By Ken Laidlaw, Larry W. Thompson, Dolores Gallagher-Thompson, Leah Dick-Siskin

Cognitive Behaviour remedy (CBT) is now good proven as a good remedy for more than a few psychological illnesses, yet for clinicians operating with older consumers, there are certain concerns that must be addressed.

subject matters lined comprise the necessity to construct a healing dating, facing stereotypical pondering ageing, surroundings sensible expectancies within the face of deteriorating health conditions, holding desire while confronted with tough lifestyles occasions akin to the lack of a wife, incapacity, etc., and working with the therapist's personal fears approximately growing old.

Illustrated all through with case stories, sensible suggestions and with a troubleshooting part, this can be crucial analyzing for all medical psychologists, psychiatrists and similar healthiness pros who paintings with older humans.
* Authors are global specialists on melancholy and psychotherapy with older humans
* First publication to be released on CBT with older humans
* Case reports and examples used all through to demonstrate the tactic and the issues of older humans

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Sample text

Are there any issues of loss, health, role/status, interpersonal functioning that need to be taken into account? Are there any pertinent intergenerational role stressors? Measurement . What measures will contribute to an understanding of the patient’s current difficulties and allow progress during therapy to be tracked? Diaries, weekly activity schedule, mood monitoring form, thought diaries. g. ) Sociocultural context . What are the person’s attitudes towards his or her own ageing? Is there evidence of the internalization of specific ethnically based or socioculturally grounded beliefs about growing old?

Zeiss and Steffen (1996a) emphasize the non-pathologizing stance of CBT and state that this makes this type of approach particularly helpful for use with older adults suspicious of being labelled as mentally ill. Often the therapist may need to set aside time within initial sessions to take an educational approach and explain what depression is and what impact it has upon the individual. Myth 4: Older People Benefit More from Concrete Interventions in Therapy but not ‘Abstract’ Elements of Therapy such as Thought Monitoring Following work with a group of depressed patients attending a day hospital, Church (1983) has suggested that dysfunctional thought records (DTR) are not relevant and are invalid for work with older adults.

These myths are explored and challenged in the second part of this chapter. WORKING WITH OLDER PEOPLE In the case of depression or anxiety comorbid with physical conditions, psychological treatments such as cognitive behaviour therapy are very flexible. Morris and Morris (1991) state there are a number of reasons why cognitive-behavioural interventions can be particularly effective with older people as they are: Cognitive Behaviour Therapy with Older People. Ken Laidlaw, Larry W. Thompson, Leah Dick-Siskin & Dolores Gallagher-Thompson.

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