In the past decade, several excellent manuals have been developed that describe psychological interventions for people with bipolar disorder. A number of key themes are commonly described in these interventions with people experiencing bipolar disorder across the lifespan. However, young people following a first manic episode present with some increased and unique challenges and opportunities which require modification to existing models. For this reason, a psychological intervention manual, specifically targeted to a young, first episode bipolar population, was developed and piloted at the Early Psychosis Prevention and Intervention Centre (EPPIC) in Melbourne, Australia. Young people who participated in the manualised psychological intervention were matched with control participants across some key outcome variables. This paper will describe significant aspects of this intervention, and will report on outcomes from a pilot study of its effectiveness, noting both symptomatic and functional outcomes.