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.
BOB G. KNIGHT GIA S. ROBINSON
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