Psychological Interventions in Older Adults

  • Todd M. EdwardsEmail author
  • Anthony Dowell
  • David Clarke
  • Vinodkumar R. Gangolli
  • Jo Ellen Patterson


As older adults grow increasingly dependent on their adult children, family roles shift, and multiple unfamiliar demands are placed on caregivers, which puts older adults and caregivers at increased risk for mental illness. When older adults are able to overcome barriers to accessing mental health services (e.g. stigma), psychological therapies are effective when used on their own or in combination with psychotropic medication. This chapter describes a variety of psychological therapies for older adults coping with depression, anxiety, dementia/cognitively impaired disorders, and personality disorders. In addition, numerous resources are offered to help older adults and their family members clarify the necessary changes that must be made to cope with losses and preserve meaning and hope. The chapter highlights several ways to deliver care, including upskilling of existing primary care staff, stepped care, collaborative care, and referral to a mental health specialist in the community.


Caregiving Cognitive behavioral therapy Medically unexplained symptoms Depression Anxiety 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Todd M. Edwards
    • 1
    Email author
  • Anthony Dowell
    • 2
  • David Clarke
    • 3
    • 4
  • Vinodkumar R. Gangolli
    • 5
    • 6
    • 7
  • Jo Ellen Patterson
    • 1
  1. 1.Marital and Family Therapy ProgramUniversity of San DiegoSan DiegoUSA
  2. 2.Obstetrics and GynecologyUniversity of Otago Wellington University of OtagoWellingtonNew Zealand
  3. 3.Center for EthicsOregon Health & Science UniversityPortlandUSA
  4. 4.GastroenterologyOregon Health & Science UniversityPortlandUSA
  5. 5.Masina HospitalMumbaiIndia
  6. 6.Grand River HospitalKitchenerCanada
  7. 7.Department of Psychiatry and Neuro-Behavioral SciencesMcMaster’s UniversityHamiltonCanada

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