Getting to wellness: The potential of the athletic model of marginal gains for the treatment of bipolar disorder:

Objective:People with bipolar disorder frequently have persistent symptoms, continued problems functioning and comorbid medical conditions. We propose applying the athletic coaching concept of marginal gains to help patients address these challenges to achieve wellness.Method:We review the concept of marginal gains and potential interventions to improve long-term outcomes for bipolar patients.Results:Evidence exists to help bipolar patients with diet and exercise, gradual behavioral change, mobile applications and peer support.Conclusion:Marginal gains, small and doable improvements across a broad range of areas, have great potential to improve the lives of people with bipolar disorder.