SOWO 753
Summer 2013
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
SCHOOL OF SOCIAL WORK
Course Number: SOWO 753
Course Title: Interpersonal Psychotherapy
Semester and Year: Summer 2013
Instructor: Betsy (Sarah E.) Bledsoe-Mansori
Office Hours: by appointment
E-mail: bledsoe@email.unc.edu
Telephone: 919-843-6543
Course Description: This practice course focuses on interpersonal psychotherapy, an empiricallysupported intervention for depression in adolescents and adults. Adaptations for other mental health
disorders are discussed.
Course Objectives:
At the conclusion of this course, students will:
1. Understand the historical and theoretical context of interpersonal psychotherapy (IPT)
for depression and the epidemiology and diagnosis of depression framed in the context
of social work values and ethics.
2. Be able to apply interpersonal psychotherapy for the treatment of depression consisting
of:
 initial sessions including the interpersonal inventory, identification of
interpersonal problem area and case formulation,
 middle session focused on the four interpersonal problem areas: grief,
interpersonal disputes, role transitions, and interpersonal deficits, and
 termination of both successful and unsuccessful treatment
3. Demonstrate an ability to apply IPT therapeutic techniques
4. Understand the therapist’s role in IPT and be able to identify and respond to common
therapeutic issues and patient questions
5. Have knowledge of the empirical evidence related to IPT for mood and non-mood
disorders
6. Be familiar with the application of IPT with diverse populations as well as adaptations of
IPT for intervention with mental health diagnoses including adaptations for other mood
disorders and non-mood disorders.
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EXPANDED DESCRIPTION:
This course is an advanced practice course that builds on required foundation HBSE and direct
practice courses. It is designed to increase students’ competencies in both assessment and
intervention using IPT, an empirically supported psychotherapy. IPT was originally developed as an
outpatient treatment for adults with major depression and its value has been supported with
numerous clinical trials. IPT has since been adapted to treat other mental health disorders.
Clinicians interested in learning IPT generally begin with didactic work and supervision in the
application of IPT for the treatment of major depression in adults, as IPT was developed for use
with psychiatric disorder in this population. Therefore, the focus of the course will be on the use of
IPT to treat major depression in adults. Adaptations of IPT for the treatment of depression in
specific populations and other mood and non-mood psychiatric diagnoses – including empirical
evidence regarding the value of each adaptation - will be presented but will not be reviewed in detail
given the time limitations of this course. Empirical evidence to date does not support the use of IPT
outside of the treatment and prevention of psychiatric disorders and symptoms. However, given the
prevalence of major depression alone, it is likely that any social worker directly serving individuals or
families will encounter clients who may benefit from their knowledge of IPT.
By the end of the course, students will be more confident in their ability to assess, articulate a case
formulation and provide treatment for clients with major depression using IPT. Advanced practice
skills that will be addressed throughout the course include psychoeducation, contracting, conducting
an interpersonal inventory, exploratory techniques, encouragement of affect, clarification,
communication analysis, use of the therapeutic role, behavioral change techniques, and handling
non-response to treatment. Case material and experiential exercises will be used to increase students’
practice skills. Students will also become familiar with empirical evidence on the use of IPT with
specific disorders and populations to support evidence-based practice. While IPT is an empirically
supported intervention for major depression and has been adapted for treatment of other psychiatric
disorders, there are certain cases where IPT may not be indicated based on empirical studies.
REQUIRED TEXT:
Weissman, M.M., Markowitz, J.C., & Klerman, G.L. (2000). Comprehensive Guide to Interpersonal
Psychotherapy. New York: Basic Books.
The required text is available in the UNC Bookstore.
Additional required readings for this course can be obtained via the course website or the
UNC electronic library.
RELATED READINGS:
See attached bibliography.
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Summer 2013
TEACHING METHODS:
This course will involve interactive class discussion, role playing, individual and group supervision,
video clips, and student case presentations. These teaching strategies will be used to help students
master the theoretical approaches and necessary skills needed to treat adult and adolescent clients
with major depression using IPT. It is expected that each student will be actively involved in this
course; thus, active participation in class discussion, role-play, and case presentation is mandatory.
CLASS ASSIGNMENTS
All class assignments, with the exception of the final assignment, are due at the beginning of class
and should be turned in both electronically prior to the beginning of class (using the blackboard
class web-site) and in hard copy to the instructor at the beginning of the class session on the day the
assignment is due. If you are unable to be in class on the day an assignment is due you should make
arrangements with a classmate to turn in a hard copy of your assignment. The final assignment
should be turned in both electronically and in hard copy (in the instructor’s mail box, 1st Floor,
School of Social Work, TTK), no later than 5pm on the Friday following the last class.
Please carefully read all assignment descriptions and review the grading rubrics posted on the class
website prior to completeing each assignment. If you have questions about any assignment you
should contact the instructor prior to 5pm on the week day before the assignment is due.
In order to be as objective as possible in my grading of your assignments,
use your student PID number. DO NOT USE YOUR NAME.
Assignment 1. Brief Case Description (10% of Course Grade) Due July 3:
For this 1-2 page assignment you will provide a basic, written description of a client case that you
will be role playing (as the patient) across the course. This brief description should contain
information that you might expect in a good referral – basic demographic information, known
health history, prominent symptoms, and a short summary of the presenting problem. You should
use a client case where the individual is at least 13 years of age and has a primary diagnosis of major
depression. You should choose a client case where the presenting problem associated with the onset
of the current episode of major depression can be framed in an interpersonal context – as either a
role transition, complicated bereavement, or a role dispute. You should not provide your role play
partner with a case formulation. However, there should be a clear interpersonal event that is
associated with the onset of the current episode of major depression. It will be up to your role-play
partner, who will be role playing the therapist, to determine the case formulation in collaboration
with the client case that you summarize for this assignment and that you will role play. While you
will not be the therapist in the role play, you will have an opportunity to see how another therapist
applies IPT to the client you are role playing.
If you are role playing a current or past client (this is recommended), issues of confidentiality must
be respected. For learning purposes, all students will be expected to describe a case where major
depression is the primary diagnosis though you may choose a client case with comorbid diagnoses.
However, you should not choose a case with current comorbid substance abuse or dependence,
psychotic disorder, or mania as these psychiatric illnesses are not appropriate for basic IPT.
