Cognitive Behavior Therapy with Older Adults: Innovations Across Care Settings

✍ Scribed by Kristen H. Sorocco, Sean Lauderdale

• Publisher: Springer Publishing Company
• Year: 2011
• Tongue: English
• Leaves: 498
• Edition: 1
• Category: Library

✦ Synopsis

A one-stop resource for core discipline practitioners who provide mental health services to the geriatric population, Cognitive Behavior Therapy with Older Adults presents strategies for integrating cognitive behavioral therapy (CBT) skills and therapies into various healthcare settings for aging patients. Cognitive Behavior Therapy with Older Adults is divided into key two parts: CBT for common mental health problems for older adults and innovations across settings in which older adults are present. Evidence-based and provider-friendly, it emphasizes adapting CBT specifically for the aging population and its specific needs. Key features: A general introduction on aging that dispels myths and highlights the need to address mental health problems among this age group Chapters that overview epidemiology data, diagnostic criteria, assessment, and CBT approaches to treatment Case examples, including those that depict a composite of a successfully aging older adult A comprehensive resource section including handouts, note templates, and other useful tips and worksheets for practice A listing of supplemental texts, patient resources, and summary charts

✦ Table of Contents

Cognitive Behavior Therapy with Older Adults......Page 4
Copyright......Page 5
Contents......Page 6
Contributors......Page 10
Foreword......Page 16
Preface......Page 18
Acknowledgments......Page 20
1. Cognitive Behavioral Therapy With Older Adults......Page 24
Theoretical Foundations of Cognitive Behavioral Therapy......Page 25
Motivational Enhancement and Treatment Socialization......Page 30
Conclusion......Page 49
References......Page 50
I. Cognitive Behavior Therapy and Common Mental Health Problems Among Older Adults......Page 52
Definition of Major Depression and Later-Life Presentation......Page 54
Course and Prognosis of Major Depressive Disorder......Page 56
Epidemiology......Page 58
Assessment......Page 62
Treatment Strategies......Page 71
Case Study......Page 78
Summary......Page 81
References......Page 82
3. Psychosocial Treatment of Bipolar Disorder in Older Adults......Page 88
Assessment......Page 91
Treatment......Page 93
What Do We Know About Cognitive Therapy for Older Adults With Bipolar Disorder?......Page 95
Monitoring Mood and Detecting Prodromes or Early Warning Signs......Page 97
Developing Coping Strategies and a Coping Plan to Prevent Severe Episodes......Page 98
Maintenance and Relapse Prevention Phase......Page 99
Adapting Cognitive Therapy to Older Adults With Cognitive Limitations or Deficits......Page 100
Case Vignette: Mrs. GW: "I Can't Do Anything"......Page 101
Use of Cognitive Techniques to Reduce Depression......Page 102
Behavioral Strategies......Page 105
Cognitive Assessment......Page 107
Special Adaptations for Cognitive Impairments......Page 108
Treatment Course......Page 109
Summary......Page 111
References......Page 112
Resources......Page 116
Public Health Significance......Page 118
Epidemiological Research......Page 119
Assessment of Suicide Risk in Older Adults......Page 124
Available Treatments for Suicidal Older Adults......Page 132
A Cognitive Behavioral Therapy Protocol for Suicidal Older Adults With Case Example......Page 133
Case Example......Page 136
References......Page 140
Additional Resources......Page 145
Appendix......Page 146
Anxiety Disorders......Page 148
Sleep Disorders......Page 152
Personality Disorders......Page 161
Alcohol and Substance Misuse Disorders......Page 164
Conclusions and Future Directions......Page 171
References......Page 172
Symptoms and Diagnostic Criteria......Page 180
Symptom Presentation in Older Adults......Page 181
References......Page 197
Appendix A......Page 204
Appendix B......Page 205
Appendix C......Page 207
Appendix D......Page 208
Appendix E......Page 211
7. Posttraumatic Stress Disorder Among Older Adults......Page 212
Epidemiology of Traumatic Exposure and Posttraumatic Stress Disorder......Page 213
Course and Prognosis of Posttraumatic Stress Disorder......Page 216
Associated Psychiatric and Physical Comorbidity......Page 217
Assessment in Older Adults......Page 219
Assessment of Postraumatic Stress Disorder in Older Adults......Page 220
Instrument for Assessing Posttraumatic Stress Disorder in Older Adults......Page 221
