GRADUATE SCHOOL OF APPLIED AND PROFESSIONAL PSYCHOLOGY INTERPERSONAL PSYCHOTHERAPY COURSE Fall 2010 Jami Young, Ph.D. Office: A219 Office Phone: 732-445-2000 ext. 138 Cell Phone: 917-575-8216 Email: [email protected] Office Hours: By appointment Course Description: This practically oriented course will provide students with an opportunity to learn about the principles and practice of interpersonal psychotherapy (IPT), an empirically validated treatment for depression (Chambless et al., 1998). The course will also cover adaptations of IPT for other disorders (e.g., bipolar disorder and eating disorders) and for other formats (e.g., group and prevention). Course Goal: Students will demonstrate, in performance and writing, knowledge of IPT for depression and its adaptations to other disorders and populations. Course Objectives: 1. Students will gain in depth knowledge of IPT and its adaptations. 2. Students will be able to implement key IPT techniques, including conducting an interpersonal inventory, identifying an interpersonal problem area, and working with the client to address problematic relationships. 3. Students will recognize the importance of conducting ongoing assessments with clients being treated with IPT and will implement such assessments in their clinical work. Course Texts and Materials: Weissman, M. M., Markowitz, J. C., & Klerman, G. L. (2000). Comprehensive guide to interpersonal psychotherapy. New York: Basic Books. Mufson, L., Dorta, K.P., Moreau, D., & Weissman, M.M. (2004). Interpersonal psychotherapy for depressed adolescents (2nd ed.). New York: Guilford Press. Additional readings to be assigned by the instructor Evaluations will be based on: 1. Class participation and attendance 2. Small out of class assignments 3. Student led discussions 4. Final paper on a proposed adaptation of IPT

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Week 1 (9/3)

Class Topic Overview of IPT for depression in adults and adolescents; historical roots of IPT

Assignment

2 (9/10)

IPT for depression: Initial phase of treatment – assessing depression symptoms, psychoeducation, and sick role.

1. Comprehensive Guide to Interpersonal Psychotherapy, Chapter 1-2 2. Interpersonal Psychotherapy for Depressed Adolescents, Chapters 3-5

3 (9/17)

IPT for depression: Initial phase of treatment – interpersonal inventory, problem area formulation.

1. Interpersonal Psychotherapy for Depressed Adolescents, Chapters 6-7, Appendices A-B, first half of Chapter 20 (pp. 251-262)

4 (9/24)

IPT for depression: General middle phase strategies.

1. Comprehensive Guide to Interpersonal Psychotherapy, Chapters 8 2. Interpersonal Psychotherapy for Depressed Adolescents, Chapters 8-9 MOCK FORMULATION DUE

5 (10/1)

IPT for depression: Grief and interpersonal role disputes.

1. Comprehensive Guide to Interpersonal Psychotherapy, Chapters 3-4 2. Interpersonal Psychotherapy for Depressed Adolescents, Chapters 10-11

6 (10/8)

1. Comprehensive Guide to Interpersonal Psychotherapy, IPT for depression: Interpersonal role Chapters 5-6 transitions and interpersonal 2. Interpersonal Psychotherapy for Depressed Adolescents, Chapters 12-13 deficits.

7 (10/15)

IPT for depression: Termination phase, common clinical issues.

1. Comprehensive Guide to Interpersonal Psychotherapy, Chapters 7, 9 2. Interpersonal Psychotherapy for Depressed Adolescents, Chapters 14-17

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Week 8 (10/22)

Class Topic IPT for depression: Evidence of efficacy.

Assignment 1. Comprehensive Guide to Interpersonal Psychotherapy, Chapter 10 2. Interpersonal Psychotherapy for Depressed Adolescents, Chapter 19 3. Elkin, I., et al. (1989). National Institute of Mental Health treatment of depression collaborative research program: General effectiveness of treatment. Archives of General Psychiatry, 46, 971-982. 4. Mufson, L., et al. (2004). A randomized effectiveness trial of interpersonal psychotherapy for depressed adolescents. Archives of General Psychiatry, 63, 577584.

9 (10/29)

No Class

10 (11/5)

IPT for prevention of adolescent depression.

1. Young, J. F., & Mufson, L. (2008). Interpersonal psychotherapy and prevention. In J. R. Z. Abela & B. L. Hankin (Eds.), Depression in children and adolescents: Cause, treatment, and prevention. New York, Guilford. 2. Young, J. F., Mufson, L., & Davies, M. (2006). Efficacy of Interpersonal Psychotherapy-Adolescent Skills Training: An indicated preventive intervention for depression. Journal of Child Psychology and Psychiatry, 47, 1254-1262.

