Inpatient treatment for mania: A review and rationale for adjunctive interventions.

Research paper by Marie M Crowe, Richard R Porter

Indexed on: 27 Jun '14Published on: 27 Jun '14Published in: Australian and New Zealand Journal of Psychiatry


To examine the evidence for adjunctive non-pharmacological interventions in the treatment of mania in an acute inpatient setting.A selective review of original and review papers was conducted. The electronic databases PsycINFO and PubMed were searched using the following MeSH terms: mania, mania treatment and inpatient.Four studies were identified in the search for non-psychopharmacological interventions for mania that commenced in an inpatient setting: Interpersonal and Social Rhythm Therapy (IPSRT), Group Cognitive Behavioural Therapy (G-CBT), sensory room, and dark room therapy. Only two of these were designed exclusively for patients with bipolar disorder and the other two included these patients in a heterogeneous group of acute psychiatric inpatients.Sleep and circadian regulation (Social Rhythm Therapy) that focuses on the establishment and maintenance of regular daily rhythms, particularly in relation to sleep-wake times, meal times and socialization, provides a potentially useful model for managing mania in the inpatient setting. However, there is an urgent need for further research into the effective treatment of mania.