Version May 2024
| Technique | Strategy | Comment |
| Assess treatment progress and reinforce treatment gains | Review serial scores on standardized, self-report depression rating instrument and gains made in interpersonal problem area over the course of therapy. | Highlight treatment gains, which are usually considerable, and acknowledge residual symptoms. |
| Discuss remaining treatment needs and options | Evaluate need for ongoing psychotherapy, augmentation with other treatment modalities such as pharmacotherapy, or change of treatment strategies. | Consider ongoing, monthly, maintenance IPT to consolidate and preserve treatment gains. |
| Anticipate future vulnerability to recurrence of depression | Revisit the link between one's current life events and depression, to help the patient identify periods of risk and strategies to prevent recurrence of symptoms. | Establish a plan for seeking treatment in the future if depression recurs, ie, recontact the clinician or contact the primary care physician. |
| Discuss feelings associated with termination | Normalize feelings of sadness and loss arising at the end of psychotherapy, and differentiate these feelings from symptoms of depression. | Probe for feelings associated with termination even if patient does not spontaneously volunteer them. |
| Blame the therapy—and not the patient—for incomplete remission | If therapy has failed to bring about complete resolution of the depressive episode, blame the therapy and not the patient. | The clinician should remain optimistic, and encourage the patient to continue treatment of the depressive episode. The availability of numerous pharmacotherapy and psychotherapy options should be emphasized. |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