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Please e-mail this assignment to the instructor and your role-play partner prior to class two. Please
bring 2 copies of this assignment to class 2. One copy will be turned in to the instructor. The second
copy will be given to your role-play partner to assist that student in completing assignment two.
Assignment 2. Case Formulation Assignment (30% of Course Grade) Due Class 3:
Case formulation using an interpersonal model in the initial (1-3) sessions of treatment is paramount
to the treatment of major depression using IPT. For this assignment students will demonstrate the
ability to formulate a client case with a primary diagnosis of major depression using IPT. This
formulation should be based on either the role play completed in class or a current client case
example from your practice.
*If you plan to use a current client case to complete this and subsequent assignment then you should
describe that client case in assignment one. Please plan on role playing your current client case for
your partner. You should role play the client that you are treating. This will give you an opportunity
to see how your partner would approach this case using IPT. In the event that your client
discontinues services, you can continue to write your assignments based on the case your partner is
role playing from his/her practice experience. This is the case you will role play in class as the
therapist. Since this will be a different case, you will need to inform the instructor that you will be
switching clients and the reason for the change.
If you are using a current or past client case, issues of confidentiality must be respected.
The written assignment will include a discussion of dealing with depression (diagnosis, explanation
of diagnosis and treatment, using the ‘sick role’), relating depression to the interpersonal context
(interpersonal inventory, identification of major problem areas) and presenting the IPT case
formulation and contract. The contract should include the number of agreed upon sessions and an
initial plan for termination. This paper should be written in the format of a case note (an example
will be posted on the class website) and should be approximately 4-8 pages long, double-spaced and
in 12-point font with 1 inch margins. Your case will be the foundation for your remaining
assignments in this course.
Please include a copy of the brief case description when you turn in this assignment. If any sources
outside of class reading (either assigned or optional) are used, these should be cited and referenced
these sources using APA formatting.
Assignment 3: Clinical Intervention Assignment (30% of Course Grade): Weekly Case
Notes. Weekly Case Notes 1 & 2 are due no later than the beginning of class 4 & 5. Final
case note (3) with reflection and questions is due the Monday following class 5 by 5pm.
This assignment is designed to give you an opportunity to demonstrate competency in the
application of IPT. It should include a description of the application of IPT with either the client
case in which you are role playing the therapist in class or current client case from your practice. If
you use a current client then you should be role playing, as the client, that case in class.
If you use a current or past client case, issues of confidentiality must be respected.
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Summer 2013
This assignment builds on assignments one and two. Case notes 1 & 2 should describe two middle
sessions of treatment using IPT and case note 3 should describe a termination session using IPT.
The application of specific IPT techniques appropriate to each phase of treatment should be
apparent and overtly described in the case notes. Application should reflect a culturally acceptable
approach to treatment.
Because the time limitations of the course do not allow for completion of IPT treatment (12-16
sessions), students using IPT with a current client case may focus on the treatment to date and, in
the final case note, present a plan for future sessions including termination. Students using the inclass role play to complete this assignment may use the strategy above and jump foreward in
treatment for the termination session. This may require discussion between you and your role-play
partner. It is important to have an opportunity to practice the skills of termination – whether your
client has achieved remission, recovery, or requires ongoing treatment for major depression.
Students are encouraged to turn in case not assignments as early as possible. Having feedback from
the prior class’s case note should enhance your learning experience in the current class’s role play.
To receive feedback prior to the next class, you will need to submit your case notes earlier than the
assignment due date. Student’s who submit case notes by Friday at 5pm will receive feedback prior
to the next class. Other notes will be graded in the order they are received and feedback prior to the
next class can not be guaranteed.
Notes are considered late if they are not submitted by the beginning of class. An electronic copy will
be sufficient for notes submitted early. Please e-mail early submission directly to the instructor:
bledsoe@email.unc.edu.
Each case note should be approximately 2-4 pages typed, double spaced. The final case note, due
Monday by 5pm following our final class, should include a detailed plan for termination and a brief
reflection of your experience with the application of IPT including any challenges, remaining
questions, or reflections on how you might have handled the case differently. The termination plan
and reflection should be approximately 2-4 pages typed, double spaced –making the final case note
approximately 4-8 pages in length. Please use 12-point font and 1 inch margins. If any sources
outside of class readings (either assigned or optional) is used it should be cited and referenced using
APA formatting.
Assignment 4: Class Attendance and Participation (30% of Course Grade):
As this course is designed, participation in class activities is essential for learning course material and
completing assignments and is therefore required. Attendance and participation in discussion, role
play, group work, and case presentation is mandatory. To recognize the importance of attendance
and participation in this course and the commitment expected from students, attendance and active
participation will be counted as 30% of the course grade. 94-100 (H) is assigned to those students
who have attended all classes and have been regular and active participants in discussion and in
presenting past or current case scenarios. 80-93 (P) is for students who have missed one class but
who regularly and actively participate or for students who have attended all classes but do not fully
participate in class discussion and case conference on a regular basis. 70-80 is for students who do
not participate actively in class and have missed one class. Under 70 means that the student has: 1)
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missed two or more classes; 2) that a student has demonstrated through class discussion and
activities that s/he has not done the readings to prepare for class; or 3) for a student who actively
disengages from class activities. Points will be deducted accordingly from your class participation
grade proportional to the % of class missed, this includes leaving class early and coming late to class.
It is impossible to participate in classes where you are not present. However, emergencies and
illnesses do not always cooperate. Please let the instructor know if you believe your absence should
be excused. If the instructor approves and excused absence and the student makes promp
arrangements with his/her role-play partner to make up the missed role-play, only 50% of
participation points will be deducted.
Attendance and Participation
Attendance at all class sessions is expected; it is important to be on time so as not to disrupt class or
miss material. We will be covering a great deal of information in each class. If you will not be able to
attend a class, let the instructor know as soon as possible. It is your responsibility to obtain
handouts, information about class content, and information about announcements, etc., from your
classmates if you are unable to attend a class. Role play and supervision are an important and
essential part of this course.
Therefore, students with one absence will receive an “L” unless they have made prior
arrangements with the instructor and their role play partner (except in the event where the
absence is excused). Students with more than two or more absences will receive an “F”. In
the event that the two or more absences are the result of an emergency and excused, the
instructor will work with the student to explore alternatives to receiving an “F” in the class.
