Mental Health and Aging - Q2: List and describe the different types of psychotherapy that are used with older persons. To what extent are they evidenced based? To what extent do they need to be modified for use with the elderly and in which ways, if any?
A Coggle Diagram about Augmenting therapy (ECT, TMSr, Dyadic intervention with caregivers, Martire (2010): Proposed that the best protocol for treating depression in the elderly would include educational, social support, pharmacological, and psychotherapy (though psychotherapy does not always result in better outcomes relative to pharmacotherapy alone). The authors also suggests that dyadic intervention that aims to educate both patient and CG may improve caregiver burden over patient therapy alone and that targeting depressive symptoms in a variety of comorbid illnesses could lead to lesser burden on CG, It is vital to rule out comorbid conditions when classifying LOS as various other pathologies such as dementias can exhibiti similar symptomatologies (via cognitive assessment and progression of symptoms), Alexopoulos, Raue, & Arean (2003): Problem-solving Therapy and Cognitive Behavioral Therapy have empirical support for treating depression with and without executive dysfunction in OA. In addition to providing a warm, safe environment and providing hope, these therapies aim to substantiate social support networks, teach new problem-solving skills, teach generalization of problem-solving skills. Benefits of these therapies beyond more passive techniques such as Supportive Therapy and Interpersonal Therapy include a greater sense of self-efficacy, improved problem resolution , and greater likelihood of primary coping strategy utilization, Blazer (2003): Bibliotherapy (assigned readings) may be especially beneficial to older adults as it allows them to process the self-empowering information at their own pace and Teri et al. (2005): Psychosocial treatment methods such as socialization, safe exercise (via modified bicycle), and sensory stimulation methods have all shown preliminary benefits for alleviating depressive symptomatology for individuals with dementia.), Limitations/Modifications to therapy implementation, Psychotherapy (Cognitive Behavioral Therapy (CBT), Interpersonal Therapy (IPT), Problem-solving Therapy (PST), Other therapy styles, Agronin and Maletta (2006): there is a solid evidence base that psychotherapy is effective with OA and that OA prefer psychotherapy over other forms of therapy (51-38% in primary care patients) and Agronin and Maletta (2006): much of the focus on therapy effectiveness in OA has centered around the treatment of anxiety and depression given their relatively high prevalence in the population group) and Pharmacotherapy (Mood Disorders, Personality Disorders, Schizophrenia, Anxiety Disorders and Substance Abuse)