title: A developmental approach to the treatment of bipolar disorder: IPSRT with an adolescent.
abstract: OBJECTIVE
  This case study explains how a psychotherapy previously used with adults can be used with adolescents by focusing on the specific developmental issues associated with adolescence.
  
  
  BACKGROUND
  Bipolar disorder is a damaging disorder to experience during the developmental phase of adolescence. Interpersonal social rhythm psychotherapy has been developed as an adjunct to medication for managing bipolar disorder and shows some promising outcomes in adults.
  
  
  METHODS
  This is a single case study design drawn from a larger randomised control trial of two psychotherapies for bipolar disorder. The case study addressed the question: How can Interpersonal social rhythm therapy be applied with adolescents who have bipolar disorder?
  
  
  METHODS
  This study used a purposeful sampling process by selecting the youngest adolescent participating in the randomised control trial. All the subject's sessions of Interpersonal social rhythm therapy were taped, transcribed and analysed. The analysis involved describing the process of psychotherapy as it occurred over time, mapping the process as a trajectory across the three phases of psychotherapy experience and focusing the analysis around the impact of bipolar disorder and IPSRT on adolescent developmental issues, specifically the issue of identity development.
  
  
  RESULTS
  Interpersonal social rhythm therapy allowed the therapist to address developmental issues within its framework. As a result of participation in the psychotherapy the adolescent was able to manage her mood symptoms and develop a sense of identity that was age-appropriate.
  
  
  CONCLUSIONS
  Interpersonal social rhythm therapy provided the adolescent in the case study the opportunity to consider what it meant to have bipolar disorder and to integrate this meaning into her sense of self.
  
  
  CONCLUSIONS
  Bipolar disorder is a chronic and recurring disorder that can have a serious impact on development and functioning. Interpersonal social rhythm therapy provides an approach to nursing care that enables adolescents to improve social functioning.
authors.affiliation: Department of Psychological Medicine, Centre for Postgraduate Nursing, University of Otago, Christchurch, New Zealand. marie.crowe@otago.ac.nz
authors.forename: Marie
authors.initials: M
authors.lastname: Crowe
authors.forename: Maree
authors.initials: M
authors.lastname: Inder
authors.forename: Peter
authors.initials: P
authors.lastname: Joyce
authors.forename: Stephanie
authors.initials: S
authors.lastname: Moor
authors.forename: Janet
authors.initials: J
authors.lastname: Carter
authors.forename: Sue
authors.initials: S
authors.lastname: Luty
mesh_terms: D000293:Adolescent; D000328:Adult; D001714:Bipolar Disorder / Q000628:therapy*; D006801:Humans; D007398:Interpersonal Relations; D011613:Psychotherapy / Q000379:methods*; D016032:Randomized Controlled Trials as Topic