Which of the following is a recommended psychotherapy approach for bipolar disorder?

• A. Psychotherapy including cognitive, behavioral, and interpersonal approaches
• B. Only pharmacotherapy
• C. Electroconvulsive therapy as first-line
• D. Herbal supplements only

Answer: (A)

This question tests how bipolar disorder is best treated in the real world: use a combination of medicine to stabilize mood and psychotherapy to support daily functioning, adherence, and relapse prevention. Psychotherapy that blends cognitive techniques, behavioral strategies, and interpersonal approaches helps patients recognize early signs of mood shifts, manage sleep and daily routines, and improve relationships and social support. This multidimensional approach complements pharmacotherapy (the cornerstone for mood stabilization) and has the strongest evidence for improving long-term outcomes, reducing relapses, and helping people function better in daily life. Relying only on medications omits the skills and support that psychotherapy provides; using electroconvulsive therapy as first-line isn't typical for routine management and is reserved for specific severe or treatment-resistant cases; relying on herbal supplements alone lacks robust evidence and isn’t a substitute for proven treatments.