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The Carlat Psychiatry Podcast

Bipolar Upgrade 7: Social Rhythm Therapy

The Carlat Psychiatry Podcast

The Carlat Psychiatry Podcast

Alternative Health, Mental Health, Medicine, Health & Fitness

4.7524 Ratings

🗓️ 2 October 2023

⏱️ 21 minutes

🧾️ Download transcript

Summary

Social Rhythm Therapy helps patients regulate their circadian rhythm. It treats bipolar disorder, and here we show how to weave it in with medication therapy.CME: Take the CME Post-Test for this Episode (https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/4514-bipolar-upgrade-7-social-rhythm-therapy)Published On: 10/02/2023Duration: 20 minutes, 58 secondsChris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcript

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0:00.0

If all your patients with bipolar disorder are cured on mood stabilizers, you can skip this podcast.

0:06.3

But if not, you're going to learn some behavioral steps that will move them closer to recovery.

0:17.2

Welcome to the Carlyte Psychiatry Podcast, keeping psychiatry honest since 2003.

0:23.3

I'm Chris Agen, the editor-in-chief of the Carlott Psychiatry Report.

0:27.7

I'm Kelly Newsom, a psychiatric MP and a dedicated reader of every issue.

0:33.5

Today, we reach the end of the practice-changing updates from the International Bipolar Conference,

0:38.7

and here's a recap of the past episodes.

0:42.7

1. Screen for Bipolar Disorder with a tool that looks at signs and symptoms of the illness,

0:48.5

like the Rapid Mood Screener or the Bipolarity Index.

0:53.0

2. Use more lithium.

0:56.8

3. Move Larazidone up in your treatment algorithms now that it's generic, and keep Robert

1:02.1

posts 3Ls on the tip of your tongue for bipolar depression. Lithium, Lomotrogen, and

1:08.2

larazidone. Avoid valproate in women of childbearing age.

1:13.9

And five, when things go wrong in treatment, even if it's because your patient stops taking

1:18.6

their meds, assume it's your fault. You haven't found the meds they want to take.

1:25.1

Six, rate the symptoms at every visit and find a way to visually track them to find those cyclical

1:30.5

patterns that are the heart of bipolar illness.

1:35.3

7.

1:36.2

Make it your goal to improve functioning, not just symptom reduction.

1:41.6

8. Use light therapy for bipolar depression. 9. Use light therapy for bipolar depression.

1:46.1

9. Use dark therapy for active mania, mixed states, insomnia, and to prevent future episodes.

1:54.4

And today, number 10, social rhythm therapy.

...

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