Social and psychological support adjunctive to lithium therapy: a critical review.

As lithium therapy becomes more and more widely used for the treatment and control of recurrent mania and depression, the question of whether or not therapeutic outcome may be enhanced by the provision of supportive psychotherapy or other adjunctive social measures has gained in importance. Reports of psychological and social support given to patients receiving lithium therapy are reviewed critically and the question is raised as to the economics of providing such non-pharmacological back-up as a routine concomitant of lithium therapy. Some consideration is given to the psychological mechanisms that are likely to be associated with lithium therapy procedures and that might be exploited by the psychotherapist.