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. Author manuscript; available in PMC: 2018 Apr 24.
Published in final edited form as: Evid Based Pract Child Adolesc Ment Health. 2016 Nov 14;1(4):159–175. doi: 10.1080/23794925.2016.1247679

Table 2.

Interpersonal psychotherapy for mood and behavior dysregulation concepts.

Initial: Sessions 1–5

  • Develop rapport

  • Review of symptoms

  • Psychoeducation: SMD/DMDD

  • Outburst data gathering; outburst plan if clinically indicated

  • Limited sick role and accommodations

  • Closeness circle

  • Interpersonal inventory

  • Mood/outburst ratings: Link mood to interpersonal events

  • Interpersonal formulation

Middle: Sessions 6–18a

  • Review of symptoms

  • Mood/outburst ratings: Link mood to interpersonal events

  • Work on identified problem area

  • Develop disengagement strategies

  • Communication analysis

  • Decision analysis

  • Teen tips

  • Parental involvement: Amount is dependent on age and skill level of teen and problem area of focus

Termination: Sessions 19–20

  • Review of symptoms

  • Assess symptom improvement: specifically, number of outbursts per week/month and frequency, duration of irritability

  • Review interpersonal skills that were most beneficial with teen and parent

  • Generalize skills/relapse prevention: Discuss future interpersonal scenarios where skills might be utilized

  • Discuss feelings about ending treatment

  • Assess need for continued treatment

Note. SMD/DMDD = severe mood dysregulation/disruptive mood dysregulation disorder.

a

Middle phase may be extended if needed to Session 22. Termination phase would be Sessions 23 and 24.