In order to fully participate in and benefit from each class, students must complete required readings
and come to class prepared to discuss and apply those reading to case examples. If an emergency
arises, please contact the instructor and your role play partner as soon as possible to make
arrangements to make up materials and role play assignments.
Grading System
H = 94 and above
P = 80 to 93
L = 70 to 79
F = 69 and below
Late Assignments
Late assignments are strongly discouraged. To obtain permission to submit an assignment after
the deadline, the student must receive approval from the instructor before the assignment is due.
If permission for late submission of an assignment is not granted before breaking a
deadline, the grade will automatically be reduced 10%. An additional 10% reduction will
occur for each day the assignment is late, including weekends, until the assignment is
received or the assignment is 10 days late at which point the grade assigned will be 0.
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In case of an emergency, a late paper may be accepted without penalty at the discretion of the
instructor. However, the student must alert the instructor to the emergency within a reasonable time
period and negotiate a new due date with the instructor in order for any late penalty to be waived.
Avoid having last minute computer failures prevent you from turning papers in on time. Plan ahead!
Keep backups of your assignment. Don’t rely on having computers, printers, servers, and email
programs working perfectly just before assignments are due.
Cell Phone Policy
Cell phones can be disruption to the learning process. Most students are expected to turn off their
cell phones or silence ringing and vibrating during class. Students who are on-call or have
personal/family responsibilities that necessitate having access to a cell phone are asked to adjust cellphones or pagers to low vibrate and to be respectful of other students. If you must answer a page or
call during class, please stp out of the classroom PRIOR to answering or returning the call.
Policy on Academic Dishonesty
Please refer to the APA Style Guide, The SSW Manual, and the SSW Writing Guide for information
on attribution of quotes, plagiarism and appropriate use of assistance in preparing assignments.
All written assignments should contain a signed pledge from you stating that, "I have not given or
received unauthorized aid in preparing this written work". In keeping with the UNC Honor Code, if
reason exists to believe that academic dishonesty has occurred, a referral will be made to the Office
of the Student Attorney General for investigation and further action as required.
Policy on Accommodations for Students with Disabilities:
Students with disabilities which affect their participation in the course must notify the instructor if
they wish to have special accommodations in instructional format, examination format, etc.
APA Formatting
Unlike many of your courses, assignments do not need to follow APA formatting as we will be
turning in ‘case’ notes from our in class role plays and reflections on using IPT. However, it is an
expectation of this course that you will correctly cite any material NOT included in the course
syllabus following the most recent edition of the APA manual. You should include a reference list at
the end of your assignment if you choose to use outside materials to support your work. If you are
not familiar with this style, please refer to the manual, the study guide on the School’s Writing
Resources Page: http://ssw.unc.edu/students/writing.
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COURSE OUTLINE
Module 1:
Module 2:
Module 3:
Module 4:
Module 5:
Module 6:
Module 7:
Introductions, Course Overview, Introduction to Interpersonal Psychotherapy
Initial Sessions: Beginning Tasks of IPT
Middle Sessions: Focal Goals and Strategies - Grief (Complicated Bereavement) &
Interpersonal Disputes
Middle Sessions: Focal Goals and Strategies - Role Transitions & Interpersonal
Deficits
Specific Techniques and Common Problems
Tasks of Termination in IPT
Adaptations of IPT
CLASS 1
Module 1: Introduction, Course Overview & Introduction to IPT
1. Introductions
2. Course overview
3. Historical context and empirical evidence supporting IPT for major depression
4. Epidemiology and morbidity of major depression
5. What is IPT?
6. Interpersonal theoretical groundwork
7. Assessment for diagnosis of major depression
Assigned Reading:
Weissman, Overview of IPT (pp. 1-18).
Weissman, Chapter 2, An Outline of IPT (pp. 19-26).
Optional Reading:
Weissman, Chapter 10, Efficacy Data for Acute Treatment of Major Depression (pp. 163-172).
Module 2: Initial Sessions: Beginning Tasks of IPT
1. Dealing with depression
2. Using the sick role
3. Conducting an interpersonal inventory
4. Choosing an interpersonal focus (problem area)
5. Contract and interpersonal case formulation
Assigned Reading:
Weissman, Chapter 2, The Initial Phase (pp. 27-60).
Markowitz, J.C. & Swartz, H.A. (1997). Case formulation in interpersonal psychotherapy of
depression. In T.D. Eels (Ed.) Handbook of psychotherapy case formulation (p.p. 192-222). New
York: Guilford.
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CLASS 2
ASSIGNMENT 1: DUE AT THE BEGINNING OF CLASS.
Module 3: Middle Sessions: Focal Goals and Strategies - Grief (Complicated Bereavement)
& Interpersonal Disputes
1. Tasks of the middle sessions
2. Strategies and techniques for facilitating change
3. Grief (complicated bereavement) – goals and strategies
4. Interpersonal disputes – goals and strategies
Assigned Reading:
Weissman, Chapter 3, Greif (Complicated Bereavement) (pp. 61-74).
Weissman, Chapter 4, Interpersonal Role Disputes (pp. 75-88).
Optional Reading:
Shear, K., Gorscak, B. & Simon, N. (2006). Treatment of complicated grief following violent death.
In E.K. Rynearson (Ed.), Violent Death: Resilience and Intervention Beyond Crisis (pp. 157-174).
New York: Routlege, Taylor & Francis Group.
CLASS 3
ASSIGNMENT 2: CASE FORMULATION DUE AT THE BEGINNING OF CLASS
Module 4: Middle Sessions: Focal Goals and Strategies - Role Transitions & Interpersonal
Deficits
1. Role transitions – goals and strategies
2. Interpersonal deficits – goals and strategies
Assigned Reading:
Weissman, Chapter 5, Role Transitions (pp. 89-102).
Weissman, Chapter 4, Interpersonal Deficits (pp. 103-117).
Optional Reading:
Weissman, Chapter 12, IPT for Dysthymic Disorder (IPT-D) (pp. 185-194).
CLASS 4
CASE NOTE 1 DUE AT THE BEGINNING OF CLASS
MODULE 5: Specific Techniques and Common Problems
1. Exploratory techniques
2. Encouragement of affect
3. Clarification
4. Communication analysis
5. Use of therapeutic relationship
6. Behavior change techniques
7. Anticipating and handling common problems
8. Adherence and common client concerns
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Assigned Reading:
Weissman, Chapter 8, Specific Techniques (pp. 123-138).
