Interpersonal Therapy (IPT)

Interpersonal Therapy (IPT) is a short, structured talk therapy that treats depression by working on the relationships and life events connected to it, such as grief, conflict, major changes and loneliness. At Calida Rehab, IPT is delivered by our clinical team at our Pune centre and our Mumbai Region – Karjat centre, together with psychiatric care. [CONFIRM: delivery format]

Quick facts
  • Best for: depression, including depression that follows grief, conflict at home or work, or a big life change
  • Approach: structured and time-limited, focused on one or two relationship problem areas
  • Format: individual sessions, with family involvement where helpful [CONFIRM]
  • Care setting: inpatient care at Calida Rehab, planned together with the treating psychiatrist [CONFIRM]
  • Where: Pune centre and Mumbai Region – Karjat centre
  • Clinically reviewed by: Dr. Prashant Dasud, M.D. (Psychiatry), Director and Consultant Psychiatrist [CONFIRM: review pending, remove this line if not reviewed]
  • Last updated: October 2026

What is Interpersonal Therapy (IPT)?

Interpersonal Therapy was developed in the 1970s and 1980s by psychiatrist Gerald Klerman and Myrna Weissman for the treatment of depression. It is now an established psychological treatment, used for depression in adults, adolescents and older adults.

The idea is simple. Depression affects relationships, and relationships affect depression. A death in the family, a long conflict with a spouse, a job loss or a move to a new city can trigger or deepen low mood. When a person feels cut off from others, mood often falls further. IPT works on this two-way link, so that improving a key relationship or life situation also helps mood.

IPT does not dig through childhood. It stays focused on the present: what is happening between you and the people around you, and what can change.

1A triggerLoss, conflict, a big life change or loneliness
2Low moodTiredness, withdrawal and hopeless thinking
3Strained relationshipsLess contact, more arguments and less support
↻ Less support can deepen low mood, and the loop repeats. IPT works on the relationship side so the loop can break.
In IPT, mood and relationships are treated as two sides of the same problem.
Where IPT comes from

The first IPT manual, Interpersonal Psychotherapy of Depression, was published in 1984 by Klerman, Weissman, Rounsaville and Chevron. It was designed as a short, structured therapy that could be tested in research trials. It has since been adapted for groups, adolescents and community settings, including a group version published by the World Health Organization.

What IPT focuses on
  • The link between your mood and your relationships or life events
  • One or two problem areas, chosen together with your therapist
  • The present, and not a long review of the past
  • Practical steps you try between sessions

Someone who has become withdrawn after a loss, or who argues every day at home, may be dealing with a relationship problem that is feeding depression. IPT helps you see that link and work on it.

The Four Problem Areas in IPT

Your mood and your relationships
GriefLoss of someone close, when mourning feels stuck
Role disputesOngoing conflict with a spouse, parent, child, in-law or colleague
Role transitionsA major life change that is hard to adjust to
Interpersonal sensitivityLong-standing loneliness or trouble forming close relationships
The four IPT problem areas, as described in the original IPT manual (Klerman et al., 1984).

Your therapist helps you choose one or two of these four areas to focus on.

Problem areaWhat it meansExample
GriefDepression that follows the death of someone close, especially when mourning feels stuckA person who has not been able to grieve a parent’s death and feels numb months later
Role disputesOngoing conflict with a spouse, parent, child, in-law or colleagueRepeated arguments in a joint family that leave the person hopeless
Role transitionsA major life change that is hard to adjust toRetirement, marriage, divorce, moving cities, becoming a parent, illness or job loss
Interpersonal sensitivity (deficits)Long-standing loneliness or difficulty forming and keeping close relationshipsA person with few close contacts who feels isolated and unsupported

How IPT Differs from CBT and Other Therapies

TherapyMain focusOften used for
Interpersonal Therapy (IPT)Relationships, grief, role changes and social supportDepression linked to life events and relationships
CBTChanging unhelpful thoughts and behavioursDepression, anxiety, addiction
DBTEmotion regulation and distress toleranceIntense emotions and impulsive behaviour
Acceptance and Commitment TherapyAccepting difficult feelings and acting on personal valuesChronic stress, anxiety, depression
Family TherapyThe family as a whole and how it communicatesFamily conflict and support during recovery

IPT and CBT both have good evidence in depression. Your psychiatrist and psychologist choose between them, or combine them, based on your history and what is driving your low mood.

Techniques Used in IPT

IPT is built on practical conversation. These are the main techniques your therapist may use.

