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Review
. 2019 Mar 2;21(3):14.
doi: 10.1007/s11920-019-1001-8.

Treating Circadian Rhythm Disruption in Bipolar Disorder

Alexandra K Gold  1 , Gustavo Kinrys  2   3
Affiliations
Review

Treating Circadian Rhythm Disruption in Bipolar Disorder

Alexandra K Gold et al. Curr Psychiatry Rep. .

Abstract

Purpose of review: Disruptions in circadian rhythms are believed to underlie the illness course of bipolar disorder (BD). This review evaluates recent studies on the treatment of circadian dysfunction in BD.

Recent findings: Targeted social rhythm therapy may be useful for bipolar depression though some studies suggest that a non-targeted psychosocial or pharmacological intervention may be just as efficacious. Lithium holds potential for addressing circadian dysfunction in BD. Blue-blocking therapy may be useful for mania and midday bright light therapy may relieve depression.

Conclusions: Psychosocial, pharmacological, and light-based approaches are promising avenues for treating circadian dysfunction in BD.

Keywords: Bipolar disorder; Circadian rhythms; Light therapy; Social rhythm therapy.

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