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Letters to the Editor
December 2007

Is Psychosocial Management Effective?

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):1451. doi:10.1001/archpsyc.64.12.1451-b

We found the study by Miklowitz et al1 evaluating psychosocial treatments for bipolar depression very interesting and timely. They concluded that patients receiving intensive cognitive behavior therapy (CBT), family-focused treatment (FFT), or interpersonal and social rhythm therapy (IPSRT) had significantly higher year-end recovery rates and shorter times to recovery than patients who underwent a simple psychoeducation program. However, a recent review2 concludes that psychoeducation programs significantly reduced rates of relapse whereas CBT did not, although IPSRT did show lower rates of relapse over a 2-year follow-up period.2