TechniqueWhat you doHow it helps
Interpersonal inventoryList the important people in your life, what each relationship gives you and what is going wrongShows where relationships and mood are linked
Communication analysisGo through a recent difficult conversation step by step: what was said, what was meant and what was heardReveals misunderstandings and habits that can be changed
Role-playRehearse a hard conversation with your therapistBuilds confidence before the real talk
Exploring feelingsPut words to grief, anger or disappointment that has been held backLets feelings be understood and not avoided
Options and decisionsList realistic choices in a conflict or life change and weigh each oneMoves you from feeling stuck to having a plan
Between-session tasksTake small steps, such as one planned conversation or reaching out to one personTurns insight into change in daily life

Your therapist chooses the techniques that fit your problem area. Nobody is expected to use all of them.

What Does the Research Say About IPT?

IPT is one of the best-studied psychological therapies for depression.

StudyWhat it looked atWhat it suggests
Klerman, Weissman, Rounsaville and Chevron (1984), Interpersonal Psychotherapy of DepressionThe original treatment manual for IPTSet out the four problem areas and the structure of therapy
Elkin et al. (1989), Archives of General PsychiatryThe NIMH Treatment of Depression Collaborative Research Program, comparing IPT, CBT, an antidepressant and placebo with clinical managementIPT, CBT and the antidepressant all helped. Differences between them were small, especially in less severe depression
Bolton et al. (2003), JAMAGroup IPT for depression in rural UgandaGroup IPT reduced depression symptoms compared with control, showing it can work in low-resource settings
Cuijpers et al. (2011), American Journal of PsychiatryA meta-analysis of IPT trials for depressionIPT was more effective than control conditions, and about as effective as other established therapies
World Health Organization (2016), Group Interpersonal Therapy (IPT) for DepressionA WHO manual for delivering group IPTWHO publishes IPT as a treatment that trained workers can deliver in community settings

What this means in practice: IPT has solid evidence, but it is not right for everyone and it is not a stand-alone answer for severe depression. At Calida Rehab it sits inside a wider plan that includes psychiatric review, medicines where needed, other therapies and family involvement.

Who Can Benefit from Interpersonal Therapy?

IPT is most often used for depression, including:

  • Depression following bereavement, conflict or a major life change
  • Long-standing low mood with loneliness or few close relationships
  • Depression that has come back after earlier treatment
  • Postnatal depression and depression in older adults
  • Clients who prefer a talking therapy over medicines alone, or who want one alongside medicines

Want to know more about the condition itself? Read how depression counselling helps with stress, sadness and burnout or a real-life depression case study.

If you also have anxiety or another condition, your psychiatrist may combine IPT with other therapies. Our team will advise whether IPT fits your situation.

Why Choose Calida Rehab for Interpersonal Therapy?

Depression is easier to treat when the diagnosis is clear and the plan fits the person. At Calida Rehab, a psychiatrist assesses you first, so that medical causes and the right level of care are clear before therapy begins.

What our approach includes
  • Psychiatric assessment before therapy starts
  • IPT planned together with depression treatment and any needed medicines
  • Family sessions, so relatives understand what is happening and can help [CONFIRM]
  • Option to combine with CBT, group therapy and family therapy
  • Care across our Pune centre and Mumbai Region – Karjat centre

How Interpersonal Therapy Works at Calida

Interpersonal Therapy at Calida Rehab follows three phases and is usually time-limited. The number of sessions depends on the person and the problem area.

1Assessment and focusPsychiatric review
Interpersonal inventory
One or two focus areas agreed
2Working on the problem areaGrief, conflict, change or isolation
Communication practice
Small steps between sessions
3Ending wellReview what has changed
Plan for tough situations
Follow-up care linked
Time-limited and structured. The number of sessions depends on the person and the problem area.
The three phases of Interpersonal Therapy at Calida Rehab.
  • Review of your symptoms, history and current medicines with the treating psychiatrist
  • An interpersonal inventory: a map of the important people in your life and where things are going wrong
  • Agreeing on one or two problem areas to work on
  • Grief: talking through the loss and slowly rebuilding routines and connections
  • Role disputes: understanding what each side wants and practising clearer communication
  • Role transitions: acknowledging what was lost and building support in the new role
  • Interpersonal deficits: looking at past patterns and practising new ways of connecting
  • Between-session tasks, such as one planned conversation or reaching out to one person
  • Reviewing what has changed and what still needs work
  • Planning for the situations most likely to bring low mood back
  • Linking to follow-up care and, where needed, medicines and psychiatric review

What to Expect in Your First IPT Sessions

Most people begin once they have been assessed by the psychiatrist and a treatment plan is agreed.

StageWhat happensWhat you may notice
First 1 to 3 sessionsYour therapist listens to your story, reviews your symptoms and maps the important people and events in your lifeRelief at having the link between mood and life events named
Middle sessionsYou work on the chosen problem area, with practical steps between sessionsSmall changes in how you handle conflict, loss or change
Final sessionsYou review progress and plan for the futureMore confidence that you can cope with hard times

An illustrative example (not a real patient): a man loses his job and moves back to live with his parents. He feels useless, stops meeting friends and argues daily with his father. In IPT, the therapist helps him see this as a role transition with a role dispute inside it. Sessions focus on grieving the old role, planning how to speak with his father without an argument, and rebuilding one or two friendships. As the situation improves, so does his mood.

