Thursday, December 14, 2017 22:30

Interpersonal Psychotherapy For Depression

Posted by on Thursday, September 24, 2009, 17:33
This news item was posted in Depression category and has 0 Comments so far.

Interpersonal therapy focus on the fact that depression is often triggered by difficulties with family, friends, peer groups, co-workers, or colleagues. This type of psychotherapy helps you to identify the connections between interpersonal conflicts and depression, and then to work toward modifying your relationship to make them less stressful and more supportive.

The most common targets include unresolved grief, conflict laden relationships with partners or other family members, difficulty with a social role transition (“empty nest” issues, for example), and a lack of social skills that may have a chronically negative impact on relationships.

When choosing among psychotherapists, it is important to be an informed consumer. Be sure to ask about educational background and experience in treating depression. Many providers of psychotherapy (whether they be psychiatrists, psychologists, social workers, counselors, or nurse practitioners) tend to concentrate on one particular form of psychotherapy.

Also ask which types of psychotherapy the therapist is most familiar with and how flexible he or she is. Ask about licensing in order to be licensed, therapist must have had a certain minimum odr supervised psychotherapy hours and have passed a proficiency examination. Finally, go with your gut feeling.

A number os studies have found that therapist patient “chemistry” is by far the most important factor in a successful outcome. If you have a bad feeling about the therapist, trust it and go elsewhere.

As you can can see, there is a wide array of effective treatments for depression. Which one is best for you? As psychiatrist, we have to tackle this question every time we formulate an initial treatment plan for depression.

One general guideline is that the more severe depression, the more likely it is to require somatic treatment and the less likely it is to respond to psychotherapy alone. Milder depression tend to improve equally well with either medication or psychotherapy in such cases, we present the relative advantages and disadvantages of each and go along with the patient’s  personal preference.

The major advantage of medication of medication is a faster response, while the major advantages of psychotherapy are the lack of side effects and more likely long term benefit stemming from your mastering new skills that many be helpful over the long haul. Remember that the melancholic and psychotic subtypes of depression always require either medication ir ECT.

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