Weissman, Chapter 9, Common Problems (pp. 139-162).
Weissman, Appendix A: An Integrative Case Example (pp. 403-434).
CLASS 5
CASE NOTE 2 DUE AT THE BEGINNING OF CLASS
Module 6: Tasks of Termination in IPT
1. Tasks of termination
2. Difficulties with termination
3. Indications for long-term treatment
4. Maintenance IPT
Assigned Reading:
Weissman, Chapter 7, Termination of Treatment (pp. 117-122).
Optional Reading:
Spanier, C. & Frank, E. (1998). Maintenance interpersonal Psychotherapy: A preventive treatment
for depression. In J.C. Markowitz (Ed.), Interpersonal Psychotherapy (pp. 67-98). Washington,
DC: American Psychiatric Press.
MODULE 7: Adaptations of IPT
1. Interpersonal psychotherapy for depressed adolescents
2. Adaptations of IPT for specific populations and other mood and non-mood mental health
diagnoses
3. Wrap up and evaluations
Assigned Reading:
Weissman, M.M., Markowitz, J.C., & Klerman, G.L. (2007). Clinicians Quick Guide to Interpersonal
Psychotherapy. Section II: Adaptations of IPT for Mood Disorders (pp. 87-128) & Section III:
Adaptations of IPT for Non-Mood Disorders (pp. 129-148). New York: Oxford University
Press.
Optional Reading:
Mufson, L. & Moreau. (1998). Interpersonal Psychotherapy for Adolescent Depression. In J.C.
Markowitz (Ed.), Interpersonal Psychotherapy (pp. 35-66). Washington, DC: American
Psychiatric Press.
Mufson, L., Doreta, K.P., Moreau, D. & Weissman, M.M. (2004). Interpersonal Psychotherapy for
Depressed Adolescents (2nd Ed). Chapter 20: A comprehensive description of an IPT-A case
(pp. 251-278).
MONDAY FOLLOWING CLASS 5: CASE NOTE 3 AND REFLECTION DUE BY 5PM
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BIBLIOGRAPHY:
American Psychiatric Association (2000) Diagnostic and Statistical Manual IV-TR. Washington, D.C.:
Author.
INTRODUCTORY WORKS:
Cutler, Janice L., Goldyne, Adam, Markowitz, John C., Devlin, Michael J., & Glick, Robert A. 2004.
Comparing cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy.
American Journal of Psychiatry, 161(9), 1567-1573.
Markowitz, John C., Svartberg, Martin, & Swartz, H.A. (1998). Is IPT time-limited psychodynamic
psychotherapy? Journal of Psychotherapy Practice and Research, 7, 185-195.
Ravitz, Paula. 2004. The interpersonal fulcrum - interpersonal therapy for treatment of depression.
Canadian Journal of Psychiatry Bulletin, February, 15-19.
Stuart, Scott. 2006. Interpersonal psychotherapy: A guide to the basics. Psychiatric Annals, 35, 542549.
Weissman, Myrna M. 2006. A brief history of Interpersonal Psychotherapy. Psychiatric Annals, 36,
553-537.
REFERENCE WORKS
Klerman, Gerald L. & Weissman, Myrna M. 1993. New applications of interpersonal psychotherapy.
Washington, DC: American Psychiatric Press.
Markowtiz, J.C. (Ed). 1998. Interpersonal psychotherapy. Review of Psychiatry series, Volume 17. Series
Editors: Oldham, J.M., Riba, M.B. Washington, DC: American Psychiatric Press.
Stuart, Scott, & Robertson, Michael. 2003. Interpersonal psychotherapy: A clinician’s guide. London:
Edward Arnold (Oxford University Press).
BIBLIOGRAPHIES
Bledsoe, S.E. (2010). Interpersonal Psychotherapy. In E. J. Mullen (Ed.), Social Work: Oxford Bibliographies
Online. New York: Oxford University Press.
Interpersonal Psychotherapy Institute Bibliography of IPT
International Society for Interpersonal Psychotherapy Publications
UK IPT Network References
EMPIRICAL EVIDENCE
Brody, Arthur J., Saxena, Sanjaya, Stoessel, Paula, Gillies, Laurie A., Fairbanks, Lynn A., Alborzian,
Shervin, Phelps, Michael E., Huang, Sung-Cheng, Wu, Hsiao-Ming, Ho, Matthew L., Ho, Mai
K., Au, Scott C., Maidment, Karron, & Baxter, Lewis R. 2001. Regional brain metabolic changes
in patients with major depression treated with either paroxetine or interpersonal psychotherapy:
Preliminary findings. Archives of General Psychiatry, 58, 631-640.
Cuijpers, Pim, van Straten, Annemieke, Andersson, Gerhard, & van Oppen, Patricia. 2008.
Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies. Journal
of Consulting and Clinical Psychology, 76, 909–922.
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Elkin, Irene, Shea, M. Tracie, Watkins, John T., Imber, Stanley D., Stotsky, Stuart M., Collins,
Joseph F., Glass, David R., Pilkonis, Paul A., Leber, William R., Docherty, John P., Fiester,
Susan J., & Parloff, Morris B. 1989. National Institute of Mental Health treatment of depression
collaborative research program: General effectiveness of treatments. Archives of General Psychiatry,
46, 971-982.
Martin, Stephen D., Martin, Elizabeth, Rai, Santoch S., Richardson, Mark A., & Royall, Robert.
2001. Brain blood flow changes in depressed patients treated with interpersonal psychotherapy
or venlafaxine hydrochloride. Archives of General Psychiatry, 58, 641-648.
Weissman, Myna M., Klerman, Gerald L., Prusoff, Brigitte A., Sholomskas, Diane, & Padian, Nancy.
1981. Depressed outpatients: Results one year after treatment with drugs and/or interpersonal
psychotherapy. Archives of General Psychiatry, 38, 52-55.
ORIGINAL PUBLISHED MANUALS FOR DEPRESSION
Klerman, Gerald L., Weissman, Myrna M., Rounsaville, Bruce J., & Chevron, Eve S. 1984.
Interpersonal psychotherapy for depression. New York: Basic Books.
