Interpersonal Psychotherapy

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John C Markowitz - One of the best experts on this subject based on the ideXlab platform.

  • The Guide to Interpersonal Psychotherapy
    Oxford Clinical Psychology, 2017
    Co-Authors: Myrna M. Weissman, John C Markowitz, Gerald L Klerman
    Abstract:

    This book is the definitive and most up-to-date guide to the elements and adaptations of Interpersonal Psychotherapy (IPT) and has been written by its developers and trainers. Researchers who want to adopt or test this evidence-based Psychotherapy treatment or clinicians who want to include it in their practice can use this book as their foundation. While the procedures are presented for adult depression, many adaptations to different populations and settings are discussed: for pregnancy and the postpartum period, adolescents, the elderly, medical patients, and patients with dysthymia, bipolar disorder, substance use disorder, eating disorders, anxiety disorder, trauma, and borderline personality disorder. Throughout, the same four problem areas are used: grief, role disputes, role transitions, and Interpersonal deficits (social isolation). A chapter on cross-cultural adaptations is provided. New formats, training, and research are described. Case examples are included throughout the book to illustrate the methods.

  • The Interpersonal Psychotherapy Platform
    The Guide to Interpersonal Psychotherapy, 2017
    Co-Authors: Myrna M. Weissman, John C Markowitz, Gerald L Klerman
    Abstract:

    This chapter introduces Interpersonal Psychotherapy, covers its increasing popularity, and defines the elements that make it unique. It discusses the extent to which IPT can be adapted for differing treatment populations, diagnostic groups, and treatment formats and still remain effective and authentic. The model described here has been the basis for the research that put IPT on the international map, and significantly altering that model would depart from the evidence base that gives it clinical validity. The techniques of IPT are outlined. Much of the work in IPT involves helping patients to see the relationship between environmental triggers and their symptoms, then encouraging them to find Interpersonal responses to ameliorate the crisis. The chapter reviews the history, theory, and empirical basis of IPT. Highlighted are the extensive research trials that have confirmed the efficacy of this method of treatment.

  • Interpersonal Psychotherapy for PTSD
    Future Directions in Post-Traumatic Stress Disorder, 2015
    Co-Authors: Alexandra Klein Rafaeli, John C Markowitz
    Abstract:

    Interpersonal Psychotherapy (IPT) is a time-limited, evidence-based treatment that focuses on patients’ social and Interpersonal functioning, affect, and current life events. IPT helps patients to explore affective experiences through the lens of the social and the Interpersonal, and offers techniques to help the patient translate feelings into Interpersonal interventions that ameliorate functioning in those domains. IPT has been supported by numerous clinical trials over the last 40 years, and it continues to be applied and adapted across cultures, pathologies, and modalities. Among the many contemporary adaptations, is the use of IPT for posttraumatic stress disorder (PTSD). In this chapter, we will trace the theories that influenced the design, research, and practice of IPT as we describe in more detail the approach and its recent application to PTSD.

  • Another Interpersonal Psychotherapy Milestone.
    American journal of psychotherapy, 2014
    Co-Authors: John C Markowitz
    Abstract:

    As Interpersonal Psychotherapy (IPT) turns 40 years old, this issue of the American Journal of Psychotherapy. Only in the past 10 to 15 years has IPT gained wider acceptance into clinical practice. While we know that IPT works for many patient populations, and its inclusion in numerous clinical treatment guidelines testifies to its treatment utility, we need to know much more about how and why it works. Keep these issues in mind when reading the excellent articles that follow.

  • Interpersonal Psychotherapy for Personality Disorders
    The Oxford Handbook of Personality Disorders, 2012
    Co-Authors: John C Markowitz
    Abstract:

    Interpersonal factors figure importantly in personality disorders. Several Interpersonal psychotherapeutic approaches have been proposed as treatments for personality disorders, although the empirical evidence to support their use ranges from nonexistent to fragmentary. This chapter reviews Interpersonal aspects of personality disorders and Interpersonal psychotherapies for personality disorders, focusing particularly on Interpersonal Psychotherapy as a potential treatment for borderline personality disorder.

Myrna M. Weissman - One of the best experts on this subject based on the ideXlab platform.

