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