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Identified Patient: Mom

Identified Patient: Mom. Most importantly: Safety planning/monitoring of suicidal ideation on an ongoing basis (47x more likely to die by suicide than someone without previous suicide attempts) Evidenced-based treatment for Depression and Anxiety IPT CBT. Brief Overview: What is IPT?.

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Identified Patient: Mom

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  1. Identified Patient: Mom • Most importantly: Safety planning/monitoring of suicidal ideation on an ongoing basis (47x more likely to die by suicide than someone without previous suicide attempts) • Evidenced-based treatment for Depression and Anxiety • IPT • CBT

  2. Brief Overview: What is IPT? • Interpersonal Psychotherapy (IPT) is an evidence-based psychotherapy for depression that focuses on interpersonally-relevant issues that may be the precipitant and/or consequence of depression • The overall goal of IPT is to reduce depressive symptoms and improve Veteran’s capacity to handle identified problems • Interpersonal Psychotherapy (IPT) is an evidence-based psychotherapy for depression that focuses on interpersonally-relevant issues that may be the precipitant and/or consequence of depression • The overall goal of IPT is to reduce depressive symptoms and improve Veteran’s capacity to handle identified problems • Developed as treatment for non-suicidal, non-psychotic depression by Klerman, Weissman, and colleagues in the 1970s

  3. What is IPT? • The focus of treatment is on one or two interpersonal problem areas: • Role transitions - a major change in life circumstances • Interpersonal role disputes - conflict with a significant person • Grief - complicated bereavement • Interpersonal deficits - difficulties establishing or sustaining relationships • Treatment is typically delivered in an individual format during 16 weekly sessions over 3 phases of treatment (initial sessions, intermediate sessions, and termination)

  4. What is Cognitive Behavioral Therapy? Cognitive Behavioral Therapy (CBT) is a structured, short-term, present-oriented psychotherapy directed toward modifying unhelpful thinking and behavior and solving current problems.

  5. Overview of CBT • CBT is based on Lewinsohn’s behavioral model and Beck’s cognitive model for treating depression. • CBT consists of 45-minute, individual psychotherapy sessions. • CBT is a short-term therapy consisting of 12-16 weekly or biweekly sessions. Source: Karlin, Brown, Trockel, Cunning, Zeiss, & Taylor, 2012; Wenzel, Brown & Karlin, 2009

  6. What about Dad? • Evaluation to ensure no underlying MH issues • Using a thorough clinical interview to review basic MH symptoms/problems beyond marital issues • SUD? • Trauma related disorders?

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