Interpersonal Psychotherapy for Posttraumatic Stress Disorder

ISBN : 9780190465599

John C. Markowitz
184 Pages
156 x 235 mm
Pub date
Sep 2016
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Posttraumatic stress disorder (PTSD) is a prevalent, debilitating public health problem. Cognitive behavioral therapies (CBTs), and specifically exposure-based therapy, have long dominated PTSD treatment. Empirically supported treatments-Prolonged Exposure (PE), Cognitive Processing Therapy, Eye Movement Desensitization and Reprocessing (EMDR), and virtual reality therapy-all have relied upon the "fear extinction model" of exposing patients to reminders of their trauma until they grow accustomed to and extinguish the fear. While exposure-based treatments work, they (like all treatments) have their limits. Many patients refuse to undergo them or drop out of treatment prematurely; others may actually worsen in such treatment; and still others simply do not benefit from them. Interpersonal Psychotherapy for Posttraumatic Stress Disorder describes a novel approach that has the potential to transform the psychological treatment of PTSD. Drawing on exciting new clinical research findings, this book provides a new, less threatening treatment option for the many patients and therapists who find exposure-based treatments grueling. Interpersonal Psychotherapy (IPT) for PTSD was tested in a randomized controlled trial that compared three psychotherapies. Dr. Markowitz and his group found that IPT was essentially just as effective as exposure-based Prolonged Exposure. IPT had higher response rates and lower dropout rates than did PE, particularly for patients who were also suffering from major depression. These novel findings suggest that patients need not undergo exposure to recover from PTSD. Interpersonal Psychotherapy for Posttraumatic Stress Disorder describes an exciting alternative therapy for PTSD, details the results of the study, and provides an IPT treatment manual for PTSD.


Chapter 1: Is exposure therapy necessary to treat PTSD?
Chapter 2: The target diagnosis: PTSD
Chapter 3: A Pocket Guide to IPT
Chapter 4: Adapting IPT for PTSD
Chapter 5: IPT for PTSD - Initial Phase
Chapter 6: IPT for PTSD - Middle Phase
Chapter 7: IPT for PTSD - Role Transitions
Chapter 8: IPT for PTSD - Grief
Chapter 9: IPT for PTSD - Role Dispute
Chapter 10: IPT for PTSD - Termination Phase and Maintenance
Chapter 11: Difficult situations and special circumstances
Chapter 12: Practical Issues
Chapter 13: Training in IPT (for PTSD)
Chapter 14: Conclusion: Where do we go from here?
Appendix: Patient Handout
About the Author

About the author: 

John C. Markowitz, MD, is a Professor of Clinical Psychiatry at Columbia University College of Physicians and Surgeons and a Research Psychiatrist at New York State Psychiatry Institute. Dr. Markowitz is an internationally recognized expert in psychotherapy research, who has conducted several NIMH- and foundation-funded studies of interpersonal psychotherapy (IPT), cognitive behavioral therapies, and medications. He has studied treatments of mood, anxiety, and personality disorders, and has published more than 300 peer-reviewed articles, chapters, and reviews.

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