TY - JOUR
T1 - Interpersonal Psychotherapy for Adolescents With Mood and Behavior Dysregulation
T2 - Evidence-Based Case Study
AU - Miller, Leslie
AU - Hlastala, Stefanie A.
AU - Mufson, Laura
AU - Leibenluft, Ellen
AU - Riddle, Mark
N1 - Funding Information:
This work was supported by the National Institute of Mental Health, grant number K23MH090246.
Publisher Copyright:
© 2016 Society of Clinical Child & Adolescent Psychology.
PY - 2016
Y1 - 2016
N2 - Interpersonal psychotherapy for depressed adolescents, an evidence-based psychotherapy, has been adapted for youth with chronic irritability and excessive reactivity (i.e., temper outbursts), to create Interpersonal Psychotherapy for Mood and Behavior Dysregulation (IPT-MBD). Youth with chronic irritability and excessive reactivity were originally conceptualized as severe mood dysregulation (SMD) and in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) as disruptive mood dysregulation disorder. Because outbursts are the most prominent symptom, behavioral management strategies are typically a common focus of treatment. These outbursts, along with other mood symptoms, result in significant impairment in multiple domains, with a particularly adverse impact on interpersonal functioning. For this reason improving relationships is an important target for treatment. We present an evidence-based case study of an adolescent who met research criteria for SMD and who received the IPT-MBD intervention as part of a research study. Monthly ratings assessing severity and improvement of SMD symptoms were conducted by an independent evaluator. This adolescent had an overall improvement in SMD symptoms, attended all scheduled therapy sessions, and parent and teen reported satisfaction with the treatment. We discuss factors that may influence the effectiveness of this treatment.
AB - Interpersonal psychotherapy for depressed adolescents, an evidence-based psychotherapy, has been adapted for youth with chronic irritability and excessive reactivity (i.e., temper outbursts), to create Interpersonal Psychotherapy for Mood and Behavior Dysregulation (IPT-MBD). Youth with chronic irritability and excessive reactivity were originally conceptualized as severe mood dysregulation (SMD) and in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) as disruptive mood dysregulation disorder. Because outbursts are the most prominent symptom, behavioral management strategies are typically a common focus of treatment. These outbursts, along with other mood symptoms, result in significant impairment in multiple domains, with a particularly adverse impact on interpersonal functioning. For this reason improving relationships is an important target for treatment. We present an evidence-based case study of an adolescent who met research criteria for SMD and who received the IPT-MBD intervention as part of a research study. Monthly ratings assessing severity and improvement of SMD symptoms were conducted by an independent evaluator. This adolescent had an overall improvement in SMD symptoms, attended all scheduled therapy sessions, and parent and teen reported satisfaction with the treatment. We discuss factors that may influence the effectiveness of this treatment.
UR - http://www.scopus.com/inward/record.url?scp=85048331620&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85048331620&partnerID=8YFLogxK
U2 - 10.1080/23794925.2016.1247679
DO - 10.1080/23794925.2016.1247679
M3 - Article
AN - SCOPUS:85048331620
SN - 2379-4925
VL - 1
SP - 159
EP - 175
JO - Evidence-Based Practice in Child and Adolescent Mental Health
JF - Evidence-Based Practice in Child and Adolescent Mental Health
IS - 4
ER -