Interpersonal Therapy (IPT) Structured & manual based Tx that targets the social & interpersonal context of an individual's illness Focuses on here & now deals with grief, dysfunctional relationships, interpersonal conflicts & role transition Indications MDD BN role dispute & transition Grief & bereavement Social deficits PTSD Length average of 16 sessions (16 wks) Focuses Focuses on one of= → grief or bereavement → role dispute → role transition e.g. from being employed to unemployed → social deficits Key Points IPT's core concept is that interpersonal relationships alone don't cause depression However, depression can develop within an interpersonal context & affects relationships & the roles of people within those relationships places emphasis on a person's relationships helps ptx adapt to life changes, connect with social supports & improve communi- cation focuses on affective exploration of relationships to foster adaptations & connections with supports immediate goals -> rapid symptom relief long-term goals -> enables those with depression to make their own needed adjustment Structure Opening -> Sessions 1-3 → develop with ptx alliance, psychoedu about depression → ptx assigned sick role → collects info & decision making → helps ptx create a list of all key relationships in ptx's life & interpersonal inventory Middle sessions -> Sessions 4-14 → ptx concentrates on trying to improve the chosen area or problem → key techniques= → communication analysis → focuses on feeling + intentions behind canvas → what is said & felt → what did u say? → what did they say? → then what happened? → how did u feel? → Could they tell how you felt? → how do you think that made them feel → how could you have said it differently? → how do you think they would have felt, had you said it differently? → how would you have felt had you said it differently? → role playing → therapist plays role of significant other → ptx & therapist work to develop solutions to the problems & ptx tries to implement the solutions between the sessions 3. Final Sessions → focus on dealing with any sense of loss associated with the end of therapy as well as reviewing the issues that were identified in the interpersonal inventory & the progress made in dealing with them