Weissman, Myrna M., Markowitz, John C., & Klerman, Gerald L. 2007. Clinicians Quick Guide to
Interpersonal Psychotherapy. New York: Oxford University Press.
Weissman, Myrna M., Markowitz, John C., & Klerman, Gerald L. 2000. Comprehensive guide to
interpersonal psychotherapy. New York: Basic Books.
Translations
Hovaguimian, Théodore & Markowitz, John C. 2003. La Psychothérapie Interpersonnelle de la Depression.
Genee: Editions Medicine & Hygiene Societe.
Klerman, Gerald L., Weissman, Myrna M., Rounsaville, B.J., & Chevron, E.S. 1997. Interpersonal
psychotherapy of depression. (H. Mizushima, M. Shimada, and Y. Ono, Trans.) Tokyo: Iwasaki
Gakujyutsa.
Klerman, Gerald L., Weissman, Myrna M., Rounsaville, Bruce J., Shramm, Elizabeth, Bohus, Martin,
& von Calker, Dietrich. 1996. Interpersonelle Psychotherapie. Bei Depressionen und Anderen Psychischen
Störungen. New York: Schattauer.
Klerman, Gerald L., Weissman, Myrna M., Rounsaville, B.J., & Chevron, E.S. 1989. In G. Berti
Ceroni (Ed.), Psicoterapia interpersoanle della depression (P. Galezzi, Trans.). Torino, Italy: Bollati
Borighieri.
Weissman, Myrna M., Markowitz, John C., Klerman, Gerald L. 2006. Guide de psychotherapie
interpersonnelle (S. Patry, Trans.). New York: Basic Books.
CLINICAL REFERENCES
Barber, Jaques P. & Muenz, Larry R. 1996. The role of avoidance and obsessiveness in matching
patients to cognitive and interpersonal psychotherapy: empirical findings from the Treatment for
Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 64, 951958.
Blatt, Sydney J., Quinlan, Donald M., Zuroff, David C., & Pilkonis, Paul A. 1996. Interpersonal
factors in brief treatment of depression: further analyses of the National Institute of Mental
Health Treatment of Depression collaborative Research Program. Journal of Consulting and Clinical
Psychology, 64, 162-171.
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Carter, Janet D., Luty, Suzanne B., McKenzie, Janice M., Mulder, Roger T., Frampton, Christopher
M., & Joyce, Peter R. 2010. Patient predictors of response to cognitive behaviour therapy and
interpersonal psychotherapy in a randomised clinical trial for depression. Journal of Affective
Disorders, (in press).
Cyranowski, Jill M., Bookwala, Jamila, Feske, Ulrike, Houck, Patricia, Pilkonis, Paul, Kostelnick,
Brian, & Frank, Ellen. 2002. Adult attachment profiles, interpersonal difficulties, and response
to interpersonal psychotherapy in women with recurrent major depression. Journal of Social and
Clinical Psychology, 21, 191-217.
Markowitz, John C., & Swartz, Holly A. 2006. Case formulation in interpersonal psychotherapy of
depression. In T.D. Eells (Ed.), Handbook of psychotherapy case formulation. (2nd ed.) New York:
Guilford.
Mufson, Laura, Lewis, Laurie Reider, Gunlicks-Stoessel, Meredith, Young, Jami F. 2012. In
Markowitz, John C. & Weissman, Myrna M. (Eds.), Casebook of interpersonal psychotherapy (pp. 203223). New York, NY, US: Oxford University Press.
Weissman, Myrna M. 1995. Mastering Depression: A Patient’s Guide to Interpersonal Psychotherapy. Albany,
NY: Graywind Publications, Inc.
Weissman, Myrna M. 2005. Mastering depression through interpersonal psychotherapy: Monitoring forms.
NewYork: Oxford University Press.
ADAPTATIONS AND MODIFICATIONS FOR MOOD DISORDERS
Maintenance Treatment of Depression
Frank, Ellen 1991. Interpersonal psychotherapy as a maintenance treatment for patients with
recurrent depression. Psychotherapy, 28, 259-266.
Frank, Ellen, Kupfer, David J., Perel, James M., Cornes, Cleon D., Jarrett, David B., Mallinger, Alan
G., Thase, Michael E., McEachran, Ann B., & Grochocinski, Victoria S. 1990. Three-year
outcomes for maintenance therapies in recurrent depression. Archives of General Psychiatry, 47,
1093-1099.
Frank, Ellen, Kupfer, David J., Wagner, Eric F., McEachran, Ann B., & Cornes, Cleon. 1991.
Efficacy of interpersonal psychotherapy as a maintenance treatment of recurrent depression:
Contributing factors. Archives of General Psychiatry, 48, 1053-1059.
Pregnancy, Pregnancy Loss, Postpartum Depression, and Maternal Depression
Grote, Nancy K., Swartz, Holly A., Geibel, Sharon L., Zuckoff, Allan, Houck, Patricia A., & Frank,
Ellen. 2009. A randomized controlled trial of culturally relevant, brief interpersonal
psychotherapy for perinatal depression. Psychiatric Services, 60, 313-321.
Mulcahy, Rhiannon., Reay, Rebecca. E., Wilkinson, Ross. B., & Owen, Cathy. 2010. A randomised
control trial for the effectiveness of group interpersonal psychotherapy for postnatal depression.
Archives of Women's Mental Health, 13(2), 125-139.
Neugebauer, Richard, Kline, J., Markowitz, John C., Bleiberg, K., Baxi, L., Rosing, M., Levin, B.,
Keith, J. 2006. Pilot randomized controlled trial of interpersonal counseling for subsyndromal
depression following miscarriage. Journal of Clinical Psychiatry, 67, 1299-1304.
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O’Hara, Michael W., Stuart, Scott, Gorman, Laura L. & Wenzel, Amy. 2000. Efficacy of
interpersonal psychotherapy for postpartum depression. Archives of General Psychiatry, 57, 10391045.
Spinelli, Margaret G., & Endicott, Jean. 2003. Controlled clinical trial of interpersonal psychotherapy
versus parenting education program for depressed pregnant women. American Journal of Psychiatry,
160, 555-562.