  • Interpersonal Psychotherapy: History and Future.
    American journal of psychotherapy, 2019
    Co-Authors: Myrna M. Weissman
    Abstract:

    This review details the history of the development of Interpersonal Psychotherapy (IPT), beginning at Yale University when Dr. Gerald Klerman led a maintenance study of the treatment of depression. The trial aimed to mimic clinical practice and, therefore, included Psychotherapy. This review describes the first IPT clinical trial, subsequent trials, and numerous IPT adaptations for different age groups, formats (group, telephone, computer), disorders, and educational levels of mental health trainees. As of 2017, at least 133 clinical trials of IPT had been carried out worldwide. This review also describes challenges associated with training clinicians to deliver evidence-based Psychotherapy. It concludes with a discussion of future directions for IPT, which include expanding training to community health workers and testing IPT in low- and middle-income countries.

  • The Interpersonal Psychotherapy Platform
    The Guide to Interpersonal Psychotherapy, 2017
    Co-Authors: Myrna M. Weissman, John C Markowitz, Gerald L Klerman
    Abstract:

    This chapter introduces Interpersonal Psychotherapy, covers its increasing popularity, and defines the elements that make it unique. It discusses the extent to which IPT can be adapted for differing treatment populations, diagnostic groups, and treatment formats and still remain effective and authentic. The model described here has been the basis for the research that put IPT on the international map, and significantly altering that model would depart from the evidence base that gives it clinical validity. The techniques of IPT are outlined. Much of the work in IPT involves helping patients to see the relationship between environmental triggers and their symptoms, then encouraging them to find Interpersonal responses to ameliorate the crisis. The chapter reviews the history, theory, and empirical basis of IPT. Highlighted are the extensive research trials that have confirmed the efficacy of this method of treatment.

  • The Guide to Interpersonal Psychotherapy
    Oxford Clinical Psychology, 2017
    Co-Authors: Myrna M. Weissman, John C Markowitz, Gerald L Klerman
    Abstract:

    This book is the definitive and most up-to-date guide to the elements and adaptations of Interpersonal Psychotherapy (IPT) and has been written by its developers and trainers. Researchers who want to adopt or test this evidence-based Psychotherapy treatment or clinicians who want to include it in their practice can use this book as their foundation. While the procedures are presented for adult depression, many adaptations to different populations and settings are discussed: for pregnancy and the postpartum period, adolescents, the elderly, medical patients, and patients with dysthymia, bipolar disorder, substance use disorder, eating disorders, anxiety disorder, trauma, and borderline personality disorder. Throughout, the same four problem areas are used: grief, role disputes, role transitions, and Interpersonal deficits (social isolation). A chapter on cross-cultural adaptations is provided. New formats, training, and research are described. Case examples are included throughout the book to illustrate the methods.

  • Interpersonal Psychotherapy evaluation support triage
    Clinical Psychology & Psychotherapy, 2012
    Co-Authors: Myrna M. Weissman, Helen Verdeli
    Abstract:

    Depression is highly prevalent and debilitating among medically ill patients. As high as one third of the primary practise patients screen positive for depression symptoms and over half of the patients diagnosed with major depressive disorder are treated in primary care. However, current primary care service arrangements do not efficiently triage patients who screen positive for depression into appropriate treatments that reflect their individual needs and preferences. In this paper, we describe a tool that aims to fill the gap between screening the patients for depression and triaging them to appropriate care. This is a three-session adaptation of Interpersonal Psychotherapy: ipt; evaluation, support, triage (IPT-EST). We first outline IPT-EST procedures that aim to provide structure and content to primary care practitioners who identify patients with positive depression symptoms, thus assisting the practitioners to explore the patients' psychosocial triggers of depression, give basic strategies to manage these Interpersonal stressors and provide decisions tools about triaging patients with severe/persistent depression into appropriate treatment.

