. Author manuscript; available in PMC: 2020 Oct 12.

Published in final edited form as: J Am Acad Child Adolesc Psychiatry. 2018 Oct 27;58(1):80–91. doi: 10.1016/j.jaac.2018.06.032

TABLE 1.

The Four Interpersonal Psychotherapy for Depressed Adolescents (IPT-A) Algorithms

Algorithm 1: First treat with weekly IPT-A with an initial treatment plan of 12 sessions. If at week 4 the adolescent has shown at least a 20% reduction in Hamilton Rating Scale for Depression (HRSD) score, maintain initial treatment plan of 12 IPT-A sessions. If the adolescent has not shown at least a 20% reduction in HRSD score, augment treatment by adding fluoxetine and continuing IPT-A (12 sessions total).

Algorithm 2: First treat with weekly IPT-A with an initial treatment plan of 12 sessions. If at week 4 the adolescent has shown at least a 20% reduction in HRSD score, maintain initial treatment plan of 12 IPT-A sessions. If the adolescent has not shown at least a 20% reduction in HRSD score, increase dose of IPT-A by scheduling sessions twice a week for 4 weeks; then return to weekly IPT-A (16 sessions total).

Algorithm 3: First treat with weekly IPT-A with an initial treatment plan of 12 sessions. If at week 8 the adolescent has shown at least a 40% reduction in HRSD score, maintain initial treatment plan of 12 IPT-A sessions. If the adolescent has not shown at least a 40% reduction in HRSD score, augment treatment by adding fluoxetine and continuing IPT-A (12 sessions total).

Algorithm 4: First treat with weekly IPT-A with an initial treatment plan of 12 sessions. If at week 8 the adolescent has shown at least a 40% reduction in HRSD score, maintain initial treatment plan of 12 IPT-A sessions. If the adolescent has not shown at least a 40% reduction in HRSD score, increase dose of IPT-A by scheduling sessions twice a week for 4 weeks; then return to weekly IPT-A (16 sessions total).