Institute 1 - CBT for Depression in the Second Half of Life: Personalized Treatment Approaches
Thursday, November 17, 2022
8:30 AM – 5:00 PM EST
Location: Carnegie & Alvin, 5th Floor
Earn 7 CE Credit
Keywords: Depression, CBT, Primary Care Recommended Readings: American Psychological Association. (2019). Clinical practice guideline for the treatment of depression across three age cohorts. Retrieved from https://www.apa.org/depression-guideline Haigh, E. A., Bogucki, O. E., Sigmon, S. T., & Blazer, D. G. (2018). Depression among older adults: a 20-year update on five common myths and misconceptions. The American Journal of Geriatric Psychiatry, 26(1), 107-122. Steffen, A.M et al. (2022). Treating Later-Life Depression: A Cognitive Behavioral Approach. Workbook. 2nd edition. Treatments that Work Series; Oxford University Press. Steffen, A.M., Thompson, L.W., & Gallagher-Thompson, D. (2022). Treating Later-Life Depression: A Cognitive Behavioral Approach. Clinician Guide. 2nd edition. Treatments that Work Series; Oxford University Press. Steffen, A. M. & Schmidt, N. E. (2022). The CBTs in Later Life. In G. Asmundson (Ed.), Comprehensive Clinical Psychology, 2nd edition. Oxford, UK: Elsevier.
Professor of Psychological Sciences University of Missouri-St. Louis Saint Louis, Missouri
National and global workforce predictions show a shortage of behavioral health clinicians prepared for work with aging individuals. This intermediate-level institute provides detailed recommendations and resources for psychotherapists and primary care clinicians familiar with CBT and wishing to increase their effectiveness with depressed middle-aged and older adults. Individualized and culturally responsive approaches will be highlighted and practiced that target the contexts and drivers/antecedents of depression in the second half of life (i.e., changes in brain health and medical conditions, chronic pain, sleep problems, family caregiving, bereavement, relationship concerns), with attention to telehealth applications.
Outline: 1. Rationale for treating later-life depression with CBT (A) Features of later-life depression (B) Developmental and cultural considerations that influence treatment (C) Brief review of existing research supporting CBT for later-life depression
2. Overview of Treating Later-Life Depression approach (A) Intake assessment (B) Treating planning/prioritization of therapy goals (C) Including chosen family members (D) Culturally responsive within-session modifications with aging clients
3. Core Modules (A) Skills for Getting Started (Therapy Orientation, Goal Setting, Enhancing Motivation) (B) Skills for Feeling (Emotional Literacy, Cultivation of Positive Emotions, Arousal Reduction) (C) Skills for Doing (Behavioral Activation, Problem Solving) (D) Skills for Thinking (Self-Compassion, Cognitive Reappraisal) (E) Skills for Wrapping Up (Termination Planning, Booster Sessions)
4. Personalized Modules (A) Skills for Brain Health (Preventing and Managing Cognitive Concerns) (B) Skills for Managing Chronic Pain (Psychoeducation and Pain Management) (C) Skills for Healthy Sleep (Psychoeducation and Sleep Hygiene) (D) Skills for Caregiving (For Family and Informal Care Partners) (E) Skills for Living with Loss (Support for Healthy Grieving) (F) Skills for Relating (Communication and Interpersonal Effectiveness Skills)
Learning Objectives:
At the end of the session, the learner will be able to:
Identify essential domains to include when developing a case conceptualization of later life depression.
Plan an individualized course of treatment (prioritize treatment goals and select appropriate change strategies) from a case presented at the workshop.
Discuss rationale and technique for at least three culturally responsive modifications for CBT with aging clients.
Demonstrate three methods to enhance within-session focus and effective pacing.
Explain three clinical strategies to enhance telehealth practice with aging individuals.
Long-term Goal: Increase utilization of best practices for CBT with middle-aged and older adults, as reflected by self-reported scores on the Aging Clients Therapy Scale (ACTS).
Long-term Goal: Engage in a professional development plan for continued enhancement of knowledge and skills for applying CBT with middle-aged and older adults.