Research and evidence

What the research says

Bipolar Advantage rests on clinical data, a federal review and twenty years of real-world results. This page sets out what we have so far and what we are working toward.

Pilot study

The Ghaemi pilot study

The Bipolar IN Order program was the subject of an unpublished pilot study led by Dr. Nassir Ghaemi, Professor of Psychiatry at Tufts University School of Medicine. Nineteen participants finished the 8-week program and were measured on the validated WHO Quality of Life scale.

At the start, 42% of participants described themselves as "currently ill"; after the program that fell to 26%. Awareness of state rose by 10 points, comfort during episodes by 13.3 points and functioning by 5 points.

Interest from the bipolar community was strong, and 19 participants completed the whole program.

DomainBeforeAfterChange
Physical Health56.666.4+9.8 points
Social Relationships50.855.9+5.1 points
Psychological Health5759.4+2.4 points
Environment71.973.8+1.9 points

N=19, mean age 44.3, 63% women, 43% type I / 57% type II, 8-week program

“A symptomatic benefit comparable to currently available medication. When added adjunctively to medications, the program also produces quality of life benefits not seen after psychopharmacological treatment alone.”
Ghaemi et al.
Federal review

PCORI grant review

We put a $2 million research proposal to PCORI (Patient-Centered Outcomes Research Institute), one of the major federal funders of research. Its review was thorough and its feedback precise.

Why they declined

At that time the program ran as workshops, which were not standardized enough to repeat reliably in a large study. The reviewers were right. We responded by rebuilding the whole program in digital form, where every interaction is logged, every outcome can be measured and the method can be repeated exactly. The program as it stands today answers each concern PCORI raised.

What reviewers said in our favor

  • “Innovative focus on patient-centered outcomes and functionality vs symptom reduction”
  • “Pilot study shows improvement in 3 of 4 WHO-QOL assessments, demonstrating potential impact”
  • “Addresses a critical gap in current clinical treatment”
  • “Strong patient and stakeholder panel”
Academic interest

Researchers who have endorsed the approach

Researchers and clinicians at leading institutions have endorsed the Bipolar Advantage approach or offered to work with us on validation studies.

Dr. Nassir Ghaemi

Tufts University
Mood disorders, psychopharmacology

Prof. Jim van Os

Maastricht / Utrecht University (Netherlands)
Recovery-oriented psychiatry, dimensional models

Dr. Eduard Vieta

University of Barcelona (Spain)
Bipolar disorder research (one of the most cited in the field)

Dr. Sabine Bahn

University of Cambridge (UK)
Biomarkers, mood disorders

Dr. Hilary Blumberg

Yale School of Medicine
Mood Disorders Research Program Director

Dr. Stephen Hinshaw

UC Berkeley
Dept of Psychology, Chair

Medical directors at Blue Cross Blue Shield wrote letters of support for the program in 2014.

For partners

Why organizations trust the program

You build a personal picture of your environments, behaviors, comfort zones and tools, and that picture becomes a self-management system made for you. It works alongside your doctor and therapist, never in place of medication or therapy.

Researchers, clinicians and organizations who want to evaluate the Bipolar Advantage model are welcome to talk with us. Contact us to discuss collaboration opportunities.

Ready to begin?

Helping people with bipolar create better outcomes since 2003.

Join the Program →