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