Based on the interpersonal psychotherapy model of depression and informed by the importance of regular
social rhythms in bipolar
disorder, 36 interpersonal and
social rhythm therapy explores pathways to relapse, including disruptions to
social and circadian patterns, non-adherence to medication, and stressful life events.37 The model suggests that positive and negative life events can adversely affect circadian rhythms, posing a risk of recurrence.36 It
tackles these issues by establishing regular routines, exploring interpersonal conflict and addressing issues around
social roles, 37 and it seems to have promise in managing bipolar
disorder.