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A Model for Implementing Psychotherapy for Individuals With Cognitive Impairments.
Adrienne L Johnson1,2, Mary F Wyman1,3, Megan Gjertsen1
1Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Clinical Gerontologist
|July 15, 2026
Summary
Psychological services, including CBT and ACT, were implemented for individuals with mild cognitive impairment (MCI) and mild Alzheimer's disease and related dementias (AD/ADRD). Initial results show reductions in depression and anxiety symptoms, demonstrating feasibility and clinical benefit.
Area of Science:
- Geriatric Medicine
- Neuroscience
- Psychiatry
Background:
- Individuals with mild cognitive impairment (MCI) and Alzheimer’s disease and related dementias (AD/ADRD) experience higher rates of mental health issues compared to the general population.
- Implementing accessible psychological services is crucial for this vulnerable demographic.
Purpose of the Study:
- To report the successful implementation of psychological services tailored for patients with MCI and mild AD/ADRD within a large US public health-care system.
- To assess the feasibility and initial efficacy of these services.
Main Methods:
- A clinic champion was identified to facilitate referrals within a Memory Assessment Clinic.
- Patients received short-term, evidence-based psychotherapy (CBT or ACT), with initial sessions in-person and follow-ups via telehealth or in-person.
- Eligibility guidelines were established for patient selection.
Main Results:
- Patients experienced an average reduction of 2.2 points in depression symptoms.
- An average reduction of 2 points in anxiety symptoms was observed.
- Implementation barriers and facilitators were documented.
Conclusions:
- The implementation of evidence-based psychotherapy clinics within geriatric settings is feasible.
- Patients with MCI and mild AD/ADRD demonstrate a significant interest in and benefit from psychotherapy services.
- Further research is recommended to explore the impact of CBT and ACT for anxiety and depression in neurocognitive disorders.
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