Technique | Strategy | Comment |
Diagnose major depression | Conduct psychiatric interview, including current and past psychiatric symptoms, prior treatment history, medical history, and family psychiatric history. | Diagnosis is essential to prescribing appropriate treatment. This information is also used to select the IPT problem area. |
Give the sick role | Assign the patient a temporary social role that relieves him of his usual social obligations because of his medical condition (depression), while requiring him to focus on obligations associated with treatment. | The concept of the sick role follows from the medical model in which depression is likened to other medical illness such as diabetes and asthma. |
Take an interpersonal inventory | Evaluate important interpersonal relationships and recent significant changes that have occurred in these relationships and in psychosocial functioning. | The clinician focuses on the quality of current interpersonal relationships and recent changes in the patient's life. |
Establish a depression timeline | Establish the time of onset of current depressive episode (or exacerbation of depressive symptoms) and temporal relationship between changes in mood and changes in interpersonal functioning. | Identifying the temporal relationship between current mood symptoms and onset of interpersonal problem will enable clinician to select a relevant treatment focus. |
Select an interpersonal problem area and formulate the case | Propose a treatment focus (interpersonal problem area) that links current mood symptoms to affectively meaningful change in life circumstances. | Patient must agree to treatment focus; if there is disagreement, clinician revises the treatment formulation. |
Provide hope | Maintain optimism. | Providing hope is a nonspecific therapeutic factor that is common across different psychotherapies. |
Discuss the treatment contract | Negotiate treatment logistics including number of sessions, meeting times, fees, and procedures for managing issues that occur between sessions. | The time-limited nature of acute IPT requires that treatment duration be specified from the outset. |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