Callahan A M, Bauer M S
Department of Veteran's Affairs Medical Center, Providence, Rhode Island.
Psychiatr Clin North Am. 1999 Sep;22(3):675-88, x. doi: 10.1016/s0193-953x(05)70102-7.
The limitations of pharmacotherapy and the emergence of data supporting a role for psychosocial factors in the course of bipolar disorder have led to increased interest in the use of psychosocial interventions to improve outcomes. Although this area of study has suffered from a lack of systematic data, preliminary evidence suggests that the combined use of psychosocial interventions and medication is superior to pharmacologic treatment alone. Further research is necessary to identify and the psychosocial risk factors associated with bipolar disorder to design effective interventions to diminish their effects and improve outcome. The introduction of formal, manual-based psychotherapeutic interventions that include specific educational components has been particularly promising.