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Chapter 9 - Psychotherapy and Cognitive Disorders

from Part 3 - Special Topics in Psychotherapy in Later Life

Published online by Cambridge University Press:  09 January 2020

By
Cynthia A. Kraus-Schuman ,
Melissa L. Sanchez ,
Karen M. Benson  and
Ali Abbas Asghar-Ali
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

This chapter reviews the most researched psychotherapeutic interventions for individuals with cognitive impairment (CI) and common symptoms targeted by these interventions. Elements of assessment and psychotherapy modifications to consider when working with individuals with dementia are also discussed. Assessment components might include clarification of medical symptom overlap, collateral information, assessment instruments developed for individuals with cognitive difficulties, and incorporating consultation with other specialties. In general, clinicians should consider using simplified skills, increasing the number and frequency of sessions, shortening sessions, reducing group size, and providing more guidance during skill instruction and practice when working with individuals with cognitive impairments. Despite their promise and recommendations for their use, nonpharmacological therapies for individuals with dementia have a small research base and warrant continued development and evaluation.

Keywords

psychotherapydementiaolder adultsanxietydepressioncognitive behavioral therapyproblem-solving therapymindfulness
Type
Chapter
Information
Psychotherapy in Later Life , pp. 139 - 149
Publisher: Cambridge University Press
Print publication year: 2020

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