What is the Difference between Dialectical Behavior Therapy and Interpersonal Therapy?

“My son who is in his mid-twenties was recently diagnosed with bipolar disorder. His psychiatrist recommended Dialectical Behavior Therapy as well as medication. A friend of ours suggested Interpersonal Therapy. What is the difference between these two therapies. Which might be better for my son?”

First of all, interpersonal therapy is a broad term referring to almost any therapy which is face to face between therapist and patient. Dialectical Behavior Therapy refers to a particular form of cognitive behavioral therapy which has demonstrated success with bipolar disorder. Wikepedia has extensive references for all of these approaches and you will find much information on that site.

My main suggestion regarding DBT is that you find a well trained professional, preferably trained by Marsha Lenihan, who developed this approach. Of course, regardless of the cognitive behavioral approach of the professional you choose, don’t be bashful. See them for an initial session with you and your son to assess the “fit” between you, your son and the therapist. Ask them what they do and how they do it. Do they involve the whole family? Do they have a website for more information?

DBSA, on its website has a “find a pro” which lists qualified professionals who have been recommended by patients. This is another valuable resource. You are well advised to ask your psychiatrist for a few referrals. Often psychiatrists have good therapists on their own staff. Don’t be discouraged in this search. It may take three or four interviews to find a good “fit.” Trust your gut and good luck.

~Dr. Manuel S. Silverman, PhD