About DIT

If you have any further queries please email Deborah Abrahams, DIT UK Training Coordinator:

dabrahams@tavi-port.nhs.uk

What is DIT?

Dynamic Interpersonal Therapy (DIT) is a simple short term (16 sessions) individual therapy protocol for mood disorder. The protocol was designed on the basis of the work of the Expert Reference Group on clinical competencies which worked on identifying key components drawn from manualized psychoanalytic/dynamic therapies. It is an easy to acquire, semi-structured, treatment protocol. This protocol for brief dynamic work is the one intended to be rolled out nationally within the IAPT programme for work with depressed patients and hence this four-day course is IAPT supported. The British Psychoanalytic Council will accredit the course.

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Background to the development of DIT

DIT was explicitly developed out of the Psychoanalytic/dynamic Competences Framework (Lemma et al., 2008) that provided the basis for the National Occupational Standards (NOS). It is consequently drawn from those psychoanalytic/dynamic approaches with the strongest empirical evidence for efficacy, based on the outcome of controlled trials. It is specifically designed to address presenting symptoms of depression and anxiety.

DIT and IAPT

DIT is the brief psychodynamic therapy model now offered at Step 3 within IAPT. The National Institute for Health and Clinical Excellence (NICE) guidelines for depression state that brief psychodynamic therapy is one option that can be considered for depressed patients either when the patient has not responded to CBT interventions, or where the patient actively opts for a psychodynamic approach.

Differences between DIT & IPT

Dynamic Interpersonal Therapy (DIT) and Interpersonal Psychotherapy (IPT) have several common features but they are NOT the same therapy and the approaches draw on specific and distinct competencies.

DIT is a brief (16 session) psychodynamic psychotherapy developed for the treatment of mood disorders. It is being rolled out within IAPT services as the brief psychodynamic model for the treatment of depression specifically. IAPT follows NICE guidelines, although DIT itself isn't in the NICE guidelines. DIT is currently undergoing evaluation and its inclusion in the NICE guidelines will be conditional on the outcome of this evaluation. The DIT training is only open to therapists who have completed a psychodynamic psychotherapy or counselling training before undertaking DIT training. The British Psychoanalytic Council is accrediting the course.

IPT is an acute and a maintenance therapy, delivered over as few as eight sessions in IPT-brief and up to three years in IPT- maintenance. It has psychodynamic origins but takes an explicitly biopsychosocial approach to the treatment of depression, and it is NOT a psychodynamic therapy. It is evidence based and is recommended as a first line intervention in the NICE guidance. It will be offered within IAPT for the treatment of depression.

DIT North-West Network

  • Overview of the group and aims

The DIT NW Network first began to meet informally in December 2012.  It exists to allow training and practising DIT practitioners to raise the profile of DIT in the North West Region, including Greater Manchester, Merseyside, Lancashire, West Yorkshire, Cheshire and Cumbria. The group aims to support each other during training and accreditation, share information and eventually provide peer supervision. There is the potential for other activities such as organising training events. The most accessible DIT trainings to the NW are Leeds and Edinburgh as well as London.

  • Who is it for?

The network is for all clinicians who have completed the initial week-long training and are seeing training cases or are accredited as DIT practitioners. There is currently a core group of around 13 members, one of whom is undergoing training as a DIT supervisor. This number is expected to grow as more psychological therapists undergo training.  We are Clinical Psychologists, Counsellors and Psychotherapists working in a variety of Primary Care, Psychology or IAPT services in the Region. As a growing number of members become qualified, we expect the group to evolve to meet the changing needs of both the members and the provision of DIT in the North West.

  • When and where does it meet?

The Network has been meeting every two months at the Prestwich site of Greater Manchester West MHNHS FT, close to Junction 17 of the M62. The meetings are currently informal, run collectively and all those eligible are most welcome.

  • Key contacts

For further information please contact Gareth-Beresford Jones at garethberesford-jones@nhs.net , Alison Harris at alison.harris@gmw.nhs.uk  or Wendy Saint at wendy.saint@nhs.net

 

The Tavistock and Portman Anna Freud Centre