The limitations of pharmacotherapy and the emergence of data supporting a r
ole for psychosocial factors in the course of bipolar disorder have led to
increased interest in the use of psychosocial interventions to improve outc
omes. Although this area of study has suffered from a lack of systematic da
ta, preliminary evidence suggests that the combined use of psychosocial int
erventions and medication is superior to pharmacologic treatment alone. Fur
ther research is necessary to identify and the psychosocial risk factors as
sociated with bipolar disorder to design effective interventions to diminis
h their effects and improve outcome. The introduction of formal, manual-bas
ed psychotherapeutic interventions that include specific educational compon
ents has been particularly promising.