Summary of CT with Older Adults

Although the content of CT for older patients does not differ, the process by which these patients learn and use CT differs because of physical, cognitive, and social factors specific to older adults. Although we have presented several techniques to make CT more amenable for older patients, therapists should keep in mind that not all these strategies need to be employed, and in fact that for a number of older patients, CT need not be modified. As we stated in the assessment section, careful attention to why older patients may not be doing action plans, or appear not to be attending to therapy may help the therapist decide whether and when these modifications are needed. The extra time and effort in working with older adults in this manner is well worth it. As we detail below, resolution of depression results in better mood and quality of life for older patients.

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