How Families Can Help

Depression often changes how a person speaks, eats, sleeps and joins in family life. Relatives can help by understanding this.

HelpfulLess helpful
Listening without rushing to fix or judgeSaying just think positive or be strong
Keeping simple routines for meals, sleep and short walksPushing the person to snap out of it
Joining family sessions to understand the problem areasBlaming the person or other relatives for the illness
Noticing and reporting changes in mood, sleep or talk of hopelessnessIgnoring talk of self-harm or hopelessness
Looking after your own health and supportCarrying the full burden alone

Relatives are welcome in family therapy sessions at Calida Rehab.

Myths and Facts About IPT

MythFact
Depression is just a bad mood, so therapy is not needed.Depression is a medical condition that affects thinking, sleep, energy and daily life, and it responds to treatment.
IPT means blaming your family.IPT focuses on understanding and improving relationships, not on blame.
Therapy replaces medicines.Some people do well with therapy alone, others need medicines as well. The treating psychiatrist advises on this.
IPT takes years.IPT is structured and time-limited, usually over a few months.
You have to talk about your childhood.IPT stays with the present: current relationships, losses and changes.

Interpersonal Therapy in Our Programs

IPT is offered as part of depression care at Calida Rehab, and is planned by the treating team around each person. [CONFIRM: program details]

Treatment starts with an assessment by our psychiatry team. Where needed, medicines are advised alongside therapy. [CONFIRM]

IPT sessions are planned around one or two problem areas, with family involvement where helpful and follow-up after discharge. [CONFIRM]

When IPT Alone Is Not Enough

IPT is a talk therapy and works best inside full care:

  • Severe depression or suicidal thoughts: these need urgent psychiatric assessment and treatment.
  • Bipolar disorder or psychosis: a depressive episode in these conditions needs psychiatric assessment first, and therapy is added to medical care.
  • Alcohol or drug dependence: withdrawal can be medically risky and needs supervised detoxification first.
  • Medicines: where your psychiatrist advises antidepressants or other medicines, IPT is used alongside them.

Not sure whether care at home is enough? Read our guide on when to stay at home and when hospital care is needed.

If you are in danger right now

Call 112 for emergencies. Tele-MANAS, India’s government mental health helpline, is available on 14416. You can also call the Calida Rehab 24-hour confidential helpline shown on this page.

Sources and Further Reading

Clinical content reviewed by Dr. Prashant Dasud, M.D. (Psychiatry). This page is for information and is not a substitute for medical advice. [CONFIRM: review pending]

Take the First Step - Contact Calida Rehab

If you or a loved one is struggling with low mood, you do not have to wait for a crisis. Speak to our team for a confidential assessment.

Related therapies

Cognitive Behavioral Therapy | Dialectical Behavioral Therapy | Acceptance and Commitment Therapy | Group Therapy | Family Therapy | Behavioral Therapy

Where we offer it (Pune and the Mumbai region)

Rehabilitation Centre for Depression in Pune | Rehab for Depression in Mumbai | Depression Treatment | Mental Hospital in Pune | Mental Hospital in Mumbai

10K +

Patients Serviced with Complete Care

NABH

Guidelines Compliant

170 +

Beds Capacity

24/7

Residential Staff

Interpersonal Therapy at Calida Rehab - FAQs

IPT is a short, structured talk therapy for depression. It focuses on relationships and life events, such as grief, conflict, major changes and loneliness, and how they connect to mood.

CBT focuses on changing unhelpful thoughts and behaviours. IPT focuses on relationships and life situations. Both are well studied in depression, and at Calida Rehab they can be used together.

IPT is time-limited. The number of sessions depends on the person and the problem area, and our team will discuss a plan after your assessment. [CONFIRM: typical session count]

Four main areas: grief, role disputes (conflict), role transitions (major life changes) and interpersonal sensitivity (loneliness and difficulty with close relationships).

IPT was designed for depression and has the strongest evidence there. It is also used for some other conditions, and our team will tell you whether it suits your situation.

Not always. Some people do well with therapy alone, and others need medicines too. Your psychiatrist will advise after assessment.

Yes, where it helps. Relatives can join family therapy sessions to understand depression and learn how to support recovery. [CONFIRM]

No. IPT stays focused on the present: your current relationships, losses and changes.

Tell your therapist, psychiatrist or a family member right away. In an emergency, call 112. Tele-MANAS is available on 14416.

Calida Rehab offers IPT at our Pune centre and our Mumbai Region – Karjat centre. Call our helpline or fill in the admission form for a confidential assessment.

What Patients and Families Say About Calida Rehab

Read what people have shared about their experience with our team.

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