11 (11/12)

Maintenance IPT, and IPT for dysthymia.

1.

(Class discussion led by students)

2.

3.

4.

Frank, E. (1991). Interpersonal psychotherapy as a maintenance treatment for patients with recurrent depression. Psychotherapy, 28, 259-266. Frank, E., Kupfer, D. J., Buysse, D. J., et al. (2007). Randomized trial of weekly, twice-monthly, and monthly interpersonal psychotherapy as maintenance treatment for women with recurrent depression. American Journal of Psychiatry, 164, 761-767. Markowitz, J. C. (2003). Interpersonal psychotherapy for chronic depression. Journal of Clinical Psychology/In Session, 59, 847-858. Markowitz, J. C., et al. (2005). A comparative trial of psychotherapy and pharmacotherapy for “pure” dysthymic patients. Journal of Affective Disorders, 89, 167-175.

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Week Class Topic 12 (11/19) International adaptations of IPT, IPT for trauma (Class discussion led by students)

13 (12/3)

Assignment 1. Verdeli, H., et al (2003). Adapting group interpersonal psychotherapy for a developing country: Experience in rural Uganda. World Psychiatry, 2, 114-120. 2. Bolton, P., et.al. (2003). A clinical trial of group interpersonal psychotherapy for depression in rural Uganda. Journal of the American Medical Association, 289, 3117-3124. 3. Markowitz, J. C., Milrod, B., Bleiberg, K., & Marshall, R. D. (2009). Interpersonal factors in understanding and treating PTSD. Journal of Psychiatric Practice, 15, 133140. 4. Talbot, N. L. & Gamble, S. A. (2008). IPT for women with trauma histories in community mental health care. Journal of Contemporary Psychotherapy, 38, 35-44.

IPT for bipolar disorder, 1. Frank, E. (2007). Interpersonal and social rhythm IPT for medically ill clients therapy: A means of improving depression and preventing relapse in depression. Journal of Clinical (Class discussion led by Psychology, 63, 463-473. students) 2. Frank, E., et al. (2005). Two-year outcomes for Interpersonal and Social Rhythm Therapy in individuals with Bipolar I Disorder. Archives of General Psychiatry, 62, 996-1004. 3. Markowitz , J. C., et al. (1998). Treatment of depressive symptoms in human immunodeficiency virus – positive patients. Archives of General Psychiatry, 55, 452-457. 4. Donnelly, J. M., et al. (2000). A pilot study of interpersonal psychotherapy by telephone with cancer patients and their partners. Psycho-Oncology, 9, 44-56.

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Week 14 (12/10)

Class Topic IPT for eating disorders, IPT for ante and postpartum depression (Class discussion led by students)

15 (12/17)

IPT for borderline personality disorder; IPT for anxiety disorders. (Class discussion led by students)

Assignment 1. Wilfley, D. E., et al. (1998). Adapting interpersonal psychotherapy to a group format (IPT-G) for binge eating disorder: Toward a model for adapting empirically supported treatments. Psychotherapy Research, 8, 379-391. 2. Wilfley, D. E., et al. (2002). A randomized comparison of group cognitive-behavioral therapy and interpersonal psychotherapy for the treatment of overweight individuals with binge-eating disorder. 3. Spinelli, M. G. & Endicott, J. (2003). Controlled clinical trial of interpersonal psychotherapy versus parenting education program for depressed pregnant woman. American Journal of Psychiatry, 160, 555-562. 4. Grote, N. K., Swartz, H. A., & Zuckoff, A. (2008). Enhancing interpersonal psychotherapy for mothers and expectant mothers on low incomes: Adaptations and additions. Journal of Contemporary Psychotherapy, 38, 23-33. 1. Markowitz, J. C, Skodol, A. E, & Bleiberg, K. (2006). Interpersonal psychotherapy for borderline personality disorder: Possible mechanisms of change. Journal of Clinical Psychology, 62, 431-444. 2. Markowitz, J. C, Bleiberg, K., Pessin, H., & Skodol, A. E. (2007). Adapting interpersonal psychotherapy for borderline personality disorder. Journal of Mental Health, 17, 103-116. 3. Lipsitz, J. D., et al. (2006). An open pilot study of interpersonal psychotherapy for panic disorder (IPT-PD). Journal of Nervous and Mental Disease, 194, 440-445. 4. Lipsitz, J. D., et al. (2008). A randomized trial of interpersonal psychotherapy versus supportive therapy for social anxiety disorder. Depression and Anxiety, 25, 542-553. FINAL PAPER DUE

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