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