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Chapter 30. Interpersonal Psychotherapy

John C. Markowitz, M.D.
DOI: 10.1176/appi.books.9781585623402.301864

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Interpersonal psychotherapy (IPT) is a time-limited treatment developed in the 1970s for adult outpatients with major depression by the late Gerald L. Klerman, M.D., and Myrna M. Weissman, Ph.D. IPT is well known as a research intervention, having been tested in numerous randomized, controlled clinical trials. In recent years it has begun to spread into clinical practice. In this chapter I review the research-defined indications and outline the general conduct of this relatively simple yet potent psychotherapy.

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TABLE 30–1. Premises and goals of interpersonal therapy
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TABLE 30–2. Theoretical and empirical sources of interpersonal psychotherapy
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TABLE 30–3. Phases of interpersonal psychotherapy (IPT)
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TABLE 30–4. Interpersonal psychotherapy problem areas
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TABLE 30–5. Empirically based indications for interpersonal psychotherapy
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TABLE 30–6. Prescribing interpersonal therapy (IPT) and cognitive-behavioral therapy (CBT)
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The interpersonal environment affects psychopathology, and vice versa.

Depression (and other psychiatric diagnoses) can be usefully defined to the patient as a medical illness.

Solving interpersonal problems builds social skills and relieves symptoms.

A time limit intensifies treatment.

IPT should be considered a first-line treatment for acute treatment of major depressive disorder and prevention of relapse.

Sharing its medical model, IPT can be neatly combined with pharmacotherapy.

References

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1.
Initially developed as a treatment for major depressive disorders, interpersonal psychotherapy (IPT) has been modified and applied to other psychiatric disorders. IPT is not currently considered an effective psychotherapy model for which of the following disorders?
2.
Which of the following statements regarding the basic principles of interpersonal psychotherapy (IPT) is false?
3.
Which of the following is not one of the four interpersonal problem areas emphasized in the interpersonal psychotherapy (IPT) model?
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