divided into 4 stages, with sessions starting weekly and becoming less frequent.2  Effective as either a maintenance or acute treatment, IPSRT can last anywhere from weeks to months.1
Potentially effective for the following mental health concerns: Bipolar disorder, Depressive disorders
Potentially effective in the following age groups: Adolescent, Adult
Treatment setting options: Individual, Group
Treatment format options: In-person
Typical treatment duration: < 10 sessions, 10-20 sessions, 20+ sessions
Potential limitations: The efficacy of IPSRT in improving mood symptoms for bipolar disorder and major depressive disorder is not yet completely established, and more research is needed.3,8
 

Footnotes:

Supporting references for the filters are as follows:

Potentially effective for the following mental health concerns: Bipolar disorder,2 Depressive disorders2,3; Potentially effective in the following age groups: Adolescent,4,5 Adult1; Treatment setting options: Individual,1,2 Group1,2; Treatment format options: In-person6; Typical treatment duration: < 10,7 10–20 sessions,6,7 20+ sessions6,7

This resource is intended for educational purposes only and is intended for US healthcare professionals. Healthcare professionals should use independent medical judgment. All decisions regarding patient care must be handled by a healthcare professional and be made based on the unique needs of each patient. 
 

ABBV-US-01640-MC, Version 1.0  
Approved 05/2024  
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References:

  1. Swartz HA, Swanson J. Psychotherapy for bipolar disorder in adults: a review of the evidence. Focus. 2014;12(3):251-266. doi:10.1176/appi.focus.12.3.251 
  2. Overview. Interpersonal and Social Rhythm Therapy. 2024. Accessed April 24, 2024. https://ipsrt.org/overview/ 
  3. Crowe M, Inder M, Douglas K, et al. Interpersonal and social rhythm therapy for patients with major depressive disorder. Am J Psychother. 2020;73(1):29-34. doi:10.1176/appi.psychotherapy.20190024 
  4. Adaptations of IPT: what works for whom? International Society for Interpersonal Psychotherapy. Accessed April 24, 2024. https://interpersonalpsychotherapy.org/ipt-basics/adaptations-of-ipt-what-works-for-whom/ 
  5. Hlastala SA, Kotler JS, McClellan JM, McCauley EA. Interpersonal and social rhythm therapy for adolescents with bipolar disorder: treatment development and results from an open trial. Depress Anxiety. 2010;27(5):457-464. doi:10.1002/da.20668 
  6. Swartz HA, Frank E, Cheng Y. Bipolar Disord. 2012;14(2):211-216. doi:10.1111/j.1399-5618.2012.00988.x 
  7. Frank E, Kupfer DJ, Thase ME, et al. Two-year outcomes for interpersonal and social rhythm therapy in individuals with bipolar I disorder. Arch Gen Psychiatry. 2005;62(9):996-1004. doi:10.1001/archpsyc.62.9.996 
  8. Haynes PL, Gengler D, Kelly M. Social rhythm therapies for mood disorders: an update. Curr Psychiatry Rep. 2016;18(8):75. doi:10.1007/s11920-016-0712-3 

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