Interpersonal and Social Rhythm Therapy is an evidence-based therapy and the gold standard of care for bipolar disorder, though it can be applied to other mood disorders as well (e.g. depression). It was developed by Dr. Ellen Frank PhD (a psychologist) and  Dr. Holly Swartz MD (a psychiatrist) in the psychiatry department at the University of Pittsburgh. Essentially, the premise of this therapy is that individuals with bipolar disorder have more sensitive circadian rhythms (our internal biological clock). When there are small disruptions (travel, daylight savings, work stress) and even bigger stressors (which can be positive!) such as getting married, a promotion, or having a family, it may impact our routines in such a way that mood episodes are more likely to occur. The goal is to create a balanced and structured routine regarding sleep, self-care, exercise, nutrition, and social life, in tandem with work, school, or volunteer work, so that there is stability even when disruptors occur. Another goal is to identify events that are particularly difficult to manage, which often pertain to the social domain with family and friends. It emphasizes the importance of skill building interpersonally such as practicing and asserting boundaries to help people manage the stress that can come with relationships. Ultimately, the goal is to proactively prevent mood episodes and intervene successfully when they do occur.

Dr. Stephanie Freitag PhD is a licensed clinical psychologist based in Brooklyn, New York. She runs her own private practice where she treats patients in seven states (CA, CT, FL, GA, MA, NJ, NY). As a specialist in bipolar disorder, she uses Interpersonal and Social Rhythm Therapy (IPSRT) to support patients in individual and group therapy. She most recently trained at the Emory School of Medicine where she is currently an assistant adjunct faculty member who publishes research on bipolar disorder and intimate partner violence. Beyond her clinical work and research she is passionate about advocacy and believes strongly in fighting the stigma associated with mental illness.