  • Interpersonal Psychotherapy: Past, Present and Future
    Clinical psychology & psychotherapy, 2012
    Co-Authors: John C Markowitz, Myrna M. Weissman
    Abstract:

    Columbia University College of Physicians andSurgeons, New York State Psychiatric Institute, NewYork, NY, USAThe authors briefly describe the origins, theory, and development of Interpersonal Psychotherapy: itsroots in clinical outcome research, its spread from major depression to other psychiatric disorders andits increasing dissemination as an empirically validated clinical intervention included in treatmentguidelines.Theyattempttoforecastresearch,organizationalandtrainingissuesthegrowingInterpersonalPsychotherapy community may face in the future. Copyright © 2012 John Wiley & Sons, Ltd.Key Practitioner Message:† Multiple randomized controlled trials have shown that IPT effectively treats mood disorders, bulimia,and possibly other disorders in multiple randomized controlled trials.† Time-limited treatment.† Focuses on the relationship between mood and social circumstance.† Improves social functioning while relieving symptoms.† Builds social support, a crucial factor in many psychiatric disorders.Keywords: Interpersonal, Psychotherapy, Diagnosis, Social Support, Life Events, Social Functioning

Scott Stuart - One of the best experts on this subject based on the ideXlab platform.

  • Interpersonal Psychotherapy
    DeckerMed Psychiatry, 2017
    Co-Authors: Ceth Ashen, Scott Stuart, Ann Back-price, Olga Belik-tuller, Anna Brandon, Scott Fairhurst, Aimee Grause, Jessica Schultz, Kaela Stuart-parrigon
    Abstract:

    Interpersonal Psychotherapy (IPT) is an empirically validated treatment for affective, anxiety, and eating disorders. IPT rests on attachment theory and posits that individuals become distressed when they have Interpersonal problems, conceptualized in IPT as transitions, Interpersonal disputes, or grief and loss issues. IPT is short term, with a typical dosing range of six to 20 sessions followed by maintenance treatment to reduce the risk of relapse. Dissemination of IPT has greatly increased over the last decade, with several large-scale efforts in public health settings in the United States and abroad. We review the basics of IPT for depression and anxiety. We also describe its application to groups and adolescents. Recently developed clinical tools that have enhanced the delivery of IPT and have increased fidelity are described. Opportunities for training in IPT are also reviewed. This review contains 10 figures, 1 table, and 71 references. Key words: adolescents, anxiety, depression, grief and loss, group therapy, Interpersonal inventory, Interpersonal Psychotherapy, Interpersonal summary, maintenance Psychotherapy, posttraumatic stress disorder

  • Interpersonal Psychotherapy for postpartum depression.
    Clinical psychology & psychotherapy, 2012
    Co-Authors: Scott Stuart
    Abstract:

    Perinatal depression is prevalent and has a great impact on both mother and infant. There are empirically validated treatments for both postpartum depression and depression during pregnancy. Primary among these is Interpersonal Psychotherapy, which has been shown to be effective for postpartum women across the spectrum from mild to severe depression. At present, Interpersonal Psychotherapy is the best validated treatment for postpartum depression and should be considered first-line treatment, especially for depressed breastfeeding women. Copyright © 2012 John Wiley & Sons, Ltd. Key Practitioner Message IPT is a first-line evidence-based treatment for postpartum depression. IPT can be easily modified for postpartum depression. Partners can be included in IPT for postpartum depression. Group IPT for postpartum depression is effective for depression.

  • A randomized effectiveness trial of Interpersonal Psychotherapy for depressed women with sexual abuse histories.
    Psychiatric services (Washington D.C.), 2011
    Co-Authors: Nancy L. Talbot, Michael W. O'hara, Linda H. Chaudron, Erin A. Ward, Paul R. Duberstein, Yeates Conwell, Scott Stuart
    Abstract:

    Objectives:Many depressed women seen in community mental health centers (CMHCs) have histories of childhood sexual abuse and are economically disadvantaged. Randomized trials are needed to test the effectiveness of evidence-based interventions in this population and setting. This study compared Interpersonal Psychotherapy with usual care Psychotherapy among women in a CMHC. Methods:Among 1,100 women seeking treatment in a CMHC, 230 (21%) had major depression and histories of childhood sexual abuse. Seventy women with major depression and sexual abuse before age 18 were randomly assigned to Interpersonal Psychotherapy (N=37) or usual care Psychotherapy (N=33). Staff clinicians provided all treatments. Participants were assessed at study entry and at ten, 24, and 36 weeks after random assignment. Generalized estimating equations were used to examine change over time. Results:Compared with women assigned to usual care, women who received Interpersonal Psychotherapy had greater reductions in depressive sympto...

