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Letters to the Editor
December 2007

Is Psychosocial Management Effective?—Reply

Author Affiliations

Copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2007

Arch Gen Psychiatry. 2007;64(12):1452-1453. doi:10.1001/archpsyc.64.12.1452

In reply

We appreciate the comments by Drs Saddichha and Kumar. The Canadian treatment guidelines they cited1 did not conclude that CBT was ineffective for bipolar disorder. In fact, the guidelines cite several single-center studies that found positive evidence for CBT in relapse prevention2,3 and 1 multicenter trial that observed prophylaxis, although only among patients with fewer than 12 prior episodes.4

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