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Clinical Child Psychology and Psychiatry, Vol. 10, No. 1, 88-101 (2005)
DOI: 10.1177/1359104505048794

Interpersonal Psychotherapy as a Treatment Model for Depressed Adolescents with Chronic Medical Problems

Raphael Tsi-Wai Chan

Northern Sydney Area Health Service, Australia, rchan{at}med.usyd.edu.au

Many adolescents with chronic medical disorders experience psychological distress and mental health problems, including depression. Interpersonal psychotherapy (IPT) is a time-limited individual psychotherapy which was originally developed for the treatment of depression in adults. It explores the patient’s interpersonal problem areas such as grief, interpersonal disputes, role transitions and interpersonal deficits, which then become the focus of the therapy. Controlled clinical studies have shown the efficacy and effectiveness of this therapeutic model for the management of adolescent depression. This article explores the applicability of IPT to adolescents with depression and chronic medical problems using theoretical concepts and research evidence from the adolescent development and health psychology literature. The specific interpersonal problem areas of IPT are relevant to the difficulties faced by these adolescents, although some modification of standard adult IPT may be necessary.

Key Words: adolescent • chronic disease • consultation-liaison • depression • interpersonal psychotherapy


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