Swartz, Holly A., Frank, Ellen, Zuckoff, Allan, Cyranowski, Jill M., Houck, Patricia R., Cheng, Yu,
Fleming, Dana, Grote, Nancy K., Brent, David A., & Shear, M. Katherine. 2008. Brief
interpersonal psychotherapy for depressed mothers whose children are receiving psychiatric
treatment. American Journal of Psychiatry, 165, 1155–1162.
Depression and Chronic Pain
Poleshuck, E. L., Gamble, S. A., Cort, N., Hoffman-King, D., Cerrito, B., Rosario-McCabe, L. A., &
Giles, D. E. (2010). Interpersonal psychotherapy for co-occurring depression and chronic pain.
Professional Psychology: Research And Practice, 41(4), 312-318. doi:10.1037/a0019924
Dysthymic Disorder
Browne, Gina, Steiner, Meir, Roberts, Jacqueline, Gafni, Amiram, Byrne, Carolyn, Dunn, Edward,
Bell, Barbara, Mills, Michael, Chalklin, Lori, Wallik, David, & Kraemer, James. 2002. Sertraline
and/or interpersonal psychotherapy for patients with dysthymic disorder in primary care: 6month comparison with longitudinal 2-year follow-up of effectiveness and cost. Journal of Affective
Disorders, 68, 317-330.
Feijò de Mello, Marcelo, Myczowisk, Luciana Maria, & Menezes, Paulo Rossi. 2001. A randomized
controlled trial comparing moclobemide and moclobemide plus interpersonal psychotherapy in
the treatment of dysthymic disorder. Journal of Psychotherapy Practice and Research, 10, 117123Markowitz, John C. 1998. Interpersonal psychotherapy for dysthymic disorder. Washington, DC:
American Psychiatric Publishing.
Markowitz, John C., Kocsis, James H., Bleiberg, Kathryn L., Christos, Paul J., & Sacks, Michael H.
2005. A comparative trial of psychotherapy and pharmacotherapy for “pure” dysthymic patients.
Journal of Affective Disorders, 89, 167-175.
Bipolar Disorder
Frank, Ellen 2005. Treating bipolar disorder: A Clinician’s guide to interpersonal and social rhythm therapy.
New York: Guilford.
Frank, Ellen, Kupfer, David J., Thase, Michael E., Mallinger, Alan G., Swartz, Holly A., Fagolini,
Andrea M., Grochosinski, Victoria; Houck, Patricia, Scott, John, Thompson, Wesley, & Monk,
Timothy. 2005. Two-year outcomes for interpersonal and social rhythm therapy in individuals
with bipolar I disorder. Archives of General Psychiatry, 62, 996-1004.
Frank, Ellen, Swartz, Holly A., & Kupfer, David J. 2000. Interpersonal and social rhythm therapy:
Managing the chaos of bipolar disorder. Biological Psychiatry, 48, 593-604.
Hlastala, Stefanie A., Kotler, Julie S., McClellan, Jon M., McCauley, Elizabeth A. 2010. Interpersonal
and social rhythm therapy for adolescents with bipolar disorder: Treatment development and
results from an open trial. Depression and Anxiety, 27(5), 457-464.
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Swartz, H. A., Frank, E., & Cheng, Y. (2012). A randomized pilot study of psychotherapy and
quetiapine for the acute treatment of bipolar II depression. Bipolar Disorders, 14(2), 211-216.
doi:10.1111/j.1399-5618.2012.00988.x
Swartz, H. A., Levenson, J. C., & Frank, E. (2012). Psychotherapy for bipolar II disorder: The role
of interpersonal and social rhythm therapy. Professional Psychology: Research And Practice,
43(2), 145-153. doi:10.1037/a0027671
APPLICATIONS FOR SPECIFIC POPULATIONS, FORMATS, AND SETTINGS
Depression in Adolescents
Jacobson, Colleen M. & Mufson, Laura. 2012. Interpersonal psychotherapy for depressed
adolescents adapted for self-injury (IPT-ASI): Rationale, overview, and case summary. American
Journal of Psychotherapy, 66(4), 349-374.
Mufson, Laura, Pollack Dorata, Kristen, Moreau, Donna, & Weissman, Myrna M. 2004a.
Interpersonal psychotherapy for depressed adolescents (2nd ed). New York: Guilford.
Mufson, Laura, Pollack Dorta, Kristen, Wickramaratne, Priya, Normura, Yoko, Olfson, Mark, &
Weissman, Myrna M. (2004b). A randomized effectiveness trial of interpersonal psychotherapy
for depressed adolescents. Archives of General Psychiatry, 61, 577-583.
Depression in Older Adults
Bosmans, Judith E., van Schaik, Digna J.F., Heymans, Martijn W., van Marwijk, Harm W., van
Hout, Hein P., de Bruijne, Martine C. 2007. Cost-effectiveness of interpersonal psychotherapy
for elderly primary care patients with major depression. Int J Technol Assess Health Care, 23, 480487.
Hinrichsen, Gregory A. & Clougherty, Kathleen F. 2006. Interpersonal psychotherapy for depressed
older adults. Washington, DC: American Psychological Association.
Reynolds, C., Dew, M., Martire, L. M., Miller, M. D., Cyranowski, J. M., Lenze, E., & ... Frank, E.
(2010). Treating depression to remission in older adults: A controlled evaluation of combined
escitalopram with interpersonal psychotherapy versus escitalopram with depression care
management. International Journal Of Geriatric Psychiatry, 25(11), 1134-1141.
doi:10.1002/gps.2443
Reynolds, Charles F., III, Dew, Mary Amanda, Pollock, Bruce G., Mulsant, Benoit H., Frank, Ellen,
Miller, Mark D., Houck, Patricia R., Mazumdar, Sati, Butters, Meryl A., Stack, Jacqueline A.,
Schlernitzauer, Mary Ann, Whyte, Ellen M., Gildengers, Ariel, Karp, Jordan, Lenze, Eric,
Szanto, Katalin, Bensasi, Salem, & Kupfer, David J. 2006. Maintenance treatment of major
depression in old age. New England Journal of Medicine, 354, 1130-1138.
Reynolds, Charles F., III, Frank, Ellen, Perel, James M., Imber, Stanley D., Cornes, Cleon, Miller,
Mark D., Mazumdar, Sati, Houck, Patricia R., Dew, Mary Amanda, Stack, Jacqueline A., Pollock,
Bruce G., & Kupfer, David J. 1999. Nortriptyline and interpersonal psychotherapy as
maintenance therapies for recurrent major depression: A randomized controlled trial in patients
older than fifty-nine years. Journal of the American Medical Associations, 281, 39-45.
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Depression in Medical Patients
Brown, Charlotte, Shulberg, Herbert C., Madonia, Michael J., Shear, M. Katherine, & Houck,
Patricia R. 1996. Treatment outcomes for primary care patients with major depression and
lifetime anxiety disorders. American Journal of Psychiatry, 153(10), 1293-1300.
Caron, Annalise, & Weissman, Myrna M. 2006. Interpersonal psychotherapy for the treatment of
depression in medical patients. Primary Psychiatry, 13(5), 43-50.
Lespérance, François, Frasure-Smith, Nancy, Koszycki, Diana, Laliberté, Marc-André, van Zyl,
Louis T., Baker, Brian, Swenson, John Robert, Ghatavi, Kayhan, Abramson, Beth L., Dorian,
Paul, Guertin, Marie-Claude, for the CREATE Investigators. 2007. Effects of citalopram and
interpersonal psychotherapy on depression in patients with coronary artery disease. Journal of the
American Medical Association, 297, 367-379.
Markowitz, John C., Kocsis, James H., Fishman, Baruch, Spielman, Lisa A., Jacobsberg, Lawrence
B., Frances, Allen J., Klerman, Gerald L., & Perry, Samuel W. (1998). Treatment of HIVpositive patients with depressive symptoms. Archives of General Psychiatry, 55, 452-457.
Complicated Grief
Shear, Katherine, Frank, Ellen, Houck, Patricia R., & Reynolds, III, Charles F. (2005). Treatment of
complicated grief: A randomized controlled trial. Journal of the American Medical Association, 293,
2601-2608.
Group IPT
Wilfley, Denise E., Mackenzie, K. Roy, Welch, R. Robinson, Ayres, Virginia E., & Weissman, Myrna
M. 2000. Interpersonal psychotherapy for group. New York: Basic Books.
Telephone IPT
Blanco, Carlos, Lipsitz, Joshua D., & Caligor, Eve. 2012. Interpersonal psychotherapy by telephone.
In Markowitz, John C. & Weissman, Myrna M. (Eds.), Casebook of Iinterpersonal Psychotherapy (pp.
411-423). New York, NY, US: Oxford University Press,
Ransom, Dana, Heckman, Timothy Glenn, Anderson, Timothy, Garske, John, Holroyd, Kenneth, &
Basta, Tania. 2008. Telephone-delivered, interpersonal psychotherapy for HIV-infected rural
persons with depression: A pilot trial. Psychiatric Services, 59,871-877.
Miller, Lisa, & Weissman, Myrna M. 2002. Interpersonal psychotherapy delivered over the telephone
to recurrent depressives: A pilot study. Depression and Anxiety, 16, 114-117.
Donnelly, Jean M., Kornblith, Alice B., Fleishman, Stewart, Zuckerman, Enid, Raptis, George,
Hudis, Clifford A., Hamilton, Nicholas, Payne, David, Massie, Mary Jane, Norton, Larry, &
Holland, Jimmie. 2000. A pilot study of interpersonal psychotherapy by telephone with cancer
patients and their partners. Psycho-Oncology, 9, 44-56.
Cultural Adaptations
Bolton, Paul, Bass, Judith, Neugebauer, Richard, Verdeli, Helen, Clougherty, Kathleen F.,
Wrickmaratne, Priya, Speelman, Liesbeth, Ndogoni, Lincoln, & Weissman, Myrna M. 2003.
Group interpersonal psychotherapy for depression in rural Uganda: A randomized controlled
trial. Journal of the American Medical Association, 289, 3117-3124.
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Verdeli, Helen, Clougherty, Kathleen F., Bolton, Paul, Speelman, Liesbeth, Ndogoni, Lincoln, Bass,
Judith, Neugebauer, Richard, & Weissman, Myrna M. 2003. Adapting group interpersonal
psychotherapy for a developing country: experience in rural Uganda. World Psychiatry, 2, 114-120.
APPLICATIONS FOR OTHER NON-MOOD DISORDERS
Substance Abuse
Brache, K. (2012). Advancing interpersonal therapy for substance use disorders. The American
Journal Of Drug And Alcohol Abuse, 38(4), 293-298. doi:10.3109/00952990.2011.643995
Carroll, Kathleen M., Rounsaville, Bruce J., & Gawin, Frank H. 1991. A comparative trial of
psychotherapies for ambulatory cocaine users: Relapse prevention and interpersonal
psychotherapy. American Journal of Drug and Alcohol Abuse, 17, 229-247.
Cherry, Sabrina, & Markowitz, John C. 1996. Interpersonal Psychotherapy. In J.S. Kantor (Ed.),
Clinical depression during addiction recovery: Process, diagnosis, and treatment (165-185). New York: Marcel
Dekker.
Rounsaville, Bruce J., Glazer, William, Wilber, Charles H., Weissman, Myrna M., & Kleber, Herbert
D. 1983. Short-term interpersonal psychotherapy in methadone-maintained opiate addicts.
Archives of General Psychiatry, 40, 629-636.
Eating Disorders
Agras, W. Stewart, Walsh, Timothy, Fairburn, Christopher G., Wilson, G. Terence, & Kraemer,
Helena C. 2000. A multicenter comparison of cognitive-behavioral therapy and interpersonal
psychotherapy for bulimia nervosa. Archives of General Psychiatry, 57, 459-466.
Apple, Robin F. 1999. Interpersonal therapy for bulimia nervosa. Journal of Clinical Psychology, 55(6),
715-725.
Arcelus, Jon, Whight, Debbie, Langham, Christopher, Baggott, Johnathan, McGrain, Lesley,
Meadows, Lesley, & Meyer, Caroline. 2009. A case series evaluation of a modified version of
interpersonal psychotherapy (IPT) for the treatment of bulimic eating disorders: A pilot study.
European Eating Disorders Review, 17(4), 260-268.
Birchall, Helen. 1999. Interpersonal psychotherapy in the treatment of eating disorders. European
Eating Disorders Review, 7, 315-320.
