How does interpersonal therapy work?

  1. Focus on key problem areas

The words "problem" and "solution" are written on a blackboard with white chalk, with the word "problem" crossed out with red chalk.

It targets specific social difficulties that are believed to contribute to the individual’s depression. These problem areas generally include:

    • Grief and loss

Addressing feelings related to the loss of a loved one or other major life changes.

    • Role transitions

Navigating significant life changes, such as a new job or divorce, can trigger mental health issues.

    • Interpersonal disputes

Resolving conflicts with friends, family, or romantic partners that may be affecting mood.

    • Interpersonal deficits

Improving skills for building or maintaining relationships, notably for individuals who struggle with social isolation or lack close connections.

  1. Improving communication skills

IPT underlines teaching people to communicate their needs and feelings more effectively.

This incorporates learning to express emotions openly and clearly, asserting relationship needs, and handling disagreements constructively.

    • Why it helps

Better communication reduces misunderstandings and lowers relationship tension, helping individuals build stronger connections.

  1. Developing problem-solving skills

This approach provides practical strategies for tackling interpersonal challenges and conflicts.

Therapists work with clients to identify solutions, improve flexibility in thinking, and build resilience in facing social challenges.

    • Why it helps

These problem-solving skills empower individuals to handle relational stress in healthier ways, reducing the impact of interpersonal stressors on their mood.

  1. Exploring emotion and grief processing

It helps people process unresolved feelings related to past or recent losses by helping them find ways to manage these emotions and make sense of the loss.

    • Why it helps

This could prevent unresolved grief from becoming a prolonged source of distress and depression, allowing individuals to grieve healthily and move forward with their lives once more.

  1. Increasing social support

IPT supports seeking and engaging in supportive relationships outside of therapy, which may involve reaching out to friends or family.

    • Why it helps

Mood disorders are frequently accompanied by isolation and withdrawal.

Increasing social support protects against stress and could improve overall mood by granting a sense of belonging and security.

  1. Clarifying roles and expectations

It also assists individuals in clarifying roles in their relationships and aligning expectations, whether in family, romantic, or work contexts.

Misunderstandings or unmet expectations are often central to relational conflicts.

    • Why it helps

Clarifying roles aids relationships to become a source of support rather than tension by lowering role-related stress, promoting understanding, and decreasing misunderstandings.

  1. Encouraging behavioral activation through social engagement

A group of friends hanging out together and smiling while eating pizza.

IPT often includes goals to increase social interactions, attend social events, or reconnect with supportive people.

Even small actions like initiating conversations are encouraged.

    • Why it helps

Behavioral activation or re-engaging with positive activities is known to help alleviate mood issues.

The approach uses natural social reinforcement to improve mood and disrupt patterns of withdrawal by encouraging social activity.

  1. Improving emotional insight and empathy

It teaches individuals to recognize and validate their feelings while also nurturing empathy for others’ perspectives.

This enhances their understanding of social dynamics.

    • Why it helps

Depression can make it challenging for individuals to relate to or empathize with others, often leading to strained relationships.

Greater emotional insight and empathy could ease isolation and loneliness by promoting healthier and more satisfying connections.

  1. Learning to set boundaries

Woman holding the letters "N" and "O" in her hands, forming the word "no".

IPT often involves setting boundaries as part of managing interpersonal disputes and navigating role expectations.

Clients practice asserting themselves and saying “no” when needed.

    • Why it helps

Mood disorders can be worsened by boundary issues such as overcommitment or difficulty asserting needs.

Setting healthy boundaries aids in avoiding burnout, reducing resentment, and maintaining balanced relationships.

  1. Building skills for navigating role strains

The approach helps people understand and navigate competing demands from various roles, like being a parent, employee, or friend.

It demonstrates strategies for managing expectations and balancing roles.

    • Why it helps

Major life transitions and role strains can trigger or worsen depressive symptoms.

That’s why knowing how to balance roles and handle stress from multiple commitments helps reduce role-related stress while boosting confidence in handling life’s challenges.

  1. Incorporating structured homework to support change

A woman writing in a workbook while sitting down.

IPT often includes homework assignments like practicing conversation skills or journaling about feelings after a social interaction.

These exercises support in-session insights.

    • Why it helps

Structured homework assignments provide real-life practice, making therapeutic gains more concrete.

This increases the likelihood of lasting change beyond therapy sessions by helping individuals develop and internalize new skills.

  1. Normalizing experiences and reducing stigma

It validates and normalizes depressive feelings, making consumers feel understood rather than judged.

Therapists help them see that interpersonal issues are common and manageable.

    • Why it helps

Depression regularly causes guilt or failure due to carrying the stigma.

IPT reduces stigma and helps clients feel more optimistic about managing their symptoms by normalizing these experiences.

  1. Creating a safe space for processing negative emotions

A counselor supporting a man by putting her hand on her shoulder.

The therapeutic setting is safe and non-judgmental, allowing clients to openly discuss frustrations, disappointments, and fears related to their relationships.

    • Why it helps

Suffering from mental problems is frequently accompanied by pent-up emotions that can intensify symptoms if left unaddressed.

Fortunately, having a safe space to process these emotions aids in gaining clarity and reducing the emotional burden.

  1. Focus on relapse prevention through long-term skills

Near the end of therapy, counselors often help individuals create strategies to manage future interpersonal stressors and maintain healthy relationships after therapy ends.

    • Why it helps

Depression can come back when interpersonal stressors develop.

People can handle future conflicts or transitions in healthier ways by building long-term skills, reducing the likelihood of relapse.

My complete IPT guide can be found here.

Join our forum and Facebook

Please consider joining our forum and Facebook if you enjoyed reading this and would like to chat with like-minded peers about anything depression related.

It would certainly go a long way toward making my dream of creating a thriving, supportive community a reality!

Related posts

Leave the first comment