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About Dynamic Interpersonal Therapy (DIT)

Dynamic interpersonal therapy (DIT) is a simple, 16-session individual therapy protocol for mood disorder. The protocol draws on the work of the Expert Reference Group on clinical competencies, which identified key components of manualised psychoanalytic/ psychodynamic therapies. DIT is an easy to acquire, semi-structured treatment protocol. There are plans to roll DIT out nationally within the Improving Access to Psychological Therapies (IAPT) programme for work with depressed patients. DIT training is therefore IAPT supported. 

Find our more about DIT

DIT founders: Alessandra Lemma   *   Peter Fonagy   *   Mary Hepworth

DIT Course Director: Deborah Abrahams

Background to the development of DIT

DIT was explicitly developed out of the psychoanalytic/psychodynamic competences (Lemma et al., 2008) that provided the basis for the It is drawn from the psychoanalytic/psychodynamic approaches that have the strongest evidence for efficacy, based on the outcome of controlled trials. It is specifically designed to address 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 cognitive behavioural therapy interventions, or where the patient actively opts for a psychodynamic approach.

Read more about DIT below

Our trainings

The 20-Day DIT Programme provides counsellors and psychologists working in IAPT with a structure to conduct a time-limited manualised psychodynamic therapy. It is a postgraduate certificate level training for IAPT employees who do not meet psychodynamic competencies. You will become a DIT practitioner on successful completion of the full training.

The 5-Day DIT Training provides psychoanalytically/dynamically trained practitioners with a structure to conduct a time-limited, manualised psychodynamic therapy. It is intended as a CPD course to hone the skills of established psychodynamic practitioners, to enable them to deliver an effective brief psychodynamic intervention to treat depression. To become a DIT practitioner, you are required to attend the five-day training, pass the role-play, successfully complete supervision and pass a case study. This course is accredited by the British Psychoanalytic Council.

DIT practitioners can avail of a unique opportunity with Anna Freud Centre to enhance their professional development by becoming a qualified DIT supervisor.

DIT for Complex Care is a two-day advanced training that supports qualified DIT practitioners to apply the model to a complex patient group in secondary care. The training assumes existing knowledge of working with the 16-session DIT model and that clinicians have the requisite competence. DIT for Complex Care modifies and extends the model and emphasises skills like mentalizing, developing epistemic trust, stabilisation techniques and risk management. The adapted DIT complex care model is a 28-session approach that is based on the published results of a pilot study carried out in Newham (Journal of Psychoanalytic Psychotherapy, 33(7) 1-22; August 2019.

We also offer annual courses such as: DIT Refresher, CPD Day and DIT and Mentalization.

View all live DIT trainings

DIT approved supervisors

View a list of DIT approved supervisors

Resources

Recommended reading for Dynamic Interpersonal Therapy short course (the papers in bold are directly related to DIT).


Bateman, A. & Fonagy, P. (2006) Mentalisation-based Treatment for Borderline Personality Disorder. Oxford: Oxford University Press

Bateman, A, Brown, D and Pedder, J. (2000) Introduction to Psychotherapy: An outline of psychodynamic principles and practice (3rd edition) London: Routledge

Blatt, S and Luyten, P. (2009) ‘A structural–developmental psychodynamic approach to psychopathology: Two polarities of experience across the life span.’ Development and Psychopathology 21, 793–814

Bowlby, J. (1958). ‘The nature of the child’s tie to his mother.’ Int. J. Psycho-Anal., 39: 350-373

Douglas, A., Ablett-Tate, N. and Chad, N. ‘Dynamic interpersonal therapy in an NHS tertiary level specialist psychotherapy service’ Psychoanalytic Psychotherapy: Applications, Theory and Research, 30(3), 223-229

Fonagy, P. (2001) Attachment Theory and Psychoanalysis. London: Karnac

Fonagy, P., Gergely, G., Jurist, G., & Target, M. (2002). Affect Regulation, Mentalization and the Development of the Self (London: Other Press).

Fonagy, P. (2010). The changing shape of clinical practice: A comprehensive narrative review. Psychoanalytic Psychotherapy, 24(1)

Gelman, T., McKay, A., Marks, L. (2010). Dynamic Interpersonal Therapy: Providing a focus for time-limited psychodynamic work within the NHS, Psychoanalytic Psychotherapy: Applications, Theory and Research, 24(4): 347-361

Guthrie, E. (2010). Psychodynamic Interpersonal Therapy: Advances in Psychiatric Treatment. London: Sage.