Carter, F. A., Jordan, J., McIntosh, V. W., Luty, S. E., McKenzie, J. M., Frampton, C. A., & ... Joyce,
P. R. (2011). The long‐term efficacy of three psychotherapies for anorexia nervosa: A
randomized, controlled trial. International Journal Of Eating Disorders, 44(7), 647-654.
doi:10.1002/eat.20879
Fairburn, Christopher G., Jones, Rosemary, Peveler, Robert C., Carr, Sally J., Solomon, Ruth A.,
O’Conner, Marianne E., Burton, Jenny, & Hope, R.A. 1991. Three psychological treatments for
bulimia nervosa: A comparative trial. Archives of General Psychiatry, 48, 463-469.
Fairburn, Christopher G., Norman, Patricia A., Welch, Sarah L., O’Connor, Marianne E., Doll,
Helen A. & Peveler, Robert C. 1995. A prospective study of outcome in bulimia nervosa and the
long-term effects of three psychological treatments. Archives of General Psychiatry, 52, 304-312.
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Hilbert, A., Bishop, M. E., Stein, R. I., Tanofsky-Kraff, M., Swenson, A. K., Welch, R., & Wilfley, D.
E. (2012). Long-term efficacy of psychological treatments for binge eating disorder. The British
Journal Of Psychiatry, 200(3), 232-237. doi:10.1192/bjp.bp.110.089664
McIntosh, Virginia V.W., Jordan, Jennifer, Carter, Frances A., Luty, Suzanne E., McKenzie, Janice
M., Bulik, Cynthia M., Frampton, Christopher M.A., & Joyce, Peter R.. 2005. Three
psychotherapies for anorexia nervosa: A randomized controlled trial. American Journal of
Psychiatry, 162, 741-747.
Murphy, R., Straebler, S., Basden, S., Cooper, Z., & Fairburn, C. G. (2012). Interpersonal
psychotherapy for eating disorders. Clinical Psychology & Psychotherapy, 19(2), 150-158.
doi:10.1002/cpp.1780
Rieger, E., Van Buren, D. J., Bishop, M., Tanofsky-Kraff, M., Welch, R., & Wilfley, D. E. (2010). An
eating disorder-specific model of interpersonal psychotherapy (IPT-ED): Causal pathways and
treatment implications. Clinical Psychology Review, 30(4), 400-410.
doi:10.1016/j.cpr.2010.02.001
Tanofsky-Kraff, M., Wilfley, D. E., Young, J. F., Mufson, L., Yanovski, S. Z., Glasofer, D. R., & ...
Schvey, N. A. (2010). A pilot study of interpersonal psychotherapy for preventing excess weight
gain in adolescent girls at-risk for obesity. International Journal Of Eating Disorders, 43(8), 701706. doi:10.1002/eat.20773
Wilfley, Denise E., Welch, R. Robinson, Stein, Richard I., Spurrell, Emily Borman, Cohen, Lisa R.,
Saelens, Brian E., Dounchis, Jennifer Zoler, Frank, Mary Ann, Wiseman, Claire V., & Matt,
Georg E. 2002. A randomized comparison of group cognitive-behavioral therapy and group
interpersonal psychotherapy for the treatment of overweight individuals with binge-eating
disorder. Archives of General Psychiatry, 158, 638-640.
Wilson, G.T., Wifley, D.E., Agras, S., & Bryson, S.W. (2010). Psychological treatments of binge
eating disorder. Archives of General Psychiatry, 67, 94-101.
Anxiety Disorders
Bleiberg, Kathryn L., & Markowitz, John C. 2005. A pilot study of interpersonal psychotherapy for
posttraumatic stress disorder. American Journal of Psychiatry, 162, 181-183.
Campanini, R. F., Schoedl, A. F., Pupo, M. C., Costa, A. C. H., Krupnick, J. L., & Mello, M. F.
(2010). Efficacy of interpersonal therapy‐group format adapted to post‐traumatic stress disorder:
an open‐label add‐on trial. Depression and anxiety, 27(1), 72-77.
Cyranowski, Jill M., Frank Ellen, Shear, M. Katherine, Swartz, Holly A., Fagiollini, Andrea, Scott,
John, & Kupfer, David J. 2005. Interpersonal psychotherapy for depression with panic spectrum
symptoms: a pilot study. Depression and Anxiety, 21(3), 140-142.
Hoffart, A., Abrahmsen, G., Bonsaksen, T., Borge, F.M., Ramstad, R., Lipsitz, J., & Markowitz, John
C. 2007. A residential interpersonal treatment for social phobia. New York: Nova Science Publishers,
Inc.
Krupnick, Janice L., Green, Bonnie L., Stockton, Patricia, Miranda, Jeanne, Krause, Elizabeth, &
Mete, Mihriye. 2008. Group interpersonal psychotherapy for low-income women with
posttraumatic stress disorder. Psychotherapy Research, 18(5), 497-507.
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Lipsitz, Joshua D., Markowitz, John C., Cherry, Sabrina, & Fyer, Abby. 1999. An open trial of
interpersonal psyLipsitz, Joshua D., Markowitz, John C., Cherry, Sabrina, & Fyer, Abby. 1999.
An open trial of interpersonal psychotherapy for social phobia. American Journal of Psychiatry, 156,
1814-1816.
Lipsitz, Joshua D., Gur, Merav, Miller, Nina L., Forand, Nicholas, Vermes, Donna, & Fyer, Abby J.,
2006. An open trial of interpersonal psychotherapy for panic disorder (IPT-PD). Journal of
Nervous and Mental Disease, 194(6): 440-445.
Stangier, U., Schramm, E., Heidenreich, T., Berger, M., & Clark, D. M. (2011). Cognitive therapy vs
interpersonal psychotherapy in social anxiety disorder: A randomized controlled trial. Archives
of General Psychiatry, 68(7), 692-700. doi:10.1001/archgenpsychiatry.2011.67
Borderline Personality Disorder
Bellino, S., Rinaldi, C., & Bogetto, F. (2010). Adaptation of interpersonal psychotherapy to
borderline personality disorder: A comparison of combined therapy and single
pharmacotherapy. The Canadian Journal of Psychiatry/La Revue Canadienne De Psychiatrie,
55(2), 74-81.
Markowitz, John C., Skodol, A.E., & Bleiberg, K. (2006). Interpersonal psychotherapy for borderline
personality disorder: Possible mechanisms of change. Journal of Clinical Psychology, 62, 432-444.
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