Interpersonal Psychotherapy for Depressed Adolescents, Second Edition

by Mufson, Laura H.; Dorta, Kristen Pollack; Moreau, Donna; Weissman, Myrna M.

• ISBN13: 9781593850425
• ISBN10: 1593850425
• Edition: 2nd
• Format: Hardcover
• Copyright: 2004-04-22
• Publisher: The Guilford Press

Summary

Fully revised and expanded, the second edition of this popular treatment manual incorporates a decade's worth of scientific and practical advances. Provided are step-by-step guidelines for conducting the authors' evidence-based brief intervention, together with up-to-date information on conceptual and empirical underpinnings. Readers learn how to educate adolescents and their families about depression, work with associated relationship difficulties, and help clients manage their symptoms while developing more effective communication and interpersonal problem-solving skills. Invaluable advice is also given on handling the many challenges and crises that may arise in work with teens. Including many additional clinical vignettes and more detailed instructions throughout, the second edition features two new chapters elucidating specific therapeutic techniques and presenting an extended case example. Helpful session checklists and sample assessment tools are provided in the

Author Biography

Laura Mufson, Ph.D., a child and adolescent clinical psychologist, is Director of Training in Child Psychology and Assistant Clinical Director of the Children's Anxiety and Depression Clinic at Columbia-Presbyterian Medical Center, Babies Hospital. She also is an Assistant Professor of Clinical Psychology in the Department of Psychiatry at Columbia University's College of Physicians and Surgeons and a Research Scientist at New York State Psychiatric Institute.

Donna Moreau, M.D., a child psychiatrist, is Director of the Children's Anxiety and Depression Clinic at Columbia-Presbyterian Medical Center, Babies Hospital. She is an Assistant Professor of Child Psychiatry and Director of Medical Student Education in Child Psychiatry at Columbia University's College of Physicians and Surgeons.

Myrna M. Weissman, Ph.D., is a Professor of Epidemiology in Psychiatry at Columbia University's College of Physicians and Surgeons and Chief of the Department in Clinical-Genetic Epidemiology at New York State Psychiatric Institute. She is coauthor (with Gerald L. Klerman) of Interpersonal Psychotherapy of Depression.

Gerald L. Klerman, M.D., at the time of his death in April 1992, was Professor of Psychiatry and Associate Chairman for Research in the Department of Psychiatry at Cornell University Medical Center, and attending on the staff of the Payne Whitney Clinic and Westchester Division of The New York Hospital. He was formerly the George Harrington Professor of Psychiatry at Harvard Medical School and was Head of the Alcohol, Drug Abuse and Mental Health Administration in Washington, DC in the late 1970s.

