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