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