For decades, prescription medications were used as the first-line treatment option for how to treat bipolar disorder. However, research now shows that long-term success rates for treating bipolar disorder with only a mood stabilizer, antipsychotics, anti-anxiety meds, and antidepressants are relatively low. Additionally, the adverse side effects of bipolar disorder medication remain a problem for many people. There’s good news, though. Studies show that combining structured psychotherapy (talk therapy) with bipolar medication can reduce the time it takes to see a positive treatment response by as much as 150%.
Read on to learn about five different therapies for bipolar disorder that are known to be effective for bipolar symptom management. They may even help reduce your need for or improve the results of prescription bipolar disorder medication.
1. Cognitive Behavioral Therapy (CBT)
CBT is a widely used therapy for bipolar disorder. Cognitive therapy involves restructuring thoughts and behaviors to produce better outcomes in your life. When you use CBT, you learn how to be mindful of the thoughts, feelings, and behaviors that might be resulting in inappropriate or negative reactions.
One effective strategy that’s used in this type of bipolar disorder therapy includes role playing, which prepares you to face potentially difficult or problematic interactions.
Cognitive behavioral therapy also often incorporates various techniques for calming the mind and relaxing the body, like:
- Mindfulness meditation
- Yoga
- Spending time in nature
- Enjoying creative outlets like music, poetry, art, and dance
CBT for bipolar disorder is known to have multiple benefits, including:
- Increased stabilization of mood
- Improved cognitive and behavioral skills
- Increased awareness of triggers
- Improved ability to manage manic and depressive symptoms more effectively
Many people who live with bipolar disorder I or bipolar disorder II find that cognitive behavioral therapy helps them remain productive at work, improves their interpersonal relationships, and enhances their overall quality of life.
According to 2021 research , CBT is a unique type of therapy for treating bipolar disorder. This bipolar disorder treatment option is a flexible approach that’s beneficial across all of the stages seen in the disorder, with the exception of acute mania.
Overall, evidence supports using cognitive behavioral therapy for bipolar disorder because it can help ease bipolar disorder symptoms, improve cooperation with drug treatment protocols, help you recognize developing manic or depressive symptoms and take action to prevent them, and help treat comorbid (additional) conditions.
2. Dialectical Behavioral Therapy (DBT)
DBT is a subtype of cognitive behavioral therapy. It was originally developed to treat people living with borderline personality disorder (BPD) and people who were chronically suicidal. Today, this transdiagnostic modular treatment protocol is the standard for treating various conditions, including eating disorders, post-traumatic stress disorder (PTSD), chronic depression, drug addiction, and bipolar disorder.
Dialectical behavioral therapy is based on four key components:
- Mindfulness
- Distress tolerance
- Emotion regulation
- Interpersonal effectiveness
Research shows mounting evidence that bipolar disorder can cause difficulty with emotion regulation. DBT for bipolar disorder can directly target this symptom, thus making it a likely effective adjunct cognitive therapy modality to help improve emotion regulation.