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Chapter 5 - Problem-Solving Therapy

from Part 2 - Evidence-Based Psychotherapy in Later Life

Published online by Cambridge University Press:  09 January 2020

By
Brenna N. Renn ,
Brittany A. Mosser  and
Patrick J. Raue
Edited by
Rajesh R. Tampi ,
Brandon Yarns ,
Kristina F. Zdanys  and
Deena J. Tampi
Rajesh R. Tampi
Affiliation:
Case Western Reserve University, Ohio
Brandon Yarns
Affiliation:
VA Greater Los Angeles Healthcare System
Kristina F. Zdanys
Affiliation:
University of Connecticut
Deena J. Tampi
Affiliation:
Diamond Healthcare Corporation
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Summary

Problem-solving therapy (PST) is an evidence-based psychotherapy for depression, with particularly robust evidence for use among older adults. It is based on the premise that depression is maintained by ineffective problem-solving and resultant poor coping, low self-efficacy, and negative emotions. Problem-solving therapy aims to reduce symptomatology and maximize quality of life by developing problem-solving skills and emphasizing goal setting and action planning to achieve those goals. This chapter presents the theoretical framework of PST and reviews a typical course of treatment, illustrated by a case of an older depressed patient with cognitive impairment and complex biopsychosocial needs. Problem-solving therapy is a brief and effective intervention for older adults with depression, including those with concurrent medical problems. Recent empirical findings and considerations for special populations are presented, along with resources for further PST training.

Keywords

problem-solving therapylate-life depressiongeriatric psychiatryolder adultspsychotherapytreatment
Type
Chapter
Information
Psychotherapy in Later Life , pp. 75 - 91
Publisher: Cambridge University Press
Print publication year: 2020

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