Mar 28, 2022
Welcome to PsychEd, the psychiatry
podcast for medical learners, by medical learners. This episode
covers interpersonal psychotherapy (IPT) with Dr. Paula Ravitz, an
Associate Professor of Psychiatry at the University of Toronto and
Senior Clinician-Scientist at the Lunenfeld-Tanenbaum Research
Institute of Mt Sinai Hospital. Dr. Ravitz held the Morgan
Firestone Psychotherapy Chair at the Mount Sinai Hospital from 2011
to 2021 and is a past president of the International Society of
Interpersonal Psychotherapy.
The learning objectives for this
episode are as follows:
By the end of this episode, you
should be able to…
- Define interpersonal psychotherapy
- Describe the core principles and phases of
IPT
- Become familiarized with some psychological
theories underpinning IPT
- List some patient selection considerations for
IPT
- Describe the efficacy and evidence base for
IPT
- Understand how IPT is practically carried
out
- Briefly compare and contrast IPT to other
common psychotherapies
Guest: Dr.
Paula Ravitz (paula.ravitz@sinaihealthsystem.ca)
Hosts: Jake
Johnston and Sena Gok
Audio editing by: Jake Johnston
Show notes by:
Jake Johnston
Interview Content:
- Introduction - 00:00
- Learning objectives - 02:10
- Definition/overview of IPT - 02:53
- Core principles and phases - 07:20
- Psychological theories - 19:30
- Patient selection considerations -
24:42
- Contraindications - 35:57
- Evidence base and history - 38:10
- Practical components of IPT - 43:57
- Maintenance IPT - 59:52
- IPT vs other psychotherapies -
62:56
- Closing comments - 71:17
- Online IPT course - 74:30
Resources:
References:
- Bernecker, S. L., Coyne, A. E., Constantino, M.
J., & Ravitz, P. (2017). For whom does interpersonal psychotherapy
work? A systematic review. Clinical psychology
review, 56,
82–93. https://doi.org/10.1016/j.cpr.2017.07.001
- Chaimowitz, G., Weerasekera, P., & Ravitz, P.
(2021). Psychotherapy in Psychiatry. The Canadian Journal of
Psychiatry,
66(11), 999–1004. https://doi.org/10.1177/07067437211040958
- Cuijpers, P., Donker, T., Weissman, M. M.,
Ravitz, P., & Cristea, I. A. (2016). Interpersonal Psychotherapy
for Mental Health Problems: A Comprehensive Meta-Analysis.
The American journal of
psychiatry,
173(7), 680–687. https://doi.org/10.1176/appi.ajp.2015.15091141
- Dennis, C. L., Grigoriadis, S., Zupancic, J.,
Kiss, A., & Ravitz, P. (2020). Telephone-based nurse-delivered
interpersonal psychotherapy for postpartum depression: nationwide
randomised controlled trial. The British journal of psychiatry : the journal
of mental science, 216(4), 189–196. https://doi.org/10.1192/bjp.2019.275
- Elkin, I., Shea, M. T., Watkins, J. T., Imber,
S. D., Sotsky, S. M., Collins, J. F., Glass, D. R., Pilkonis, P.
A., Leber, W. R., & Docherty, J. P. (1989). National Institute of
Mental Health Treatment of Depression Collaborative Research
Program. General effectiveness of treatments.
Archives of general
psychiatry,
46(11), 971–983. https://doi.org/10.1001/archpsyc.1989.01810110013002
- Klerman, G. L., Dimascio, A., Weissman, M.,
Prusoff, B., & Paykel, E. S. (1974). Treatment of depression by
drugs and psychotherapy. The American journal of
psychiatry,
131(2), 186–191. https://doi.org/10.1176/ajp.131.2.186
- MacQueen, G. M., Frey, B. N., Ismail, Z.,
Jaworska, N., Steiner, M., Lieshout, R. J., Kennedy, S. H., Lam, R.
W., Milev, R. V., Parikh, S. V., Ravindran, A. V., & CANMAT
Depression Work Group (2016). Canadian Network for Mood and Anxiety
Treatments (CANMAT) 2016 Clinical Guidelines for the Management of
Adults with Major Depressive Disorder: Section 6. Special
Populations: Youth, Women, and the Elderly. Canadian journal of psychiatry. Revue
canadienne de psychiatrie, 61(9), 588–603. https://doi.org/10.1177/0706743716659276
- Parikh, S. V., Quilty, L. C., Ravitz, P.,
Rosenbluth, M., Pavlova, B., Grigoriadis, S., Velyvis, V., Kennedy,
S. H., Lam, R. W., MacQueen, G. M., Milev, R. V., Ravindran, A. V.,
Uher, R., & CANMAT Depression Work Group (2016). Canadian Network
for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines
for the Management of Adults with Major Depressive Disorder:
Section 2. Psychological Treatments. Canadian journal of psychiatry. Revue
canadienne de psychiatrie, 61(9), 524–539. https://doi.org/10.1177/0706743716659418
- Ravitz, P., & Watson, P. (2014). Interpersonal
Psychotherapy: Healing with a Relational Focus.
FOCUS,
12(3), 275-284.
https://doi.org/10.1176/appi.focus.12.3.275
- Ravitz, P., Watson, P., Lawson, A.,
Constantino, M. J., Bernecker, S., Park, J., & Swartz, H. A.
(2019). Interpersonal Psychotherapy: A Scoping Review and
Historical Perspective (1974-2017). Harvard review of
psychiatry,
27(3), 165–180. https://doi.org/10.1097/HRP.0000000000000219
- Swartz, H. (2021). Interpersonal Psychotherapy
(IPT) for depressed adults: Indications, theoretical foundation,
general concepts, and efficacy. UpToDate. Accessed 2021-10-12.
CPA Note: The views expressed in
this podcast do not necessarily reflect those of the Canadian
Psychiatric Association.
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