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Therapeutic Massage for Psychological Well-being in Geriatric Oncology
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Published on: May 22, 2026

Psychotherapy for late-life depression.

George S Alexopoulos1

  • 1Department of Psychiatry, Weill Medical College of Cornell University and New York Presbyterian Hospital, New York, USA.

The Journal of Clinical Psychiatry
|June 25, 2010
PubMed
Summary

This review examines updated evidence for psychotherapy in geriatric depression treatment. It highlights problem-solving therapy to improve functioning and address executive dysfunction in older adults.

Area of Science:

  • Geriatric Psychiatry
  • Clinical Psychology

Background:

  • Limited data exist on treating depression in geriatric patients.
  • Expert consensus in 2001 provided initial treatment guidelines for older adults with depression.

Purpose of the Study:

  • To review existing recommendations for geriatric depression treatment.
  • To present updated evidence on psychotherapy for older adults with depression.
  • To introduce a novel problem-solving therapy targeting functional improvement and executive dysfunction.

Main Methods:

  • Review of published guidelines and expert consensus from 2001.
  • Synthesis of updated evidence regarding psychotherapy efficacy in geriatric depression.
  • Description of a newly developed problem-solving therapy (PST) intervention.

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Main Results:

  • Psychotherapy, particularly PST, shows promise for improving functioning in older adults with depression.
  • PST is designed to specifically address executive dysfunction common in this population.
  • Updated evidence supports the role of psychotherapy alongside existing guidelines.

Conclusions:

  • Geriatric depression treatment benefits from updated evidence on psychotherapy.
  • Problem-solving therapy offers a targeted approach for enhancing function and managing executive dysfunction in older depressed patients.
  • Clinicians should consider evidence-based psychotherapeutic interventions for geriatric depression.