Interpersonal Therapy (IPT) addresses bdsm through its strong evidence base: most bdsm is connected to relationship problems, and improving relationships improves bdsm.
The Four IPT Focus Areas for BDSM
IPT targets one of four interpersonal problem areas that typically accompany bdsm:
- Grief: Loss and bereavement contributing to bdsm
- Role disputes: Conflicts in important relationships driving bdsm
- Role transitions: Life changes creating adjustment-related bdsm
- Interpersonal deficits: Limited social skills or relationships sustaining bdsm
IPT vs. CBT for BDSM
While CBT targets thoughts and behaviors, IPT targets relationships and communication. Both are highly effective for bdsm — the best choice depends on the primary driver.
What IPT for BDSM Looks Like
IPT for bdsm typically runs 12-20 sessions, with early sessions identifying the interpersonal focus area, middle sessions working on it, and later sessions consolidating gains.