John C. Markowitz

IPT, interpersoonallinen psykoterapia, lähtee havainnosta, että masennus on useimmiten ihmissuhdeongelmista lähtöisin ja myös vaikuttaa ihmissuhteisiin. Terapialla pyritään vaikuttamaan tähän. Ensin selvitetään, mitä sellaista potilaan elämässä on tapahtunut, mikä on voinut laukaista masennuksen, sitten häntä valmennetaan toimimaan niin, että hän voisi päästä elämässään eteenpäin. IPT - Interpersoonallisen psykoterapian opas on sekä käsikirja terapiamenetelmän käyttöön että katsaus menetelmän tehokkuutta koskevaan tieteelliseen tutkimukseen.

Supportive psychotherapy is widely practiced but poorly defined, often misunderstood, and unfairly disparaged. Dr. Markowitz and his colleagues manualized Brief Supportive Psychotherapy (BSP) as a time-limited control treatment to compare to "more active" established psychotherapies like cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) in research studies. In fact, BSP, an emotion-focused, bare-bones treatment based on Carl Rogers' Client Centered Therapy, has since proven itself to be a robust treatment in multiple randomized controlled treatment trials. It has generally kept pace with the brand name treatments in treating patients with difficult disorders like chronic depression. Some therapists, previously trained only in cognitive and behavioral approaches, have found this affect-focused approach adds a new dimension to their thinking and to patients' lives. Brief Supportive Psychotherapy: A Treatment Manual and Clinical Approach is both an elaboration of the now well-tested research treatment manual for BSP and a primer for clinicians. It illustrates how BSP helps patients with mood and anxiety disorders to tolerate rather than avoid their powerful negative emotions. It describes the key elements of supportive psychotherapy, covering the crucial "common factors" that help make all evidence-based psychotherapies effective. These include affective arousal, helping the patient to feel understood, realistic optimism for improvement, a therapeutic ritual, clinical poise, and success experiences. BSP maximizes patient autonomy, letting the patient lead sessions, and prescribes no homework. It is an elemental, relatively simple approach for a psychotherapy, yet no psychotherapy is easy to do well. Its affect-focused approach enhances the application of all psychotherapeutic approaches. It deserves a place among evidence-based treatments in depression treatment guidelines.

In the Aftermath of the Pandemic is an accessible treatment manual enabling psychotherapists to use Interpersonal Psychotherapy (IPT) to address the psychological consequences of the COVID-19 pandemic and other large-scale disasters. Well-studied and time-limited, IPT has demonstrated efficacy in treating mood disorders, anxiety disorders, and posttraumatic stress disorder (PTSD). IPT helps people to mobilize social support, to process and take control of environmental stressors, relieving symptoms. As such it appears an excellent intervention for the wave of psychiatric problems accompanying the COVID-19 pandemic. The book describes IPT techniques and focuses on treating the disaster's major outcomes-depression, PTSD, and anxiety-illustrating their treatment with multiple detailed case examples drawn from actual clinical presentations from the pandemic. The book also addresses the sudden shift from in-person to remote tele-therapy, and includes a novel COVID Behavioral Checklist of psychological risk factors. Dr. John Markowitz, a leading IPT expert, explains the psychological impacts of disasters like COVID-19 and the particular usefulness of IPT in addressing them, making this a crucial text for clinicians looking to address the psychiatric crisis the pandemic has wrought.

The Guide to Interpersonal Psychotherapy is the definitive, practical guide to Interpersonal Psychotherapy (IPT) for clinicians and researchers. IPT is a well-researched, time-limited, and diagnosis-focused therapy. An update and expansion of the original 1984, 2000, and 2007 IPT manuals, this guide illustrates not only individual IPT treatment for patients with major depression but adaptations of IPT for different diagnoses, patient populations, and treatment formats. This book is the basis for the extensive research that has validated IPT and led to its listing in treatment guidelines. Written by the originators of the treatment and one of its leading researchers, this updated and expanded guide describes how to approach clinical encounters with patients, how to focus IPT treatment, and how to handle therapeutic difficulties. IPT can be combined with medication, and it is a safe alternative to medication for individuals who may not be able to take antidepressants. IPT has been shown not only to relieve symptoms but to build social skills as well. Learn how to use IPT to effectively treat depression and other disorders including bipolar disorder, anxiety disorders, eating disorders, posttraumatic stress, and borderline personality disorder. With clinical examples and sample therapist scripts throughout, The Guide summarizes the theoretical and empirical background of IPT and focuses on teaching you the best way to deliver this effective, immensely practical treatment.

Posttraumatic stress disorder (PTSD) is a prevalent, debilitating public health problem. Cognitive behavioral therapies (CBTs), and specifically exposure-based therapy, have long dominated PTSD treatment. Empirically supported treatments-Prolonged Exposure (PE), Cognitive Processing Therapy, Eye Movement Desensitization and Reprocessing (EMDR), and virtual reality therapy-all have relied upon the "fear extinction model" of exposing patients to reminders of their trauma until they grow accustomed to and extinguish the fear. While exposure-based treatments work, they (like all treatments) have their limits. Many patients refuse to undergo them or drop out of treatment prematurely; others may actually worsen in such treatment; and still others simply do not benefit from them. Interpersonal Psychotherapy for Posttraumatic Stress Disorder describes a novel approach that has the potential to transform the psychological treatment of PTSD. Drawing on exciting new clinical research findings, this book provides a new, less threatening treatment option for the many patients and therapists who find exposure-based treatments grueling. Interpersonal Psychotherapy (IPT) for PTSD was tested in a randomized controlled trial that compared three psychotherapies. Dr. Markowitz and his group found that IPT was essentially just as effective as exposure-based Prolonged Exposure. IPT had higher response rates and lower dropout rates than did PE, particularly for patients who were also suffering from major depression. These novel findings suggest that patients need not undergo exposure to recover from PTSD. Interpersonal Psychotherapy for Posttraumatic Stress Disorder describes an exciting alternative therapy for PTSD, details the results of the study, and provides an IPT treatment manual for PTSD.

Interpersonal psychotherapy (IPT) was developed as a time-limited, individual, outpatient treatment for patients with acute major depression. Social supports have been demonstrated as protective against depression, and social disruptions as triggers and consequences of depressive episodes. The IPT therapist helps the patient to understand his or her problem as a treatable medical illness that occurs in an interpersonal context, and helps the patient to solve a crisis in that context. This leads to improvement of both the patient's life and mood disorder. IPT for depression focuses on one or two of four problem areas, defined in a formulation that links the mood diagnosis to its interpersonal context. These four problem areas all have empirical support for their relevance to major depression.

Interpersonal Psychotherapy for Dysthymic Disorder is the first manual to examine the use of psychotherapy for dysthymic disorder, or chronic depression. This useful, innovative guide describes how to adapt interpersonal psychotherapy (IPT) - a proven, time-limited therapy that has benefited patients who have other mood disorders and psychiatric syndromes - to treat dysthymic disorder. After discussing the characteristics of dysthymic disorder, the basic principles of IPT, and the available treatment data, this volume offers clear, coherent treatment strategies for working with this potentially difficult, yet treatable, disorder. A useful adjunct to training and supervision by certified clinicians, this book contains numerous case examples that vividly illustrate how to use this treatment approach. This text also includes an appendix with patient education materials, the IPT Problem Area Rating Scale (IPARS), and the IPT Outcome Scale.By using this text, therapists can improve their patients' life functioning and provide a more comprehensive and effective treatment.