Session 5: Formulating the Problem Area

2018 ◽  
pp. 141-148
Author(s):  
Laura J. Dietz
Keyword(s):  
Problem Solving ◽  
Communication Skills ◽  
Initial Phase ◽  
Interpersonal Psychotherapy ◽  
Problem Area ◽  
Interpersonal Therapy ◽  
Problem Solving Strategies ◽  
Family Based ◽  
Treatment Contract ◽  
Common Understanding

Chapter 9 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents concludes the initial phase of family-based interpersonal therapy (FB-IPT). In this fifth session, the therapist presents the formulation of the problem area; elicits feedback from the preadolescent and parent; and makes sure that the therapist, preadolescent, and parent are all working from a common understanding of the child’s depression. The therapist introduces the treatment contract and clarifies how the problem area will be addressed in the middle phase of FB-IPT. This session concludes with a discussion of new communication skills and problem-solving strategies that will be introduced to both the preadolescent and the parent in ensuing sessions.

Session 9: “Have a Few Solutions in Mind”

2018 ◽  
pp. 189-206
Author(s):  
Laura J. Dietz
Keyword(s):  
Problem Solving ◽  
Interpersonal Psychotherapy ◽  
Interpersonal Therapy ◽  
Communications Skills ◽  
Problem Solving Strategies ◽  
Family Based

Chapter 13 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents presents the ninth session of family-based interpersonal therapy (FB-IPT), in which the therapist introduces problem-solving strategies (“Have a Few Solutions in Mind”)with the preadolescent and the parent. The therapist revisits the depression circle to identify a problem to solve and presents techniques that encourage compromise (“Meet in the Middle”) and negotiation (“Let’s Make a Deal”). In working with the preadolescent to propose a solution to an identified problem, the therapist incorporates many of the communications skills presented in earlier sessions, such as “Give to Get” and “Make ‘I Feel’ Statements.” Dyadic role-plays focus on helping preadolescents and parents identify and communicate their wants and/or concerns about problematic issues, as well as possible solutions that can be implemented and revised.

Session 6: Introducing the Tween Tips and “Use Good Timing”

2018 ◽  
pp. 151-166
Author(s):  
Laura J. Dietz
Keyword(s):  
Depressive Symptoms ◽  
Interpersonal Relationships ◽  
Communication Skills ◽  
Communication Strategies ◽  
Role Play ◽  
Interpersonal Psychotherapy ◽  
Problem Area ◽  
Middle Phase ◽  
Interpersonal Therapy ◽  
Family Based

Chapter 10 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents introduces the middle phase of family-based interpersonal therapy (FB-IPT), in which the therapist uses identified the problem area to further explore ways disruptions in interpersonal relationships have contributed to or currently maintain the preadolescent’s depressive symptoms. In session six, the therapist provides the structure for the middle phase sessions and begins to address aspects of the problem area. Using an example of a recent interaction with a family member or friend, the therapist introduces a focus on communication skills and demonstrates the effects of communication on the preadolescent’s mood through construction of a depression circle. Tween Tips (communication strategies) are introduced using role-play to rehearse new communication skills in sessions. Therapist initiates dyadic practice with the “Use Good Timing” Tween Tip and assigns home practice.

Developmental Adaptations for FB-IPT for Depressed Preadolescents

2018 ◽  
pp. 43-56
Author(s):  
Laura J. Dietz
Keyword(s):  
Social Interactions ◽  
Communication Skills ◽  
Psychosocial Intervention ◽  
Treatment Strategies ◽  
Interpersonal Psychotherapy ◽  
Interpersonal Therapy ◽  
Verbal Abilities ◽  
Treatment Targets ◽  
Age Appropriate ◽  
Family Based

Chapter 3 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents presents the basics of family-based interpersonal therapy (FB-IPT), which is a psychosocial intervention for treating depression in preadolescents (ages 7–12). Adapted from interpersonal psychotherapy for depressed adolescents (IPT-A), FB-IPT includes several developmental modifications, including systematically involving a parent weekly in treatment, presenting treatment strategies visually, teaching communication skills in age-appropriate language, and having the preteen experiment with initiating social interactions outside of sessions in order to improve her engagement intreatment and acquisition of new skills. FB-IPT identifies treatment targets for both preadolescents and parents and is easily modified to target younger children’s (ages 7–8) cognitive and verbal abilities.

Session 14: Reviewing Progress and Saying Goodbye

2018 ◽  
pp. 241-248
Author(s):  
Laura J. Dietz
Keyword(s):  
Problem Solving ◽  
Early Warning ◽  
Interpersonal Psychotherapy ◽  
Warning Signs ◽  
Interpersonal Therapy ◽  
Problem Solving Skills ◽  
Therapy Termination ◽  
Early Warning Signs ◽  
The Family ◽  
Family Based

Chapter 17 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents presents the fourteenth (and last) session of family-based interpersonal therapy (FB-IPT), in which the preadolescent reviews with the therapist the ways in which the preadolescent has implemented new communication and problem-solving skills and how these skills could help in future situations. The therapist provides the preteen with the opportunity to explore his feelings about therapy termination. Together they review the preadolescent’s early warning signs and contract with the parent to regularly check-in with child after treatment ends. The therapist acknowledges the parent’s role in treatment and gives parent an opportunity to share her own feelings about ending therapy. Lastly, the therapist expresses appreciation to the parent-child dyad for their hard work. The therapist shares with the family that they may contact her at any time in the future with questions or concerns.

