Self-Reported Participation in Nonpharmacologic Treatments for Bipolar Disorder

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Sir: Interest in and use of complementary therapies have grown rapidly in recent years1 despite a lack of controlled research data on safety and efficacy of these treatments. Patients with psychiatric conditions may utilize complementary and alternative therapies at higher rates than those in the general population.2 Fatigue, headaches, insomnia, depression, and anxiety are the most common reasons cited for seeking alternative treatments.1,3 In this letter, we report a study of the use of nonpharmacologic treatments, including complementary and alternative therapies, utilized by patients with bipolar disorder.