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Interpersonal Psychotherapy for Depressed Adolescents / Edition 1

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Overview

Depression is always a serious disorder. It is especially troubling when it affects adolescents: It can impair a teenager's ability to function at school, with family members, and with friends during the life stage when establishing and maintaining relationships are of paramount importance. Adolescent depression can result in lifelong emotional, social, and interpersonal difficulties or even suicidal behavior. While the management of depression is often a major component in the practice of mental health treatments with adolescents, until now no treatment method has focused primarily on interpersonal relationships.

Breaking new ground in the literature on the subject, this volume is the first to present a comprehensive, step-by-step guide to interpersonal psychotherapy for depressed adolescents (IPT-A). Proven effective in managing adult depression, IPT was recently modified into a time-limited (12-week-long) program designed for younger outpatients experiencing nonpsychotic, nonbipolar depression. To improve the patient's overall social networks, the IPT-A program involves the affected teenager as well as his or her parents. The treatment focuses on the problem areas of grief, interpersonal role disputes, role transitions, interpersonal deficits, and on single-parent families.

The volume reviews the epidemiology, assessment, and diagnosis of depression in children and adolescents, and then guides the reader through each phase of treatment. Strategies, goals, and implementation methods are covered for each individual session; clinical vignettes and therapist scripts throughout offer clear illustrations of the techniques discussed. Final chapters cover the special issues clinicians are confronted with when working with adolescent patients, including refusal to go to school, sexual activity, aggressive behavior, sexual abuse, and life in a non-nuclear family. Also discussed are day-to-day clinical issues such as how to handle missed appointments and parental interference.

With depression rates soaring among younger members of the population, this text could not be more timely. The practical, effective treatment program detailed in this volume will be invaluable to all mental health professionals who work with adolescents. It is also an important addition to courses on adolescent psychiatry, psychology, and social work.

This book contains no illustrations.

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Editorial Reviews

Child and Adolescent Social Work Journal
"IPT is a therapeutic approach that is highly amenable to [a] social worker's ecosystemic and family orientation. For social work practitioners and educators seeking an EST for their practice, or for training Master's level Social Work students, IPT is a good entree to a highly rigorous Evidence Based Practice....[A] strong resource for clinicians and educators....Interpersonal Psychotherapy for Depressed Adolescents...offers a good starting point for social workers in increasing their use of ESTs."--Child and Adolescent Social Work Journal
Community Mental Health Journal
"In addition to providing a revised manual that incorporates evidence-based practices and many very helpful clinical examples, the authors provide a concise but excellent general overview of other current treatment practices for depressed adolescents....I found this book to be well-organized and easy (actually fun) to read. I found the clinical examples and tips to be useful in general terms for working with adults as well as adolescents, especially in community settings....The brief, focal nature of the therapy is very adaptable for work with adolescents in community settings."--Community Mental Health Journal
From the Publisher
"This volume is more than a simple how to do it' book, although it does that with great clarity. It is comprehensive and therefore likely to be useful to professionals with very different levels of training and experience....[It] addresses both scholarly and practical issues related to a very promising treatment of a common disorder. I strongly recommend it to all clinicians who treat adolescents with depression." --From the Foreword by David Shaffer, MD

"Depression is common among adolescents and especially difficult to diagnose, manage, and treat. This book provides a well-planned and practical approach that will be useful for clinicians of diverse orientations. The special strength of the book is its focus on the relationship aspects of adolescent depression. This volume shows how relationships--often a source of great difficulty for depressed adolescents--can be turned into great opportunities." --Allen Frances, MD

"Psychotherapy with adolescents has often been deemed impossible at most, frustrating at best. In a brilliant new book, the authors of INTERPERSONAL PSYCHOTHERAPY FOR DEPRESSED ADOLESCENTS provide a solution to the problem. A brief psychotherapeutic intervention for adolescents that works, IPT-A is grounded in Bowlby's attachment paradigm that anxiety and depression are part of the human condition and may become pathological states when significant losses or changes in relationships occur. It is a well-established treatment modality for adults which, unlike most psychotherapies, has been subject to as much scientific scrutiny as any drug trial. IPT-A is specifically tailored to the adolescent developmental tasks of separation, transition, and identity formation and is especially well suited for the population of adolescents who are bereaved, depressed, or experiencing interpersonal problems. A lucidly-written manual of operations describes the time-limited treatment (12 weeks) with the goals of improving the adolescents' self-esteem, clarification of the current problems including specific symptoms, and identification of effective techniques. Families are always included and other modalities, i.e., pharmacotherapy may be used in conjunction with IPT-A. Ample illustrative case vignettes are provided. I recommend INTERPERSONAL PSYCHOTHERAPY FOR DEPRESSED ADOLESCENTS to mental health professionals who work with adolescents as an important enhancement to their clinical armamentarium." --Clarice Kestenbaum, MD, College of Physicians and Surgeons of Columbia University

"Moreover, I would strongly recommend it to anyone who is involved with treatment of adolescent patients, regardless of his or her approach." --Karger

Booknews
A comprehensive, step-by-step guide to interpersonal psychotherapy for depressed adolescents (IPT-A). Proven effective in managing adult depression, IPT was recently modified into a time-limited (12-week) program designed for younger outpatients experiencing nonpsychotic, nonbipolar depression. To improve the patient's overall social networks, the IPT-A program involves the affected teenager as well as his or her parents. The treatment focuses on the problem areas of grief, interpersonal role disputes, role transitions, interpersonal deficits, and single-parent families. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780898626865
  • Publisher: Guilford Publications, Inc.
  • Publication date: 5/21/1993
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 218
  • Product dimensions: 6.34 (w) x 9.26 (h) x 0.76 (d)

Meet the Author

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.

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Table of Contents

I Overview
1 The Origins and Development of Interpersonal Psychotherapy for Depression 3
2 Nature of Depression in Adolescents 20
3 Current Treatments for Adolescent Depression 36
II Application of Interpersonal Psychotherapy for Depressed Adolescents
4 The Initial Phase: Assessment and Diagnosis of Depression 51
5 The Interpersonal Context of Depression 67
6 Setting the Treatment Contract 75
7 The Middle Phase 83
8 Grief 90
9 Interpersonal Role Disputes 101
10 Interpersonal Role Transitions 115
11 Interpersonal Deficits 128
12 Single-Parent Families 137
13 Termination Phase 150
III Special Issues in Treating Adolescents
14 Special Clinical Situations 161
15 Issues in the Therapist-Patient Relationship 170
16 Crisis Management 175
17 Use of Antidepressant Medication in Conjunction with IPT-A 182
18 The Future Direction of IPT-A 188
References 195
Index 213
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