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Cognitive-Behavioral Therapy


CBT may be effectively adapted for use with older adults by applying minor modifications to clinical techniques, since the principles of cognitive and behavioral theory are assumed to be similar for older and younger adults. Deciding which modifications to make, and how to conduct them, relies on a complete understanding of the various changes inherent in the aging process as a result of development, cohort differences, and the social context of older adults. Applying CBT to older clients entails several challenges, including learning about the social environment of older adults, working with clients whose experiences may be different from and prior to those of the therapist, and dealing with the interplay of physical and psychological problems on a frequent basis. Those who take on the challenge are likely to discover that their ideas about therapy and about aging will be transformed by working with older clients.



AREAN, P., and MIRANDA, J. "The Treatment of Depression in Elderly Primary Care Patients: A Naturalistic Study." Journal of Clinical Geropsychology 2 (1996): 153–160.

BALTES, M. M. "Dependency in Old Age: Gains and Losses." Current Directions in Psychological Science 4 (1995) 14–18.

CARSTENSEN, L. L.; EDELSTEIN. B. A.; and DORNBRAND, L., eds. The Practical Handbook of Clinical Gerontology. Thousand Oaks, Calif.: Sage Publications, 1996.

COOK, A. J. "Cognitive-Behavioral Pain Management for Elderly Nursing Home Residents." Journal of Gerontology: Psychological Sciences 53B (1998): P51–P59.

DUFFY, M. Handbook of Counseling and Psychotherapy with Older Adults. New York: John Wiley, 1999.

FINCH, E.; RAMSAY, R.; and KATONA, C. "Depression and Physical Illness in the Elderly." Clinics in Geriatric Medicine 8 (1992): 275–287.

GALLAGHER-THOMPSON, D., and THOMPSON, L. W. "Applying Cognitive-Behavioral Therapy to the Psychological Problems of Later Life." In A Guide to Psychotherapy and Aging. Edited by S. Zaret and B. G. Knight. Washington, D.C.: American Psychological Association, 1996: Pages 61–82.

GATZ, M.; FISKE, A.; FOX, L. S.; KASKIE, B.; KASL-GODLEY, J.; MCCALLUM, T.; and WETHERELL, J. "Empirically-Validated Psychological Treatments for Older Adults." Journal of Mental Health and Aging 4 (1998): 9–46.

KNIGHT, B. G. Psychotherapy with Older Adults, 2d ed. Thousand Oaks, Calif.: Sage Publications, 1996.

KNIGHT, B. G., and SATRE, D. D. "Cognitive-Behavioral Psychotherapy with Older Adults." Clinical Psychology: Science and Practice 6 (1999): 188–203.

LICHTENBERG, P. A. A Guide to Psychological Practice in Geriatric Long-Term Care. New York: Haworth Press, 1994.

LOPEZ, M. A., and MERMELSTEIN, R. J. "A Cognitive-Behavioral Program to Improve Geriatric Rehabilitation Outcome." The Gerontologist 35 (1995): 696–700.

RYBARCZYK, B.; GALLAGHER-THOMPSON, D.; RODMAN, J.; ZEISS, A.; GANTZ, F. E.; and YESAVAGE, J. "Applying Cognitive-Behavioral Psychotherapy to the Chronically Ill Elderly: Treatment Issues and Case Illustration." International Psychogeriatrics 4 (1992): 127–140.

SCHONFELD, L., and DUPREE, L. W. "Treatment Approaches for Older Problem Drinkers." The International Journal of the Addictions 30 (1995): 1819–1842.

TERI, L.; CURTIS, J.; GALLAGHER-THOMPSON, D.; and THOMPSON, L. W. "Cognitive-Behavior Therapy with Depressed Older Adults." In Diagnosis and Treatment of Depression in Late Life. Edited by L. S. Schneider, C. F. Reynolds, B. Liebowitz, and A. J. Friedhoff. Washington, D.C.: American Psychiatric Press, 1994. Pages 279–292.

WETHERELL, J. L. "Treatment of Anxiety in Older Adults." Psychotherapy 35 (1998): 444–458.

WIDNER, S., and ZEICHNER, A. "Psychological Interventions for the Elderly Chronic Pain Patient." Clinical Gerontologist 13 (1993): 3–18.

ZARIT, S. H., and KNIGHT, B. G., eds. A Guide to Psychotherapy and Aging: Effective Clinical Interventions in a Life-Stage Context. Washington, D.C.: American Psychological Association, 1996.

ZEISS, A. M., and STEFFEN, A. "Behavioral and Cognitive-Behavioral Treatments: An Overview of Social Learning." In A Guide to Psychotherapy and Aging. Edited by S. Zarit and B. G. Knight. Washington, D.C.: American Psychological Association, 1996. Pages 35–60.

Additional topics

Medicine EncyclopediaAging Healthy - Part 1Cognitive-Behavioral Therapy - Potential Sources Of Change In Psychotherapy With Older Adults, Cognitive-behavioral Interventions For Late-life Problems