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