Table of Contents

Part I. Overview
1 The Nature of Depression in Adolescents	3	(9)
Not All Adolescents Are Depressed	3	(1)
Defining Adolescent Depression	4	(3)
The Course of Adolescent Depression	7	(1)
Risk Factors	8	(1)
Associated Outcome of Depression	9	(1)
Conclusion	10	(2)
2 Current Psychosocial Treatments for Adolescent Depression	12	(7)
What Is an Empirically Based Treatment? 13
Cognitive Therapy	14	(1)
Behavioral Approaches	14	(1)
Psychodynamic Psychotherapy	15	(1)
Family Therapy	16	(1)
Group Psychotherapy	16	(1)
Pharmacotherapy	17	(1)
Conclusion	18	(1)
3 The Origins and Development of Interpersonal Psychotherapy for Depression	19	(14)
Background	20	(2)
Origins in Adult Work	22	(4)
Overview of Basic Principles of IPT-A	26	(1)
Modifications Made for Adolescents	27	(1)
Overview of Efficacy	28	(1)
Conclusion	29	(4)
Part II. Application of Interpersonal Therapy for Depressed Adolescents
4 Diagnosis of Depression and Suitability of Interpersonal Psychotherapy for the Adolescent	33	(7)
Diagnosing the Depression	34	(3)
Determining an Adolescent's Suitability for IPT-A	37	(1)
Concluding the Pretreatment Evaluation	38	(1)
Summary	39	(1)
5 Conducting Session 1 in IPT-A	40	(14)
Tasks of Session 1	41	(10)
Parental Involvement in the Initial Session	51	(2)
Summary	53	(1)
6 Initiating the Interpersonal Interview	54	(9)
The Interpersonal Context of Depression	54	(1)
The Interpersonal Inventory	55	(7)
Summary	62	(1)
7 Selecting the Problem Area and Making the Treatment Contract	63	(10)
Connecting Depression Symptoms to the Problem Areas	63	(1)
Identification of Major Problem Areas	64	(1)
Presenting the Interpersonal Formulation	64	(1)
Challenges to Setting the Treatment Contract	65	(3)
Teaching Patients Their Role in IPT	68	(4)
Summary	72	(1)
8 The Middle Phase of IPT-A	73	(9)
Overview of the Middle Phase of Treatment	73	(1)
Conducting the Middle Phase of Treatment	74	(4)
Issues Encountered during the Middle Phase of Treatment	78	(2)
Summary	80	(2)
9 Therapeutic Techniques	82	(28)
Exploratory Techniques	82	(3)
Encouragement of Affect	85	(3)
Communication Analysis	88	(6)
Behavior Change Techniques	94	(10)
Use of the Therapeutic Relationship	104	(2)
Adjunctive Techniques	106	(4)
10 Grief	110	(16)
Developmental Aspects of Grief	110	(2)
Abnormal Grief	112	(8)
The Role of the Family in Treatment	120	(1)
Treating Normal Grief Reactions	120	(2)
Summary	122	(4)
11 Interpersonal Role Disputes	126	(17)
Diagnosing Interpersonal Role Disputes	128	(1)
Goals and Strategies for the Treatment of Role Disputes	129	(8)
The Role of Parents in the Treatment of Role Disputes	137	(1)
Summary	138	(5)
12 Interpersonal Role Transitions	143	(22)
Adolescent Role Transitions	144	(2)
Diagnosing Role Transition Problems	146	(1)
Treating Role Transitions	147	(2)
Strategy 1: Educating Patients and Parents about the Transition	149	(3)
Strategy 2: Reviewing Old and New Roles	152	(4)
Strategy 3: Assessing and Developing Social Skills	156	(4)
Strategy 4: Developing Social Support for Transitions	160	(1)
Summary	161	(4)
13 Interpersonal Deficits	165	(14)
Diagnosing Interpersonal Deficits	166	(1)
Goals and Strategies for the Treatment of Interpersonal Deficits	167	(7)
The Role of the Family in Treatment	174	(2)
Summary	176	(3)
14 Termination Phase	179	(24)
Termination with the Adolescent	180	(9)
Termination with the Family	189	(3)
The Need for Further Treatment	192	(5)
Therapist Feelings about Termination	197	(1)
The Need for Long-Term Treatment	197	(2)
Conclusion	199	(4)
Part III. Special Issues in Treating Adolescents
15 Clinical Issues in the Therapist-Patient Relationship	203	(13)
Patient-Related Issues	203	(4)
Patient-Initiated Disruptions to Treatment	207	(5)
Family-Related Issues	212	(1)
Depression-Related Issues	213	(3)
16 Special Clinical Situations	216	(11)
Non-Nuclear Families	216	(1)
Parental Depression	217	(2)
The Suicidal Patient	219	(1)
The Assaultive Patient	220	(1)
School Refusal	221	(1)
The Substance-Abusing Adolescent	222	(2)
Protective Service Agencies	224	(1)
Sexual Abuse	224	(1)
Learning Disabilities	225	(1)
The Sexually Active Adolescent	225	(1)
The Homosexual Adolescent	226	(1)
17 Crisis Management	227	(7)
Assessment of the Crisis	227	(2)
Types of Crises	229	(4)
Summary	233	(1)
18 The Use of Medication in Conjunction with IPT-A	234	(9)
The Use of Antidepressants in Conjunction with IPT-A	234	(1)
The Decision to Treat with Antidepressant Medication	235	(2)
Integrating Pharmacological Treatment with IPT-A	237	(1)
Pharmacotherapy	238	(4)
Conclusion	242	(1)
19 Current and Future Research in IPT-A	243	(8)
Efficacy Research	243	(3)
Effectiveness Study	246	(1)
Group Psychotherapy	247	(2)
Future Work	249	(1)
Therapist Training	249	(1)
Conclusion	250	(1)
20 A Comprehensive Description of an IPT-A Case	251	(28)
Case Overview	251	(1)
Initial-Phase Sessions (1-4)	252	(10)
Middle-Phase Sessions (5-8)	262	(10)
Termination-Phase Sessions (9-12)	272	(3)
A Comparison of Cognitive-Behavioral and IPT-A Approaches to the Treatment of JT	275	(4)
Appendix A. Closeness Circle	279	(2)
Appendix B. Interpersonal Inventory: How to Query about Relationships	281	(4)
Appendix C. Session Checklists for Interpersonal Therapy for Depressed Adolescents	285	(6)
References	291	(16)
Index	307