Gomez, L. (1997) An Introduction to Object Relations. London: Free Association Books

Greenson, R. R. (1967) The technique and practice of psychoanalysis Vol. I. New York: International Universities Press

Kernberg, O. (1985). Internal World and External Reality: Object Relations Theory
Applied. New York: Aronson.

King, P. (1978) "Affective Response of the Analyst to the Patient's Communications", Int. J. Psychoanal., 59: 329-334

Lemma, A., Target, M., Fonagy, P. (2011) Brief Dynamic Interpersonal Therapy. Oxford: OUP.

Lemma, A. (2003) Introduction to the Practice of Psychoanalytic Psychotherapy. Chichester: Wiley, particularly the chapter ‘Working with Endings’.

Lemma, A., Roth, A., Pilling, S. (2008) The competences required to deliver effective psychoanalytic/ psychodynamic therapy. www.ucl.ac.uk/CORE

Lemma, A., Target, M., Fonagy, P. (2011) The development of a brief
psychodynamic intervention (Dynamic Interpersonal Therapy) and its application to depression: a pilot study. Psychiatry: Biological and Interpersonal Processes,74 (1): 41-48

Lemma, A., Target, M., Fonagy, P. (2010) The Development of a Brief Psychodynamic Protocol for Depression: Dynamic Interpersonal Therapy. Psychoanalytic Psychotherapy: Applications, Theory and Research, 24(4): 329-346

Lemma, A. & Patrick, M. (2010). ‘Introduction: Contemporary psychoanalytic applications: development and vicissitudes’ in Off the coach: Contemporary psychoanalytic approaches. London: Routledge.

Leonidaki, V., Lemma, A. & Hobbis, I. ‘Clients’ experiences of dynamic interpersonal therapy (DIT): opportunities and challenges for brief, manualised psychodynamic therapy in the NHS’. Psychoanalytic Psychotherapy: Applications, Theory and Research : 30(1), 42-61

Luborsky, L. & Crits-Christoph, P. (1990). Understanding transference: The core conflictual relationship theme method. New York: Basic Books.

Luyten, P., Fonagy, P., Lowyck, B., & Vermote, R. (2012). ‘The assessment of mentalization’ In A. Bateman & P. Fonagy (Eds.), Handbook of mentalizing in mental health practice (pp. 43-65). Washington, DC: American Psychiatric Association

Luyten, P., Fonagy, P., Lemma, A., Target, M. (in press) Mentalising and depression. In: A. Bateman and P. Fonagy (eds.) Mentalising in Mental Health Practice. Washington: APA

Ogden, T.H. (1992). The Primitive Edge of Experience. London: Karnac.

Perry, H.S. (1982) Psychiatrist of America: The Life of Harry Stack Sullivan. New York: Norton

FAQs

Find answers to frequently asked questions about DIT training.

 

Members area

If you have previously trained with the Anna Freud Centre or if you are a DIT supervisor, please use the link provided to you to access the members area.

If you would like the link to be resent to you, please contact DIT@annafreud.org

Becoming a trainer

For those based in the UK

  1. The supervisor shadows the Five-Day DIT Programme run at the Centre.
  2. The supervisor shadows the 20-Day DIT Training run at the Centre.
  3. The supervisor delivers a 5-day training at the Centre or at least 10 days of the 20-day DIT training as a support trainer.  
  4. If approved by the DIT director, the supervisor signs an agreement and gains trainer status.
  5. The Centre can approach the trainer to deliver teaching at the standard teaching rate. Trainings delivered independently of the Centre by the trainer would incur a licence fee of 10% of gross income or £100 per person, whichever amount is greater.

Maintenance:

  • The trainer must attend a yearly CPD event for trainers and supervisors.
  • The trainer must jointly deliver the training with the Centre at least once every two years (for at least one day).

For those based outside of the UK

  1. The supervisor shadows the Five-Day DIT Training run at the Centre.
  2. The supervisor shadows the 20-Day DIT Programme run at the Centre.
  3. The supervisor receives a two-hour consultation with the DIT director; this will be charged at £200 per hour. 
  4. If approved by the DIT director, the supervisor signs an agreement and gains trainer status.
  5. Trainings delivered independently of the Centre by the trainer require a contractual agreement between the Centre and the trainer in advance and incur a licence fee of 10% of gross income or £100 per person, whichever amount is greater.Maintenance:
  • The trainer must attend a yearly CPD event for trainers and supervisors.
  • The trainer must shadow the training at least once every two years (for at least one day).

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