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Letters to the Editor |

Is Psychosocial Management Effective?—Reply

David J. Miklowitz, PhD; Michael W. Otto, PhD; Ellen Frank, PhD; Noreen A. Reilly-Harrington, PhD; Stephen R. Wisniewski, PhD; Jane N. Kogan, PhD; Andrew A. Nierenberg, MD; Joseph R. Calabrese, MD; Lauren B. Marangell, MD; Laszlo Gyulai, MD; Mako Araga, MS; Jodi M. Gonzalez, PhD; Edwin R. Shirley, PhD; Michael E. Thase, MD; Gary S. Sachs, MD
Arch Gen Psychiatry. 2007;64(12):1452-1453. doi:10.1001/archpsyc.64.12.1452.
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We appreciate the comments by Drs Saddichha and Kumar. The Canadian treatment guidelines they cited1 did not conclude that CBT was ineffective for bipolar disorder. In fact, the guidelines cite several single-center studies that found positive evidence for CBT in relapse prevention2,3 and 1 multicenter trial that observed prophylaxis, although only among patients with fewer than 12 prior episodes.4


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