- Preface: About This Book
- Acknowledgments
- 1 The Interpersonal Psychotherapy Platform
- 2 An Outline of IPT
- 3 What Is IPT?
- 4 Beginning IPT
- 5 Grief
- 6 Role Disputes
- 7 Role Transitions
- 8 Interpersonal Deficits (Social Isolation; No Life Events)
- 9 Termination and Maintenance Treatment
- 10 IPT Techniques and the Therapist’s Role
- 11 Common Therapeutic Issues and Patient Questions
- 12 Overview of Adaptations of IPT
- 13 Peripartum Depression
- 14 Depression in Adolescents and Children
- 15 Depression in Older Adults
- 16 Depression in Medical Patients
- 17 Persistent Depressive Disorder/Dysthymia
- 18 Bipolar Disorder
- 19 Substance-Related and Addictive Disorders
- 20 Eating Disorders
- 21 Anxiety Disorders
- 22 Trauma- and Stress-Related Disorders
- 23 Borderline Personality Disorder
- 24 IPT Across Cultures and in Resource-Poor Countries
- 25 Group, Conjoint, Telephone, and Internet Formats
- 26 Training and Resources
- Appendix A Hamilton Rating Scale for Depression
- Appendix B Patient Health Questionnaire (PHQ-9)
- Appendix C Interpersonal Psychotherapy Outcome Scale, Therapist’s Version
- References
- About the Authors
- Index
(p. 160) Persistent Depressive Disorder/Dysthymia
- Chapter:
- (p. 160) Persistent Depressive Disorder/Dysthymia
- Author(s):
Myrna M. Weissman
, John C. Markowitz
, and Gerald L. Klerman
- DOI:
- 10.1093/med-psych/9780190662592.003.0017
This chapter describes the adaptation of IPT for the treatment of patients with persistent depressive disorder/dysthymia. The usual IPT model connects a recent event in the patient’s life with current mood and symptoms, but for patients who have been depressed for years, this model makes less sense. Instead, the IPT therapist makes the treatment itself a role transition from longstanding depression to euthymia in which patients learn to recognize depressive symptoms of long duration and how they have affected their social functioning. The therapist offers a formulation that shifts the blame for the patient’s situation from the patient to the illness. Treatment includes sixteen weekly sessions to drive these points home, although monthly continuation sessions and maintenance therapy are frequently offered so that patients’ new self-image and track record of healthy interpersonal functioning can sink in. A case example is given of a chronically depressed woman who improves with IPT.
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- Preface: About This Book
- Acknowledgments
- 1 The Interpersonal Psychotherapy Platform
- 2 An Outline of IPT
- 3 What Is IPT?
- 4 Beginning IPT
- 5 Grief
- 6 Role Disputes
- 7 Role Transitions
- 8 Interpersonal Deficits (Social Isolation; No Life Events)
- 9 Termination and Maintenance Treatment
- 10 IPT Techniques and the Therapist’s Role
- 11 Common Therapeutic Issues and Patient Questions
- 12 Overview of Adaptations of IPT
- 13 Peripartum Depression
- 14 Depression in Adolescents and Children
- 15 Depression in Older Adults
- 16 Depression in Medical Patients
- 17 Persistent Depressive Disorder/Dysthymia
- 18 Bipolar Disorder
- 19 Substance-Related and Addictive Disorders
- 20 Eating Disorders
- 21 Anxiety Disorders
- 22 Trauma- and Stress-Related Disorders
- 23 Borderline Personality Disorder
- 24 IPT Across Cultures and in Resource-Poor Countries
- 25 Group, Conjoint, Telephone, and Internet Formats
- 26 Training and Resources
- Appendix A Hamilton Rating Scale for Depression
- Appendix B Patient Health Questionnaire (PHQ-9)
- Appendix C Interpersonal Psychotherapy Outcome Scale, Therapist’s Version
- References
- About the Authors
- Index