Supportive Psychotherapy Versus Interpersonal Psychotherapy

Supportive Psychotherapy Versus Interpersonal Psychotherapy

Although supportive psychotherapy and interpersonal psychotherapy share some similarities, these therapeutic approaches have many differences. When assessing clients and selecting therapies, it is important to recognize these differences and how they may impact your clients. For this Assignment, as you compare supportive and interpersonal psychotherapy, consider which therapeutic approach you might use with your clients. Supportive Psychotherapy Versus Interpersonal Psychotherapy

The Assignment

In a 1- to 2-page paper, address the following:

· Briefly describe how supportive and interpersonal psychotherapies are similar.

· Explain at least three differences between these therapies. Include how these

differences might impact your practice as a mental health counselor.

· Explain which therapeutic approach you might use with clients and why. Support

your approach with evidence-based literature. Supportive Psychotherapy Versus Interpersonal Psychotherapy

· PLEASE DO NOT FAIL TO INCLUDE INTRODUCTION, CONCLUSION, AND  WITH  

  REFERENCES  

                                                Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 5, “Supportive and Psychodynamic Psychotherapy”      (pp. 238–242)
  • Chapter      9, “Interpersonal Psychotherapy” (pp. 347–368)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Supportive Psychotherapy Versus Interpersonal Psychotherapy

Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History of psychotherapy: Continuity and change (pp. 723–740). Washington, DC: American Psychological Association. doi:10.1037/12353-048

Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. Journal of Counseling and Development, 80(3), 286–292. Retrieved from the Academic Search Complete database. (Accession No. 7164780) Supportive Psychotherapy Versus Interpersonal Psychotherapy

Nicholson, R. (2002). The dilemma of psychotherapy notes and HIPAA. Journal of AHIMA, 73(2), 38–39. Retrieved from http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4

U.S. Department of Health & Human Services. (n.d.). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/Supportive Psychotherapy Versus Interpersonal Psychotherapy

Required Media

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.

Stuart, S. (2010). Interpersonal psychotherapy: A case of postpartum depression [Video file]. Mill Valley, CA: Psychotherapy.net. Supportive Psychotherapy Versus Interpersonal Psychotherapy

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Infertility is strongly associated with depression, yet treatment research for depressed infertile women is sparse. This study tested for the first time the feasibility and preliminary efficacy of interpersonal psychotherapy (IPT), the evidence-based antidepressant intervention with the greatest peripartum research support, as treatment for depressed women facing fertility problems. Patients who met DSM-IV criteria for major depressive disorder of at least moderate severity were randomized to either 12 sessions of IPT (n = 15) or brief supportive psychotherapy (BSP; n = 16), our control intervention. Eighty percent of IPT and 63 % of BSP patients completed the 12 sessions of therapy. Supportive Psychotherapy Versus Interpersonal Psychotherapy Patients in both treatments improved. IPT produced a greater response rate than BSP, with more than two-thirds of women achieving a >50 % reduction in scores on the Montgomery-Åsberg Depression Rating Scale (MADRS). IPT also tended to have lower posttreatment scores on the Beck Depression Inventory, Clinical Global Impression-Severity Scale, and anxiety subscale of the Hamilton Depression Rating Scale, with between-group effect sizes ranging from 0.61 to 0.76. Gains persisted at 6-month follow-up. This pilot trial suggests that IPT is a promising treatment for depression in the context of infertility and that it may fare better than a rigorous active control condition. Should subsequent randomized controlled trials support these findings, this will inform clinical practice and take an important step in assuring optimal care for depressed women struggling with infertility Supportive Psychotherapy Versus Interpersonal Psychotherapy

Supportive psychotherapy is widely practiced but seldom studied. The decision-making process about whom to treat or not treat with supportive therapy has been based on clinical traditions embodying assumptions that have not been experimentally validated. Because supportive psychotherapy has been traditionally seen as the treatment for those not suitable for expressive therapy, supportive treatment has been generally confined to patients with whom expressive techniques are expected to fail or who are difficult to treat. In an assessment of patient difficulty in relation to therapist performance of Interpersonal Psychotherapy, Foley et al. found that greater patient difficulty predicted lower therapist performance. There has been selection bias in that more difficult patients are routinely shunted to supportive psychotherapy and the better candidates for therapy are selected for expressive treatments, a process that reinforces the notion that supportive psychotherapy is not indicated for what Murphy called YAVIE (young, attractive, verbal, intelligent, and educated) patients. Thus, by the circular process of assigning very sick and very difficult patients, the image of supportive therapy as a low-potency intervention is perpetuated Supportive Psychotherapy Versus Interpersonal Psychotherapy

We have defined supportive psychotherapy as a dyadic treatment characterized by use of direct measures to ameliorate symptoms and to maintain, restore, or improve self-esteem, adaptive skills, and psychological (ego) function. To the extent necessary to accomplish these objectives, treatment may examine relationships (real or transferential) and both current and past patterns of emotional or behavioral response. The techniques are not limited to use with severely impaired patients, as might be assumed in a treatment derived from the supportive end of the supportive–expressive continuum. Conversely, it appears that several types of patients, such as those with schizophrenia or substance use disorders, who have been traditionally prescribed supportive psychotherapy, may make use of more expressive treatments, within certain constraints, than previously predicted from dynamic theory Supportive Psychotherapy Versus Interpersonal Psychotherapy

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