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