Cognitive Behavioral Interventions for Posttraumatic Stress Disorder in the General Adult Population......Page 223
Psychosocial Interventions for Posttraumatic Stress Disorder in Older Adults......Page 224
General Considerations for Psychotherapy With Older Adults......Page 226
Pharmacotherapy for Posttraumatic Stress Disorder in Older Adults......Page 227
General Considerations for Pharmacotherapy With Older Adults......Page 228
Case Example: An Older Veteran With Posttraumatic Stress Disorder......Page 229
Summary and Conclusions......Page 230
References......Page 232
Overview of Dementia......Page 242
Brief Dementia Assessment......Page 245
Cognitive-Behaviorally Oriented Interventions for Dementia......Page 256
Conclusions......Page 269
References......Page 270
Online Resources for Families, Caregivers, and Persons With Dementia......Page 277
Appendix A......Page 281
Appendix B......Page 282
Appendix C......Page 284
9. Sexual Health in Older Adults: Conceptualization and Treatment......Page 286
Older Adult Sexuality......Page 287
The Culture of the Older Adult......Page 288
Conceptualization of Sexual Health in Older Adults......Page 291
Assessment of Sexual Health in Older Adults......Page 293
Cognitive Behavioral Treatment Approaches for Sexuality in Older Adults......Page 296
Additional Treatment Considerations for Older Adults......Page 302
Case Example......Page 303
References......Page 306
II. Innovations Across Care Settings......Page 312
Prevalence and Recognition of Mental Health Conditions in Primary Care......Page 314
Treatment of Mental Health Conditions in Primary Care: A Health Services Perspective......Page 315
Cognitive Behavioral Therapy in the Medical Care Setting......Page 318
Models of Primary Care Integration......Page 321
Adapting Cognitive Behavioral Therapy to the Primary Care Setting......Page 323
Case Example......Page 331
Conclusions......Page 333
References......Page 334
Additional Resources......Page 338
Appendix: Assessment Template......Page 339
11. Integrating Neuropsychological Functioning Into Cognitive Behavioral Therapy: Implications for Older Adults......Page 340
Brain Organization, Geography, and Domains of Neurocognitive Functioning......Page 341
Evidence Supporting a Connection Between Neuropsychiatric Disorders and Neurocognitive Dysfunction......Page 350
Mood Disorders......Page 351
Anxiety Disorders......Page 354
12. Cognitive Behavioral Therapy Within the
Palliative Care Setting......Page 390
Assessment of Emotional Functioning in Palliative Care
......Page 391
Cognitive Behavioral Interventions in Palliative Care
......Page 396
Adapting Cognitive Behavioral Therapy to the Palliative Care Setting
......Page 402
References
......Page 407
Appendix A: Symptoms to Report
to the Health Care Team......Page 411
Appendix B: Deep Breathing Techniques
Pocket Card......Page 412
13. Integrated Depression Care for Homebound Medically Ill Older Adults: Using Evidence-Based
Problem-Solving Therapy......Page 414
Significance of Depression in Medically Ill Older Adults
......Page 415
Barriers to Depression Care for Medically Ill Older Adults
......Page 416
Factors Associated with Poor Access to Geriatic Depression Treatment
......Page 417
Community-Based Home Care Service Delivery of Integrated Depression Care
......Page 418
Clinical Social Work Role for Geriatic Depression Treatment
......Page 419
Problem-Solving Therapy Model for Medically Ill Home Health Care Older Adults
......Page 420
Problem-Solving Conceptual Framework
......Page 422
Problem-Solving Therapy in Home Care Intervention Components
......Page 424
Case Example 1: Mrs. Margolis
......Page 427
Common Problem-Solving Therapy Challenges
......Page 431
Research on Problem-Solving Therapy for Late-Life Depression in Medically Ill Older Patients
......Page 433
References
......Page 439
14. Prolonged Exposure Therapy for Older Combat Veterans in the Veterans Affairs
Health Care System......Page 444
Outpatient Posttraumatic Stress Disorder Care in the Veterans Affairs Health Care System
......Page 445
Prolonged Exposure Therapy
......Page 446
Case Example: A Veterans Affairs Therapist New to Prolonged Exposure and Her First Veteran Treated with Prolonged Exposure
......Page 457
References
......Page 462
Cognitive Behavioral Therapy-Based Empirically Supported Treatments for Family Caregivers
......Page 466
Selecting A Caregiver Program
......Page 469
Program Development
......Page 470
Case Study
......Page 473
References
......Page 482
Appendix: Summary of Stress-Busting Program: Pulling It All Together
......Page 483
Index
......Page 486