A total of @ adolescents ( mean age , @ years ) with bipolar I or II disorder and a DSM-IV-TR manic , hypomanic , depressive , or mixed episode in the previous @ months were randomly assigned , with family members , either to pharmacotherapy and family-focused treatment , consisting of psychoeducation ( i.e. , recognition and early intervention with prodromal symptoms ) , communication enhancement training , and problem-solving skills training , delivered in @ sessions over @ months ; or to pharmacotherapy and three weekly sessions of enhanced care ( family psychoeducation ) .