Interpersonal psychotherapy IPT – Flashcards

time limited diagnosis targeted pragmatic empirically supported treatment

12-16 weekly sessions limiting time provides hope for depressed patients, belief that their situation can improve quickly.

specific diagnosis with it's symptoms and how symptoms interfere and interact.

A. Here and Now focus. focus on the present and improving the patients situation for the future. past depressive episodes and relationships are reviewed, patterns are identified. treatment focuses on current relationships. B. focuses on interpersonal problems, relationships and functioning C. IPT focuses in the inter-relationship between mood and current life events.Stressful life events can trigger episodes of MDD. D IPT emphasizes eliciting an affect. Therapist helps patient to identify what she is feeling. Validates emotions such as anger and disappointment as normal.

Adolph Meyer Harry Sullivan John Bowlby

stressed the role of interpersonal relationships in the development of mental illness. he stressed the importance of understanding interpersonal relationships to understand assess and treat mental illness. He believed that life events and relationships occurred AFTER early childhood influenced ,this contradicted the current pre-Oedipal psychopathology.

attachment disruption can contribute to the onset of depression. psychiatric disorders result from difficulties forming and maintaining secure attachments.

grief role disputes role transitions interpersonal deficits

therapist facilitates the mourning process, encourages. catharsis, helps client to find new activities. patients with complicated grief or anger, shame, feelings are explored.Therapist validates and normalizes.

Therapist and client explore relationships (conflicts) with significant other in clients life. Depressed clients often have difficulty asserting themselves. Therapist validates, role-plays to resolve dispute.

Therapist helps client to mourn the loss of the old role, and to explore positive and negative aspects of old role. Determine what positive aspects client can retain. ex. a client who lost a job may come tomsee the loss as an opportunity.

used as the focus of IPT when the client reports no recent life events and therefore lacks first (3) options. These patients tend to be socially isolated, have few social supports. goal of treatment is to reduce clients isolation.

a temporary role intended to help the client recognize that she suffers from an illness that compromises a distinct set of symptoms.