Session 8: “Make ‘I Feel’ Statements”

2018 ◽  
pp. 177-188
Author(s):  
Laura J. Dietz
Keyword(s):  
Interpersonal Psychotherapy ◽  
Problem Area ◽  
Home Practice ◽  
Interpersonal Therapy ◽  
Family Based

Chapter 12 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents presents the eighth session of family-based interpersonal therapy (FB-IPT), in which the therapist introduces the Tween Tip for how to “Make ‘I Feel’ Statements.” The therapist encourages the preadolescent and the parent to directly communicate feelings in response to situations related to the identified problem area. By expressing feelings, including softer feelings of sadness, worry, or disappointment, preadolescents can experience what it is like to let a parent or friend understand where she is coming from and possibly increase the support she experiences. Dyadic role-plays and home practice assignments increase uptake. Four Therapist Tips are provided.

Session 2: Completing the Closeness Circle and Identifying Parenting Challenges

2018 ◽  
pp. 99-116
Author(s):  
Laura J. Dietz
Keyword(s):  
Initial Phase ◽  
Family Members ◽  
Interpersonal Psychotherapy ◽  
Sick Role ◽  
Interpersonal Therapy ◽  
Visual Mapping ◽  
Family Based

Chapter 6 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents presents the second session of family-based interpersonal therapy (FB-IPT), in which the therapist outlines the structure for the remainder of the initial phase of treatment (check-in, time with the preadolescent, and time with the parent). The preadolescent rates their feelings using the mood thermometer during the check-in and the therapist helps to link changes in her mood to interpersonal events in the last week. The therapist completes a closeness circle with the preadolescent, a visual mapping of important relationships with family members and friends. When meeting with the parent individually, the therapist helps the parent to identify a challenging aspect of parenting his or her preteen where the limited sick role can be applied.

Session 7: “Give to Get”

2018 ◽  
pp. 167-176
Author(s):  
Laura J. Dietz
Keyword(s):  
Communication Skills ◽  
Perspective Taking ◽  
Interpersonal Psychotherapy ◽  
Point Of View ◽  
Home Practice ◽  
Interpersonal Therapy ◽  
Family Based

Chapter 11 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents presents the seventh session of family-based interpersonal therapy (FB-IPT), in which the therapist builds upon the foundations established in Session 6. The therapist actively teaches new communication skills to the preadolescent and parent and begins to explore how skills may fit into scenarios where the preadolescent needs to express a different point of view, opinion, or request and wants to avoid conflict. Dyadic role-plays with the “Give to Get” Tween Tip continue to help with adoption of these skills, and home practice assignments increase uptake. Therapist Tips for introducing the concept of perspective taking to younger preteens and helping preteens accept differences in perspective are also provided.

Session 4: Introducing Parent Tips

2018 ◽  
pp. 129-140
Author(s):  
Laura J. Dietz
Keyword(s):  
Interpersonal Psychotherapy ◽  
Problem Area ◽  
Background Information ◽  
Interpersonal Therapy ◽  
Role Transitions ◽  
Family Based ◽  
Fourth Session

Chapter 8 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents presents the fourth session of family-based interpersonal therapy (FB-IPT), in which the therapist completes the interpersonal inventory with the preadolescent. This information, along with the background information obtained in previous sessions from both the preadolescent and the parent, helps formulate the problem area (grief, role transitions, role disputes, or interpersonal deficits) and set the focus for the next phase of treatment. Working with the parents, the therapist introduces the Parent Tips, a set of strategies for helping parents interact and support their depressed preadolescent and explains how some of these tips may decrease the specific challenges the parent has identified in their interactions with their depressed preteen. With the information accumulated to date, the therapist then prepares the problem area formulation to present to the preadolescent and parent in the next session.

Session 12: Planning for the End of FB-IPT

2018 ◽  
pp. 221-232
Author(s):  
Laura J. Dietz
Keyword(s):  
Depressive Symptoms ◽  
Problem Solving ◽  
Maintenance Therapy ◽  
Interpersonal Skills ◽  
Interpersonal Psychotherapy ◽  
Outpatient Therapy ◽  
Problem Solving Skills ◽  
Termination Phase ◽  
Family Based ◽  
Made In

Chapter 15 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents introduces the termination phase of treatment, in which the therapist prepares the preadolescent and parent for the completion of family-based interpersonal psychotherapy (FB-IPT). In Session 12, the therapist continues to support the preadolescent’s practice of interpersonal skills and begins to review with the preadolescent and the parent the progress the preadolescent has made in treatment. There is continued emphasis on the link between improvement in the preadolescent’s depressive symptoms and the preadolescent’s use of communication and problem-solving skills. With both the preadolescent and the parent, the therapist begins to talk about the process of terminating this course of FB-IPT and next steps for the preadolescent, which may be ending outpatient therapy, referral to a maintenance group or individual maintenance therapy, or more intensive treatment, depending on the preadolescent’s degree of improvement and severity of residual depressive symptoms.

Sessions 10 and 11: Designing Interpersonal Experiments for Comorbid Anxiety

2018 ◽  
pp. 207-218
Author(s):  
Laura J. Dietz
Keyword(s):  
Role Playing ◽  
Interpersonal Psychotherapy ◽  
Interpersonal Therapy ◽  
Comorbid Anxiety ◽  
Socially Isolated ◽  
Family Based

Chapter 14 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents presents the tenth and eleventh sessions of family-based interpersonal therapy (FB-IPT), in which the therapist introduces interpersonal approach strategies to help socially isolated or avoidant preadolescents increase their interactions peers. Working collaboratively with the preadolescent, the therapist helps identify peers and situations where the preadolescent could initiate a brief interaction and scripts examples of saying hello, asking a question, or giving a compliment. After role-playing, the therapist encourages the preteen to implement this approach in the upcoming week as an “interpersonal experiment,”, with the hope that more frequent initiation with peers will result in more positive moods. The therapist enlists the parent as support for the preadolescent in completing the interpersonal experiment.

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