By Ken Laidlaw, Larry W. Thompson, Dolores Gallagher-Thompson, Leah Dick-Siskin
Cognitive Behaviour treatment (CBT) is now good demonstrated as an efficient therapy for various psychological illnesses, yet for clinicians operating with older consumers, there are specific concerns that must be addressed.
issues lined contain the necessity to construct a healing courting, facing stereotypical brooding about getting older, environment life like expectancies within the face of deteriorating health conditions, protecting desire while confronted with tricky existence 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 reports, useful suggestions and with a troubleshooting part, this is often crucial studying for all medical psychologists, psychiatrists and similar wellbeing and fitness pros who paintings with older humans.
* Authors are global gurus on melancholy and psychotherapy with older humans
* First e-book to be released on CBT with older humans
* Case experiences and examples used all through to demonstrate the tactic and the issues of older humans
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Additional info for COGNITIVE BEHAVIOUR THERAPY WITH OLDER PEOPLE
Often this age-cohort will have certain beliefs about illness that need to be addressed in therapy. Depression is not an automatic consequence to physical illness. Therapists are not immune to developing negative automatic thoughts themselves with regard to dealing with older people with multiple physical complaints. ’ Often a therapist will state, ‘My patient’s problems are realistic, so thought monitoring and challenging is not helpful in these circumstances’. The net effect of these PSYCHOTHERAPY WITH OLDER PEOPLE 25 beliefs is that the patient’s depression remains untreated.
In a departure from meta-analyses that looked only at pharmacological or only psychosocial treatments for late-life depression, Gerson et al. (1999) investigated the effectiveness of pharmacological and psychological treatments for depression in older people, and report that pharmacological and psychological treatments for major depressive disorder in late-life appear equally efficacious. Analyses also revealed no difference in attrition rates between pharmacological and psychological treatments.
Eells (1997) stresses that in deriving a clinical formulation a tension can often be engendered between immediacy and/or comprehensiveness. A balance needs to be struck by the therapist as to when he or she feels that COGNITIVE-BEHAVIOURAL MODEL FOR OLDER PEOPLE 31 enough information has been gathered from sessions to develop a written explicit formulation that will determine at least the early part of therapy. In a sense, a formulation will always be incomplete (Eells, 1997; Persons & Tompkins, 1997).