Interpersonal Psychotherapy

Conclusion

IPT-A is a time-limited treatment for adolescent depression with studies supporting its efficacy and effectiveness. The treatment, which is based on the premise that depression occurs in an interpersonal context, works by addressing interpersonal problems that may be causing or contributing to the adolescent’s depression. “Work at home” is an extension of the work done in the session and is focused on improving interpersonal communication and problem-solving. The therapist and adolescent collaboratively select homework that is relevant for the identified problem area and is appropriate for the phase of treatment. Although the use of homework in IPT-A has not been empirically tested in a dismantling study, our belief is that treatment will be more effective when the adolescent addresses outside relationships. The goal of the “work at home” is to practice new interpersonal skills so they become part of the adolescent’s interpersonal repertoire. This will lead to a decrease in depression. Furthermore, interpersonal “work at home” will increase the likelihood of maintaining treatment gains since these assignments lead to the internalization and generalization of important interpersonal skills. Continued practice once treatment has ended will help maintain treatment gains and help prevent relapse.