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Advances in Psychotherapy for Depressed Older Adults

  • Geriatric Disorders (W McDonald, Section Editor)
  • Published:
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Abstract

Purpose of Review

We review recent advances in psychotherapies for depressed older adults, in particular those developed for special populations characterized by chronic medical illness, acute medical illness, cognitive impairment, and suicide risk factors. We review adaptations for psychotherapy to overcome barriers to its accessibility in non-specialty settings such as primary care, homebound or hard-to-reach older adults, and social service settings.

Recent Findings

Recent evidence supports the effectiveness of psychotherapies that target late-life depression in the context of specific comorbid conditions including COPD, heart failure, Parkinson’s disease, stroke and other acute conditions, cognitive impairment, and suicide risk. Growing evidence supports the feasibility, acceptability, and effectiveness of psychotherapy modified for a variety of health care and social service settings.

Summary

Research supports the benefits of selecting the type of psychotherapy based on a comprehensive assessment of the older adult’s psychiatric, medical, functional, and cognitive status, and tailoring psychotherapy to the settings in which older depressed adults are most likely to present.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Acknowledgements

This work was supported by Grant Nos. R01 MH084872 and P30 MH085943 from the National Institute of Mental Health.

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Authors and Affiliations

  1. Department of Psychiatry & Behavioral Sciences, University of Washington School of Medicine, Box 358017, 2815 Eastlake Ave E, Suite 200B, Seattle, WA, 98012, USA

    Patrick J. Raue

  2. Department of Psychiatry, Columbia University Medical Center, New York, NY, 10032, USA

    Amanda R. McGovern

  3. Department of Psychiatry, Weill Cornell Medical College, 21 Bloomingdale Road, White Plains, NY, 10605, USA

    Dimitris N. Kiosses & Jo Anne Sirey

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  1. Patrick J. Raue
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  2. Amanda R. McGovern
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  3. Dimitris N. Kiosses
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  4. Jo Anne Sirey
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Correspondence to Patrick J. Raue.

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Conflict of Interest

Patrick J. Raue, Amanda R McGovern, Dimitris N. Kiosses, and Jo Anne Sirey report grants from NIMH during the conduct of the study.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Geriatric Disorders

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Raue, P.J., McGovern, A.R., Kiosses, D.N. et al. Advances in Psychotherapy for Depressed Older Adults. Curr Psychiatry Rep 19, 57 (2017). https://doi.org/10.1007/s11920-017-0812-8

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