Handbook of Behavioral and Cognitive Therapies with Older Adults


The purpose of this book is to disseminate "best practice" models of treatment for the common mental health problems of late life, so that evidence-based practice will become the norm (rather than the exception) when working clinically with older adults. Each chapter contains reviews of the empirical literature focusing on studies conducted with elders; then they emphasize how CBT can be applied most effectively to that specific patient population. Case studies illuminate practice recommendations, and issues of ...

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The purpose of this book is to disseminate "best practice" models of treatment for the common mental health problems of late life, so that evidence-based practice will become the norm (rather than the exception) when working clinically with older adults. Each chapter contains reviews of the empirical literature focusing on studies conducted with elders; then they emphasize how CBT can be applied most effectively to that specific patient population. Case studies illuminate practice recommendations, and issues of diversity are likewise highlighted whenever possible.

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Editorial Reviews

Doody's Review Service
Reviewer: Gary B Kaniuk, Psy.D.(Cermak Health Services)
Description: This book discusses the use of various cognitive-behavioral therapies (CBT) to help address the physical and mental health needs of older adults, among them depression, anxiety, pain management, insomnia, and grief. With the aging of the baby boomer generation and advances in healthcare, the number of elderly clients will grow significantly, necessitating strategies to deal with their specific issues.
Purpose: According to the editors, their book details "the ongoing progress being made in the application of CBTs and newer integrative approaches to understanding and ameliorating mental health problems in older adults." They have asked their authors also "to address issues of cultural diversity...when applying the conceptualizations and interventions with ethnically diverse older adults."
Audience: The book is geared for mental health professionals, including clinical psychologists, geriatric psychiatrists, gerontological nurses, clinical social workers, occupational therapists, and marriage and family therapists as well as students in graduate and advanced courses in these fields.
Features: An introduction to behavioral and cognitive interventions begins the book. It then addresses common mental health problems such as anxiety, insomnia, alcohol abuse, and pain management. Chapters also cover more serious mental illnesses including depression (suicidal older adults), bipolar disorder, schizophrenia, dementia, and personality disorders. The book ends with a look to the future, i.e. positive aging, Medicare issues, and training new geriatric mental health providers. The chapters are organized fairly uniformly to include the evidence base, assessments, treatment approaches, diversity issues, pharmacological options, and case studies/examples. The book is easy to read and contains helpful tables and figures. The authors cover different cognitive and behavioral strategies in the CBT tradition and detail research findings, which is important in this day of evidence-based practice. Chapter 10 on cognitive therapy for older people with psychosis contains excellent assessment and treatment formulation sections as well as helpful suggestions for how to deal with hallucinations and delusions in therapy, including the need for medication. There is also a good chapter on the training and supervision of mental health staff. The only possible shortcoming of the book is the result of the attempt to deal with many different topics, which can lead to somewhat superficial treatment.
Assessment: This excellent book deals with a broad range of disorders, both physical and psychological, covering different cognitive-behavioral therapy options backed by research. Though the chapters are somewhat short, the numerous references lead to more information. The book is a good starting point for learning about treatment of older adults.
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Product Details

  • ISBN-13: 9781441924612
  • Publisher: Springer New York
  • Publication date: 10/29/2010
  • Edition description: Softcover reprint of hardcover 1st ed. 2008
  • Edition number: 1
  • Pages: 346
  • Product dimensions: 0.79 (w) x 9.21 (h) x 6.14 (d)

Meet the Author

Dr. Dolores Gallagher Thompson is Professor of Research in the Dept. of Psychiatry and Behavioral Sciences, Stanford University School of Medicine. She has been both a funded clinical researcher and a practicing geropsychologist for over 20 years, focusing her work on intervention research. In the past decade she has devoted more time to understanding the unique problems faced by ethnically and culturally diverse family caregivers, and has developed intervention programs tailored to their needs. In addition, she was one of the founding members of the Academy of Cognitive Therapy and enjoys teaching graduate students "the fundamentals" of CBT- in particular, how to implement this approach with older adults.

Dr. Ann Steffen is Associate Professor of Psychology and Director of Clinical Training at the University of Missouri-St. Louis. Her teaching, research and clinical interests all focus on mental health and aging, with a particular focus on the development and evaluation of community-based interventions for dementia family caregivers.

Dr. Larry W. Thompson is currently Professor Emeritus from both Stanford University School of Medicine and the Pacific Graduate School of Psychology. He is also an active clinician/ mental health consultant to one of the local counties in northern CA where he has had the opportunity to work with bipolar patients and those with more severe mental disorders. Larry has authored a recent text on the use of CBT with bipolar individuals and is now working on a project to adapt CBT for use with depressed older adults of Asian ancestry – particularly Chinese Americans.

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Table of Contents

Behavioral and Cognitive Treatments for Geriatric Depression: An Evidence-Based Perspective.- Treating Generalized Anxiety in a Community Setting.- Treatment of Late-Life Generalized Anxiety Disorder in Primary Care Settings.- Cognitive-Behavior Therapy for Late-Life Insomnia.- A Relapse Prevention Model for Older Alcohol Abusers.- Cognitive-Behavioral Pain Management Interventions for Long-Term Care Residents with Physical and Cognitive Disabilities.- Reducing Psychosocial Distress in Family Caregivers.- Integrated Psychosocial Rehabilitation and Health Care for Older People with Serious Mental Illness.- Cognitive Therapy for Suicidal Older Adults.- Cognitive Therapy for Older People with Psychosis.- Behavioral Interventions to Improve Management of Overweight, Obesity, and Diabetes in Patients with Schizophrenia.- Dialectical Behavior Therapy for Personality Disorders in Older Adults.- Treating Persons with Dementia in Context.- Cognitive Behavioral Case Management for Depressed Low-income Older Adults.- Post-Stroke Depression and CBT with Older People.- Cognitive Behavioral Therapy for Older Adults with Bipolar Disorder.- Meaning Reconstruction in Later Life: Toward a Cognitive-Constructivist Approach to Grief Therapy.- PTSD (Post-Traumatic Stress Disorder) in Later Life.- Training of Geriatric Mental Health Providers in CBT Interventions for Older Adults.- The Role of Positive Aging in Addressing the Mental Health Needs of Older Adults.- How Medicare Shapes Behavioral Health Practice with Older Adults in the US: Issues and Recommendations for Practitioners.

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