Clinical Psychology: Science and Practice, 12(3), 222-237. Part 1: Older Adult Development Interview Review the various theories of Aging in Chapters 14 and 15 of the text. Adopted as APA Policy by the APA Council of Representatives in August, 2013. This small study addressed a variant of cognitive behavioral therapy, GIST (group, individual, and staff therapy), against treatment as usual (TAU) in long-term care. These findings suggest that patient-specific variables should be considered when choosing treatment for clinically depressed family caregivers. For more on geropsychological assessment see Lichtenberg (1999). The chapter concludes with a review of the supports available for older persons that extent beyond traditional, formal treatment settings. Cognitive behavior therapy for generalized anxiety disorder among older adults in primary care: A randomized clinical trial (2008). Information for Older Adults and Their Families, Advancing psychology to benefit society and improve lives. Assessments were conducted using a behavioral interview. Which of the following questions is most appropriate? This technique can be used in a variety of work settings such as classrooms, mental health clinics, multi-purpose centers for older adults and private practice. Working with older couples involves many issues not common in therapy with younger people, including issues surrounding illness, cognitive impairment, and physical decline, all of which generally cause some stress in marital relationships. Questions about the teenager's home environment are generally expected and are a good beginning for the psychosocial interview. (2004). If they work, are adaptations from work with younger adults necessary? Age Page: Depression: A Serious but Treatable Illness (National Institute on Aging) Psychotherapeutic interventions changed self-rated depression and other measures of psychological well-being by about one half standard deviation and clinician-rated depression by more than one standard deviation. At what age did you notice that you were getting older? Older adults who reside in LTC facilities have a very high rate of mental health difficulties. Developmental maturation leads to relatively minor changes, such as slowing down and the use of simpler language, but also to greater emotional complexity and a wealth of life experience upon which to draw. Tina Rose has provided some updates. (2008). Commentary on evidence-based psychological treatments for older adults Wiley, John & Sons, Incorporated Multinomial logistic regression was used to estimate the prevalence of the following measures of psychosocial health among adults with and those without epilepsy: 1) the Kessler-6 scale of Serious Psychological Distress; 2) cognitive limitation; the extent of impairments associated with psychological problems; and work limitation; 3) Social participation; and 4) the Patient Reported Outcome … Knight, B.G., & McCallum, T.J. (1998). It offers instructors and clinical supervisors a way to teach about countertransference toward elderly clients. Hinrichsen, G. A. Psychiatric Clinics of North America, 28, 805-820. Offering options gives her or him a greater sense of control of the immediate environment. on resources, social supports, and resilience. Although the literature base is still rather small with regard to the empirical evaluation of psychotherapy with depressed elders, the chapter contends that CBT for late life depression is an efficacious treatment and a much needed addition and alternative to physical treatments for depressed elders. Throughout the book, key research and clinical experience is reported as underlying evidence-based treatment, but the emphasis is on practical guidance for assessment and interventions, rather than detailed discussion of methodological issues. Proposed reasons for this age difference include a greater effect of the "common factors" of psychotherapy (S. Ilardi and W. Craighead, 1994) and an increased need to specifically treat hopelessness in older adults. In short, seeing some older adults that are much like the other adults in one's practice does not require much specialization. Older adults who reside in LTC facilities have a very high rate of mental health difficulties. Acceptability ratings were not related to the raters' own depressive symptoms. Nevertheless, depression often may go undetected and untreated in palliative care and hospice settings due to a number of factors, including the overlap of depressive symptoms with those of serious medical illness and concern that frail elderly patients cannot tolerate psychotherapy or antidepressant treatment. This Lesbian Gay Bisexual Transgendered (LGBT) aging bibliography was compiled from multiple sources including databases, search engines, and a variety of individuals and organizations that offered references and revisions. Journal of Geriatric Psychiatry and Neurology, 18, 72-82. Major findings included: use of behavioral and environmental treatments for behavior problems in dementia patients met criteria for "well established"; cognitive, behavioral, and brief psychodynamic therapy for the treatment of depression in older adults met criteria for "probably efficacious"; life review and reminiscence met the criteria for "probably efficacious" for both cognitively intact and demented individuals with symptoms of depression and those living in settings that restrict independence; cognitive behavioral treatment of sleep disorders, support groups for caregivers based on a psychoeducational model, and memory and cognitive retraining with dementia patients all met the criteria for "probably efficacious.". Outcomes were assessed at post treatment and at 3-, 6-, and 12-month follow-ups. However, it is also conducted in the case of an abused or victimized minor. Concludes with a discussion of suggested guidelines for therapeutic interventions with both cognitively intact and impaired older adults, with particular attention to psychiatric disability in individuals with neurological disorders. Do you enjoy any particular sports? Older adults' acceptance of psychological and pharmacological treatments for depression The range of disorders referred was a wide mix of anxiety disorders and depression. 4. New York: John Wiley & Sons, Inc. In terms of context effects, if the work with older adults is primarily in long term care settings or in acute medical settings, the work will be specialized compared to work with healthy younger adults living and working in the community. A general approach to assessment and a guide for integrating the assessment results into the plan of care are outlined. Studies were included only if a comparison was made to a control condition (no treatment, delayed treatment, or placebo treatment) or another psychosocial intervention. The goal of this chapter is twofold: (1) to reinforce the importance of the diverse nature of depression in older adults and (2) to review key advances in research on the epidemiology, assessment, impact, and treatment of late-life depression. Hartman-Stein, P.E. We still consider 65 as standard retirement age, and we expect everyone to start slowing down and moving aside for the next generation as their age passes the half-century mark. Knight, B. G., & Qualls, S. H. (2006). & Katz, A.D. (1999) Journal of Gerontological Social Work, 32(2), 81-93. The focus of this article is outcome research in LTC settings. (1999) Dr. Robert N. Butler, a notable physician, gerontologist, psychiatrist and Pulitzer Prize winner, first contemplated the … 289-307). The focus of this article is on practical considerations for therapists in LTC settings from both the published literature and personal observations (including an illustrative case example), the current policy environment, and the importance of advocacy on behalf of clients. Adaptations that help to increase older adults' use of mental health services are discussed, including education about treatment, nontraditional "pursuit" of clients, and use of alternative terminology. Issues of particular relevance when working with this population are also addressed, including (a) for assessment-differential and coexistent diagnosis of depression in dementia, use of collateral informants, self-report and interviewer-obtained information; and b) for treatment-the need for caregiver involvement, individualizing of goals, and planning for future deterioration of cognitive function. Explicating the range of syndromes and strategies for assessing and treating them, they conclude with a guide to medications, screening tools, innovative models, and supplementary resources. Laidlaw, K., & Knight, B. There are, however, promising psychological approaches featured in case reports and pilot studies that are consistent with empirically supported therapies for the general treatment of depression in older adults. , US, Lawrence Erlbaum Associates Publishers these evidence-based therapies to group cognitive therapy older! Chapter addresses the importance and complexity of diagnosing and treating late-life depressive symptoms pharmacological and psychotherapeutic utilizing..., 191-202 of therapeutic work with older people Culverwell, A. M. Steffen, A.M. ( 1994.... In Chapters 14 and 15 of the treatment section of this approach as treatment. Their families, Advancing Psychology to benefit society and improve lives society and improve.... 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