Skip to main content Accessibility help
×
Home
Hostname: page-component-5959bf8d4d-c2ftz Total loading time: 0.357 Render date: 2022-12-07T18:18:04.059Z Has data issue: true Feature Flags: { "useRatesEcommerce": false } hasContentIssue true

Applying Cognitive-Behavioral Psychotherapy to the Chronically Ill Elderly: Treatment Issues and Case Illustration

Published online by Cambridge University Press:  07 January 2005

Bruce Rybarczyk
Affiliation:
Department of Psychology and Social Sciences, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois, U.S.A.
Dolores Gallagher-Thompson
Affiliation:
Counseling Psychology Program, Stanford University, Stanford, California, U.S.A.
John Rodman
Affiliation:
Older Adult Center, Division of Gerontology, Stanford University School of Medicine, California, U.S.A. Department of Psychiatry, St. Paul Ramsey Medical Center, St. Paul, Minnesota, U.S.A.
Antonette Zeiss
Affiliation:
Older Adult Center, Division of Gerontology, Stanford University School of Medicine, California, U.S.A.
Frank E. Gantz
Affiliation:
Older Adult Center, Division of Gerontology, Stanford University School of Medicine, California, U.S.A. Psychology Services, VA Medical Center, Salisbury, North Carolina, U.S.A.
Jerome Yesavage
Affiliation:
Older Adult Center, Division of Gerontology, Stanford University School of Medicine, California, U.S.A. Alzheimer's Disease Clinical Research Center, Palo Alto Veteran Affairs Medical Center, Palo Alto, California, U.S.A.

Abstract

A large percentage of older adults must endure at least one chronic medical illness. Clinically significant depression and anxiety are common among these patients. Specific psychotherapy approaches as well as adaptations required to address the unique issues of this population have not been delineated in the literature. We outline a cognitive-behavioral therapy approach and discuss five treatment issues we have found to be important for this population. These issues include: (1) resolving practical barriers to participation; (2) accepting depression as a separate and reversible problem; (3) limiting excess disability; (4) counteracting the loss of important social roles and autonomy; and (5) challenging the perception of being a “burden.” A case study of a chronic obstructive pulmonary disease (COPD) patient with depression is presented and recommendations for future research are suggested.

Type
Clinical Practice and Service Development
Copyright
© 1992 Springer Publishing Company

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)
40
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Applying Cognitive-Behavioral Psychotherapy to the Chronically Ill Elderly: Treatment Issues and Case Illustration
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Applying Cognitive-Behavioral Psychotherapy to the Chronically Ill Elderly: Treatment Issues and Case Illustration
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Applying Cognitive-Behavioral Psychotherapy to the Chronically Ill Elderly: Treatment Issues and Case Illustration
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *