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