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Cognitive behavioural therapy for depression in advanced Parkinson's disease: a case illustration

Published online by Cambridge University Press:  16 July 2012

Thomas Richardson  and
Ann Marshall
Thomas Richardson*
Affiliation:
Professional Training Unit, School of Psychology, University of Southampton, UK
Ann Marshall
Affiliation:
Eastleigh Community Mental Health Team for Older People, Southern Health NHS Trust, UK
*
*Author for correspondence: Mr T. Richardson, 34 Bassett Crescent East, Southampton, Hampshire, SO16 7PB, UK (email: thr1g10@soton.ac.uk)
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Abstract

Parkinson's disease (PD) is associated with significant symptoms of depression. Cognitive behaviour therapy (CBT) has been shown to be effective for depression in PD. However, much of the previous research focuses on working with younger adults in the earlier stages of the disease, despite evidence for greater risk of depression when PD symptoms are more severe. This paper provides a case illustration of using CBT for depression with an 84-year-old man with advanced PD. The results of an assessment are described and a psychological formulation is presented. The specific adaptations made to the therapy and illustrations of the content of therapy are discussed. This intervention resulted in improvements in global mental health and moderate reductions in depression. However, there was no effect on anxiety. This case highlights the complexity of conducting CBT with this population, and further research is needed to determine the modifications necessary to make such interventions effective.

Keywords

Cognitive behaviour therapydepressionolder adultsParkinson's disease
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 5 , Issue 2-3 , September 2012 , pp. 60 - 69
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012

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References

Recommended follow-up reading

Charidimou, A, Seamons, J, Selai, C, Schrag, A (2011). The role of cognitive-behavioural therapy for patients with depression in Parkinson's disease. Parkinson's Disease.CrossRefGoogle Scholar
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