Sex Therapy for Middle Age and Older Adults - with Barry W. McCarthy, PhD. Psychology and the aging revolution: How we adapt to longer life A practical resource created by a team of international luminaries in the field. (2009). Reviews diagnostic and assessment approaches for personality disorders in older adults. Professional Psychology: Research and Practice, 37(5), 489-498. In this session, a middle-aged woman looks for help with changes in her sex life that occurred after her hysterectomy and her husband's heart surgery. How effective are psychotherapeutic and other psychosocial interventions with older adults? Top job interview … 0 Older adults who reside in LTC facilities have a very high rate of mental health difficulties. She had an elder brother who also is deceased. Examination of treatment responder status and end-state functioning revealed no significant differences between groups. Anxiety disorders are a case in point. A general approach to assessment and a guide for integrating the assessment results into the plan of care are outlined. David, S. (2006). Kasl-Godley, J., & Gatz, M. (2000). Dr. McCarthy's integrative couples approach to sex therapy. Although the model outlines important differences between older and younger adults in therapy, similarities often outweigh differences between the groups as the process of psychotherapy unfolds. Dr. Hinrichsen demonstrates his approach to working with older clients suffering with this common disorder. Gallagher-Thompson, D., McKibbin, C., Koonce-Volwiler, D., Menendez, A., Stewart, D., & Thompson, L.W. The collaborative stance of CBT is particularly helpful when working with older people because it encourages respect for the life-years' experience of the individual. However, the sexualized transference and countertransference sometimes encountered with older adult patients can foster therapeutic impasse and resistance in treatment among both novice and experienced therapists. xref Geriatric depression is a relatively commonly occurring mental disorder. The authors review the prevalence, psychosocial effects, and treatment of residual symptoms of depression in older adults. Evidence-based psychotherapeutic interventions for geriatric depression The GIST group maintained improvements over another 14 sessions. 289-307). This discussion focuses on recommendations for working with older adults receiving cognitive-behavioral therapy (CBT). The goal of this chapter is twofold: (1) to reinforce the importance of the diverse nature of depression in older adults and (2) to review key advances in research on the epidemiology, assessment, impact, and treatment of late-life depression. After performing an assessment, she builds rapport with the couple and begins the work of instilling hope. Older adults who received PST-PC had more depression-free days at both 12 and between 12 and 24 months and they had fewer depressive symptoms and better functioning at 12 months than those who received community-based psychotherapy. S.F. Assessments were conducted using a behavioral interview. As the Baby Boomers become older adults over the next several years, one can expect both the need and the demand for mental health services to increase: Need is likely to change because Boomers have higher prevalence of depression and other mental disorders than do the GI Generation and Depression era cohorts; Demand may change because Boomers have typically been psychologically minded and relatively high consumers of mental health services. Eleven randomized controlled clinical trials were identified following an extensive review of the literature. Psychotherapy with older adults A meta analysis In short, seeing some older adults that are much like the other adults in one's practice does not require much specialization. Treatments were administered in small groups that met for 14 weekly half-hour sessions. (2008). Learning to work effectively with death, dying, and grief is likely to require supervision as well as didactic instruction. Earlier retirement and increased residential separation of older people has broken age-old contacts between the generations. Presentation of depression and response to group cognitive therapy with older adults Dick-Siskin, L.P. (2002). The introductory chapters examine the individual, social, cultural, and physical experience of ageing, and provide an essential background for a caring and professional understanding of related emotional disorders and their effective treatment. Practical considerations and the link to policy and advocacy ), (2000). Professional psychology in long term care: A comprehensive guide. Numerous case examples illustrate the dynamics of the therapeutic task and issues covered in therapy and stress the human element in working with older adults. Handbook of counseling and psychotherapy with older adults An overview of key issues relevant to psychotherapy with older adults, including accessibility and utilization of mental health services and relevant clinical, empirical, and theoretical issues in the diagnostic categories of late-life depression, anxiety, obsessive-compulsive disorder, alcoholism and substance abuse. Despite the presence of many depressive symptoms, the client is unaware that she has a major depression. (3) How is depression assessed? Results indicated that treatments were reliably more effective than no treatment on self-rated and clinician-rated measures of depression. Interview a person of your choice (they may be your parents, relatives, or friends). Results suggest that PST-PC as delivered in primary care settings is an effective method for treating late-life depression. The primary mode of effectiveness in CBT is driven by the identification and modification of dysfunctional thoughts, beliefs, and actions, where symptom amelioration occurs through cognitive restructuring and behavioral change. , seeing some older adults showed significant improvement in depression symptoms and is. Concludes with an annotated list of resources interpersonal deficits must be taken into account clinical and research case for assessment! For psychosocial interview questions for older adults GAD has garnered the most important historical event or period time..., try and limit the questions you are in hospital right now? and the difficulties therapists! Had an elder brother who also is deceased allowed psychologists to provide services to older clients that treatments were in. 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