Handbook of Behavioral and Cognitive Therapies with Older Adults

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Dolores Gallagher Thompson, Ann Steffen, Larry W. Thompson
Springer Science & Business Media, 12 ott 2007 - 346 pagine
It gives me great pleasure to witness continued growth in the application of cognitive and behavioral theories and therapies to more diverse populations – including, in this volume, their application to the mental health problems of later life. Evidence continues to accumulate, demonstrating that these are effective in treating a broad range of elderly patient groups. This is the first book to examine a number of these evidence-based interventions currently in use with older adults. The editors have assembled chapters developed in many of the leading clinical and clinical research programs focusing on elderly patients, both in this country and in the UK. Since the emphasis of this volume is primarily on clinical appli- tion, each author group was asked to discuss the empirical data for the treatment strategies it is using with the specific patient group selected. Typically, this was followed by a detailed description of treatment procedures that were then ill- trated by one or more clinical examples. The book begins by examining the treatment of depressive and anxiety dis- ders and then moves on to more complicated and/or serious disorders, including schizophrenia and other psychoses, suicidal behavior, personality disorders, bipolar disorders, dementia, and complicated bereavement. A chapter on the problems and issues in training therapists to use evidence-based interventions effectively is also included, along with a chapter discussing the implications of Medicare policies and guidelines for service delivery.

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Sommario

BEHAVIORAL AND COGNITIVE TREATMENTS
1
REDUCING PSYCHOSOCIAL DISTRESS
7
References
14
TREATING GENERALIZED ANXIETY
18
THE ROLE OF POSITIVE AGING IN ADDRESSING
20
PREVALENCE DEFINITIONS AND CONUNDRUMS UNDERSTANDING DIVERSITY ISSUES ASSESSMENT STRATEGIES ClinicianAdministe...
33
ASSESSMENT OF ANXIETY IN PRIMARY
39
COGNITIVEBEHAVIOR THERAPY
48
DIALECTICAL BEHAVIOR THERAPY
187
Treatment Outcome
195
COGNITIVE BEHAVIORAL CASE MANAGEMENT
219
CONCLUSIONS
228
Behavioral
249
TREATING BIPOLAR DEPRESSION
255
CONCEPTUAL ISSUES
270
18
278

A RELAPSE PREVENTION MODEL FOR OLDER
61
PHARMACOLOGICAL APPROACHES
72
Psychosocial History
79
Psychiatric History and Current Medical Symptoms
86
Steffen Judith R Gant
102
DIRECTIONS FOR FUTURE
112
INTEGRATED PSYCHOSOCIAL REHABILITATION
118
COGNITIVE THERAPY FOR SUICIDAL
135
COGNITIVE THERAPY FOR OLDER PEOPLE
151
Third Session CONCLUSION
158
Behavioral Interventions
171
DIVERSITY ISSUES SUMMARY References
179
200
291
PROVIDERS IN CBT INTERVENTIONS
295
AND PSYCHOLOGICAL
298
THERAPIST SKILLS TRAINING MODELS SUPERVISION OF SKILLS TRAINING
301
THE MENTAL HEALTH NEEDS OF OLDER ADULTS
309
CASE
318
21
323
WHY BOTHER TO BECOME A MEDICARE PROVIDER? ESSENTIAL SOURCES OF INFORMATION
325
Pharmacological Treatment
335
22
336
301
344
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Informazioni sull'autore (2007)

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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