IPT

Question 1

IPT influences

Answer 1

Adolph Meyer, psychoanalytic approach

Bowlby and Attachment Theory

Question 2

IPT model of depression:

Answer 2

Predisposing factors (e.g., early childhood IP experiences, personality factors, biology, inadequate attachments) place a person at increased risk of developing depression

Current IP/social factors (IP loss or disruption, PLUS inadequate social support) trigger acute depressive symptoms

Question 3

IPT model for psychotherapeutic change:

Answer 3

Early childhood experience and relationships, personality, other distant past factors recognized, but focus is on CURRENT SOCIAL RELATIONSHIPS as an agent for change

Question 4

IPT: Over-arching goals in treatment:

Answer 4

Reduce symptoms of depression
Identify and change dysfunctional social and interpersonal factors that preceded the onset of depression
Facilitate use of existing social support

Question 5

Characteristics of IPT

Answer 5

Time limited (typically 12-16 sessions, gradual tapering)
Focused (usually one specific focus of treatment is chosen)
Present-focused, “here and now”
Interpersonal focus - not intrapsychic or cognitive behavioural
Role of personality is recognized, but not a focus of treatment
Structured (annualized)

Medical Model!

Question 6

Sick Role:

Answer 6

Exemption from usual social expectations and responsibilities
Person acknowledges being sick, needing help, and accepts role of patient, which requires cooperation with treatment

Question 7

IPT Early phase:

Answer 7

• Diagnostic Interview, history family, IP inventory
• Education
• Working alliance
• IP case formulation

Question 8

IPT Middle phase:

Answer 8

Specific Treatment Area

Common techniques (empathy, reassurance)
Communication Analysis and Interpersonal incidents

Question 9

IPT termination:

Answer 9

discussed directly from beginning phase
Assist patient with ending therapeutic relationship
Review progress towards goals

Question 10

IPT problem areas:

Answer 10

Grief
IP role disputes
Role transitions
IP deficiencies/sensitivities

Question 11

IPT: Grief

Answer 11

Grief (typically) related to death of loved one

Facilitation of the mourning process
Re-establish interests and IP relationships

Question 12

IPT: Role Disputes

Answer 12

Conflict

Identify the dispute
Make a plan of action
Address dysfunctional IP communication
Reassess role expectations
Deal with any loss

Question 13

IPT: Role transitions

Answer 13

Life changes that produce new role expectations, perception of loss

Giving up of old role (grief)
Developing the new role

Question 14

Interpersonal Deficits/Sensitivity

Answer 14

Loneliness, history of social isolation, avoidance, inadequate/unsatisfying IP relationships

Decrease social isolation
May be no current relationships for focus, may need to focus on previous relationships, relationship with therapist, and newly developing relationships

Question 15

IPT vs CBT case formulation:

Answer 15

Interpersonal focus

No ‘perpetuating cognitions and consequences’