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Interpersonal Behaviour Therapy for Generalized Anxiety Disorders

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Interpersonal Behaviour Therapy for Generalized Anxiety Disorders
Interpersonal therapy in the treatment of Generalized Anxiety Disorder
The World Health Organization (2007) reported 14% of all people aged 16 to 85 years experienced a form of anxiety disorder. In Australia alone, 2.3 million Australian was diagnosed with 12-month anxiety disorder and the annual cost of anxiety disorders and other mental illness was estimated at 20 billion dollars (Australian Bureau of Statistics, 2008). Given its prevalence, development for an effective psychotherapy treatment for anxiety disorder is imperative. Interpersonal distress is a possible causal and maintaining factor for anxiety disorder (Borkovec, Newman, Pincus, & Lytle, 2002), and as interpersonal psychotherapy therapy allows treatment the treatment for such aspect of a client’s life (Hazlett-Stevens, 2008), the approach can yield successive result in treating anxiety.
This paper argues that interpersonal psychotherapy serves as an effective treatment method for clients exhibiting symptoms of Generalized Anxiety Disorder, and will focus on the case of Jane who exhibits symptoms of such disorder. The nature of IPT and its relation with anxiety will be reviewed. Two empirical studies on the efficacy of IPT on anxiety disorders will be examined. This paper proposes IPT as the appropriate treatment for Jane’s disorder and offers two techniques of IPT as an effective treatment plan. Finally, issues with implementing treatment plan will also be explored.
Anxiety disorders encompasses a range of different disorders from specific phobias to obsessive-compulsive disorder (Wolfe, 2005), though they are ultimately bound together by the common trait of irrational fear and dread. A category of anxiety disorder, generalized anxiety disorder (GAD) is a chronic anxiety condition characterised by excessive and uncontrollable worry, accompanied by somatic symptoms and sleep disturbances (Wolfe, 2005; Hazlett-Stevens, 2008). GAD is typically diagnosed when the symptoms of the patient does not



References: Australian Bureau of Statistics (2008). 2007 National Survey of Mental Health and Wellbeing: Summary of Results (ABS cat. no. 4326.0), 21. Borkovec, T.D., Newman, M.G., Pincus, A.L., & Lytle, R. (2002) A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems. Journal of Consulting and Clinical Psychology, 70(2), 288-298. Carter, M. M., Turovsky, J., & Barlow, D. H. (1993) Interpersonal relationships in panic disorder with agoraphobia: a review of empirical evidence. Clinical Psychology: Science and Practice, 1, 25-34. DiMascio, A., Weissman, M Elkin, I., Shea, M. T., & Waktins, J. T. (1989) National institute of mental health treatment of depression collaborative research programme: General effectiveness of treatment. Archives of General Psychiatry, 46, 971-983. Frank, E., Kupfer, D. J., & Perel, J. M. (1990) Three years outcomes for maintenance therapies in recurrent depression. Archives of General Psychiatry, 1093-1099. Hazlett-Stevens, Holly (2008) Psychological Approaches to Generalized Anxiety Disorder: A Clinician 's Guide to Assessment and Treatment. New York: Springer Science Blagys, M Klerman, G. L., & Weissman, M. M. (Eds). (2004). New applications of interpersonal psychotherapy. Washington, DC Klerman, G.L., Weissman, M.M., Rounsaville, B.J., & Chevron, E.S Krupnick, J. L., Green, B. L., Stockton, P., Miranda, J., Krause, E., & Mete, M. (2008) Group interpersonal psychotherapy for low-income women with posttraumatic stress disorder. Psychotherapy Research, 18(5), 497-507. La Grecam A. M. & Lopez, N. (1998) Social Anxiety among adolescents: Linkage with Peer Relations and Friendships. Journal of Abnormal Child Psychology, 26(2), 83-94. Lipsitz, J Markowitz, J. C., Skodol, A. E., & Bleiberg, K. (2006) Interpersonal psychotherapy for borderline personality disorder: possible mechanism of change. Journal of Clinical Psychology, 62(4), 431-444. Robertson, M Stepahn, C. W. (1992) Intergroup anxiety and intergroup interaction in Lynch, J., Modgil, C., & Modgil, S.’s (1992) Cultural Diversity and the Schools: Prejudice, Polemic or Progress. Oxon: Routledge Weissman, M Weissman, M. M., Markowitz, J. C., & Klerman, G. L. (2000) Comprehensive Guide to Interpersonal Psychotherapy. New York: Basic Book.

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