  • Interpersonal Psychotherapy for somatizing patients.
    Psychotherapy and psychosomatics, 2006
    Co-Authors: Scott Stuart, Russell Noyes
    Abstract:

    The Interpersonal model is important for understanding somatizing behavior. According to this model, somatizing behavior is a form of Interpersonal communication driven by insecure attachment. Interpersonal Psychotherapy (IPT) is a time-limited, manual-based treatment designed to relieve symptoms and improve Interpersonal functioning. Based on our experience using IPT with somatizing patients, we recommend a series of strategies for its successful implementation. These strategies include an emphasis on the therapeutic alliance within a bilaterally negotiated treatment contract, and aiming for improvement in Interpersonal functioning rather than for alleviation of physical symptoms. Specific techniques include the use of bridging metaphors, communication analysis, and genuine positive reinforcement. With a focus on communication in a time-limited frame, fostered by a strong collaborative relationship, IPT appears to be a promising method of reducing somatizing behavior. We urge further research on the efficacy of this form of therapy.

  • Treating Hypochondriasis with Interpersonal Psychotherapy
    Journal of Contemporary Psychotherapy, 2005
    Co-Authors: Scott Stuart, Russell Noyesjr.
    Abstract:

    The treatment of hypochondriacal patients can be conceptualized as taking one of three approaches. These typically address one of the following questions: 1) “Should the patient be preoccupied?” 2) “Why is the patient preoccupied?” 3) “What are the Interpersonal consequences of being preoccupied?” Interpersonal Psychotherapy (IPT) is specifically designed to address the last of these questions. IPT focuses on understanding the patient’s real distress, exploring the patient’s maladaptive communications, and modifying those communications so that others are more able to meet the patient’s attachment needs. With a focus on communication in a time-limited frame, fostered by a strong collaborative relationship, IPT appears to be an effective method of reducing hypochondriacal behavior.

Paul Bolton - One of the best experts on this subject based on the ideXlab platform.

  • group Interpersonal Psychotherapy for depression in rural uganda 6 month outcomes randomised controlled trial
    British Journal of Psychiatry, 2006
    Co-Authors: Judith K Bass, Myrna M. Weissman, Kathleen F. Clougherty, Richard Neugebauer, Helen Verdeli, Priya Wickramaratne, Lincoln Ndogoni, Liesbeth Speelman, Paul Bolton
    Abstract:

    Background A randomised controlled trial comparing group Interpersonal Psychotherapy with treatment as usual among rural Ugandans meeting symptom and functional impairment criteria for DSM–IV major depressive disorder or sub-threshold disorder showed evidence of effectiveness immediately following the intervention. Aims To assess the long-term effectiveness of this therapy over a subsequent 6-month period. Method A follow-up study of trial participants was conducted in which the primary outcomes were depression diagnosis, depressive symptoms and functional impairment. Results At 6 months, participants receiving the group Interpersonal Psychotherapy had mean depression symptom and functional impairment scores respectively 14.0 points (95% CI 12.2–15.8; P <0.0001) and 5.0 points (95% CI 3.6–6.4; P <0.0001) lower than the control group. Similarly, the rate of major depression among those in the treatment arm (11.7%) was significantly lower than that in the control arm (54.9%) ( P <0.0001). Conclusions Participation in a 16-week group Interpersonal Psychotherapy intervention continued to confer a substantial mental health benefit 6 months after conclusion of the formal intervention.

  • Group Interpersonal Psychotherapy for depression in rural Uganda: 6-Month outcomes: Randomised controlled trial
    The British journal of psychiatry : the journal of mental science, 2006
    Co-Authors: Judith K Bass, Myrna M. Weissman, Kathleen F. Clougherty, Richard Neugebauer, Helen Verdeli, Priya Wickramaratne, Lincoln Ndogoni, Liesbeth Speelman, Paul Bolton
    Abstract:

    Background A randomised controlled trial comparing group Interpersonal Psychotherapy with treatment as usual among rural Ugandans meeting symptom and functional impairment criteria for DSM–IV major depressive disorder or sub-threshold disorder showed evidence of effectiveness immediately following the intervention. Aims To assess the long-term effectiveness of this therapy over a subsequent 6-month period. Method A follow-up study of trial participants was conducted in which the primary outcomes were depression diagnosis, depressive symptoms and functional impairment. Results At 6 months, participants receiving the group Interpersonal Psychotherapy had mean depression symptom and functional impairment scores respectively 14.0 points (95% CI 12.2–15.8; P

Helen Verdeli - One of the best experts on this subject based on the ideXlab platform.

