Using interpersonal therapy (IPT) with older adults today and tomorrow: A review of the literature and new developments
Interpersonal psychotherapy (IPT) has been shown to be an efficacious evidence-based treatment for major depression in combination with antidepressant medication, as a maintenance treatment in combination with medication, and as monotherapy (with placebo). After reviewing the salient features of IPT that make it a good fit for treating older patients, I summarize the extant literature. New adaptations of IPT for depressed older adults with cognitive impairment are delineated. An argument is articulated for why IPT may be the ideal psychotherapy for older patients.
KeywordsNortriptyline Older Adult Interpersonal Psychotherapy Interpersonal Therapy Geriatric Disorder
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References and Recommended Reading
- 1.Weissman MM, Markowitz JC, Klerman GL: Comprehensive Guide to Interpersonal Psychotherapy. New York: Basic Books; 2000.Google Scholar
- 2.Weissman M, Markowitz J, Klerman GL: Clinician’s Quick Guide to Interpersonal Psychotherapy. Oxford Press; 2007.Google Scholar
- 3.Meyer A: Psychobiology: A Science of Man. Springfield, IL: Charles C. Thomas; 1957.Google Scholar
- 4.Sullivan HS: The Interpersonal Therapy of Psychiatry. New York: Norton; 1953.Google Scholar
- 5.Kroenke K, Spitzer RL, Williams JB: The PHQ-9 validity of a brief depression severity measure. J Intern Med 2001, 16:606–613.Google Scholar
- 6.International Society for Interpersonal Psychotherapy website. http://www.interpersonalpsychotherapy.org. Accessed December 5, 2007.
- 7.Hinrichsen GA, Clougherty KF: Interpersonal Psychotherapy for Depressed Older Adults. Washington, DC: American Psychological Association; 2006.Google Scholar
- 8.Hinrichsen GA: Interpersonal psychotherapy for older adults with depression. American Psychological Association website. http://www.apa.org/videos/4310796.html. Accessed October 19, 2007.
- 11.Hinrichsen GA: Interpersonal psychotherapy for depressed older adults. J Geriatr Psychiatry 1997, 30:239–257.Google Scholar
- 13.Hinrichsen GA: Training in and application of IPT in a geriatric outpatient setting. Paper presented at the 1st International Conference on Interpersonal Psychotherapy. Pittsburgh, PA; June 12–13, 2004.Google Scholar
- 14.Sloane RB, Staples FR, Schneider LS: Interpersonal psychotherapy versus nortriptyline for depression in the elderly. In Clinical and Pharmacological Studies in Psychiatric Disorders. Edited by Burrows G, Norman TR, Dennerstein L. London: John Libbey; 1985:344–346.Google Scholar
- 15.Wolfson L, Miller M, Houck P, et al.: Foci of interpersonal psychotherapy (IPT) in depressed elders: clinical and outcome correlates in a combined IPT/nortriptyline protocol. Psychother Res 1997, 7:45–55.Google Scholar
- 16.Miller MD, Silberman RL: Using interpersonal psychotherapy with depressed elders. In A Guide to Psychotherapy and Aging. Edited by Zarit SH, Knight BG. Washington, DC: American Psychological Association; 1996:83–99.Google Scholar
- 18.Miller MD, Frank E, Cornes C, et al.: Applying interpersonal psychotherapy to bereavement-related depression following loss of a spouse in late life. J Psychother Pract Res 1994, 3:149–162.Google Scholar