Community psychiatric nursing and the depressed elderly: a case for using cognitive therapy

This paper examines whether the literature suggests that Beck's cognitive therapy is a treatment helpful to depressed elderly people, and highlights the issues and adaptations which are considered in its use with this client group. Evidence from outcome studies and case studies is presented which does suggest that it is helpful. A number of issues are raised which require certain special sensitivities on the part of the therapist. Evidence is discussed which suggests that certain adaptations to style and content of therapy may be needed for it to be maximally effective. It is argued that the use of cognitive therapy by community psychiatric nurses (CPNs) could contribute to making the service to depressed elderly people more comprehensive.