  • Interpersonal Psychotherapy evaluation support triage
    Clinical Psychology & Psychotherapy, 2012
    Co-Authors: Myrna M. Weissman, Helen Verdeli
    Abstract:

    Depression is highly prevalent and debilitating among medically ill patients. As high as one third of the primary practise patients screen positive for depression symptoms and over half of the patients diagnosed with major depressive disorder are treated in primary care. However, current primary care service arrangements do not efficiently triage patients who screen positive for depression into appropriate treatments that reflect their individual needs and preferences. In this paper, we describe a tool that aims to fill the gap between screening the patients for depression and triaging them to appropriate care. This is a three-session adaptation of Interpersonal Psychotherapy: ipt; evaluation, support, triage (IPT-EST). We first outline IPT-EST procedures that aim to provide structure and content to primary care practitioners who identify patients with positive depression symptoms, thus assisting the practitioners to explore the patients' psychosocial triggers of depression, give basic strategies to manage these Interpersonal stressors and provide decisions tools about triaging patients with severe/persistent depression into appropriate treatment.

  • group Interpersonal Psychotherapy for depression in rural uganda 6 month outcomes randomised controlled trial
    British Journal of Psychiatry, 2006
    Co-Authors: Judith K Bass, Myrna M. Weissman, Kathleen F. Clougherty, Richard Neugebauer, Helen Verdeli, Priya Wickramaratne, Lincoln Ndogoni, Liesbeth Speelman, Paul Bolton
    Abstract:

    Background A randomised controlled trial comparing group Interpersonal Psychotherapy with treatment as usual among rural Ugandans meeting symptom and functional impairment criteria for DSM–IV major depressive disorder or sub-threshold disorder showed evidence of effectiveness immediately following the intervention. Aims To assess the long-term effectiveness of this therapy over a subsequent 6-month period. Method A follow-up study of trial participants was conducted in which the primary outcomes were depression diagnosis, depressive symptoms and functional impairment. Results At 6 months, participants receiving the group Interpersonal Psychotherapy had mean depression symptom and functional impairment scores respectively 14.0 points (95% CI 12.2–15.8; P <0.0001) and 5.0 points (95% CI 3.6–6.4; P <0.0001) lower than the control group. Similarly, the rate of major depression among those in the treatment arm (11.7%) was significantly lower than that in the control arm (54.9%) ( P <0.0001). Conclusions Participation in a 16-week group Interpersonal Psychotherapy intervention continued to confer a substantial mental health benefit 6 months after conclusion of the formal intervention.

  • Group Interpersonal Psychotherapy for depression in rural Uganda: 6-Month outcomes: Randomised controlled trial
    The British journal of psychiatry : the journal of mental science, 2006
    Co-Authors: Judith K Bass, Myrna M. Weissman, Kathleen F. Clougherty, Richard Neugebauer, Helen Verdeli, Priya Wickramaratne, Lincoln Ndogoni, Liesbeth Speelman, Paul Bolton
    Abstract:

    Background A randomised controlled trial comparing group Interpersonal Psychotherapy with treatment as usual among rural Ugandans meeting symptom and functional impairment criteria for DSM–IV major depressive disorder or sub-threshold disorder showed evidence of effectiveness immediately following the intervention. Aims To assess the long-term effectiveness of this therapy over a subsequent 6-month period. Method A follow-up study of trial participants was conducted in which the primary outcomes were depression diagnosis, depressive symptoms and functional impairment. Results At 6 months, participants receiving the group Interpersonal Psychotherapy had mean depression symptom and functional impairment scores respectively 14.0 points (95% CI 12.2–15.8; P