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[Psychotherapeutic work with older patients].
D Koethe1, M Mattern, S C Herpertz
1Klinik für Allgemeine Psychiatrie, Universität Heidelberg, Heidelberg, Deutschland, dagmar.koethe@zi-mannheim.de.
Elderly individuals in Germany face barriers to mental healthcare, despite effective psychotherapeutic treatments being available for various conditions in old age. Addressing societal views on aging is crucial for improving access to geriatric psychotherapy.
Area of Science:
- Geriatric Psychiatry
- Psychotherapy Research
Context:
- Mental illness is prevalent in Germany, yet older adults are underrepresented in psychotherapeutic treatment.
- Societal models of aging and outdated deficit-oriented theories contribute to reluctance in seeking or offering psychotherapy to the elderly.
- Fear of contact with therapists is a significant barrier for older patients.
Purpose:
- To present specific psychotherapeutic methods for older patients.
- To highlight the availability of developed programs for various mental health conditions in old age.
- To underscore the need for more research in geriatric psychotherapy.
Summary:
- Methodologies for treating elderly patients with depressive, anxiety, and trauma-related disorders, as well as dementia, are detailed.
- Cognitive-behavioral therapy, interpersonal therapy, psychodynamic therapy, and systemic therapy are identified as effective approaches for mental disorders in old age.
- Despite the effectiveness of various therapeutic modalities, research in geriatric psychotherapy remains limited.
Impact:
- This work aims to inform and encourage the application of evidence-based psychotherapeutic interventions for older adults.
- It seeks to bridge the gap between the availability of effective treatments and their utilization by the geriatric population.
- Promoting further research in geriatric psychotherapy is essential for advancing mental healthcare for the elderly.
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