An approach to interpersonal psychotherapy for postpartum depression: focusing on interpersonal changes.

OBJECTIVE: To review the principles of interpersonal psychotherapy (IPT)for the treatment of postpartum depression (PPD). SOURCES OF INFORMATION: Empirical literature, IPT manuals including those adapted for PPD, and the authors' clinical experience. MAIN MESSAGE: Level I evidence supports IPT as a treatment for PPD. Interpersonal psychotherapy is ideally suited because it focuses on the important interpersonal changes and challenges women experience during the postpartum period. It is delivered in 12 sessions and emphasizes interpersonal disputes, role transitions, or bereavement. In this article, we describe the IPT model and therapeutic guidelines for treatment of PPD.
CONCLUSION: Postpartum depression is an important public health problem with pervasive effects on mothers, infants, and families. Interpersonal psychotherapy is a relevant and effective treatment for women suffering from PPD because it helps address the many interpersonal stressors that arise during the postpartum period. The principles of IPT can be integrated easily into primary care settings as IPT is pragmatic, specific, problem focused, short-term, and highly effective.