The authors examine national patterns in psychotherapy for older adults with a diagnosis of depression and analyze correlates of psychotherapy use that is consistent with agency for health care policy and research guidelines for duration of treatment linked medicare claims and survey data from the . Research also suggests that for older adults psychotherapy is just as likely to be an effective first treatment for depression as taking an antidepressant some older adults prefer to get counseling or psychotherapy for depression rather than add more medications to those they are already taking for other conditions. Psychotherapy for depression in older adults emphasizes the distinctive and unique characteristics of practice with older adults illustrates the application of clinical skills in a wide variety of settings where older adults may be served eg outpatient primary care mental health centers nursing homes. Depression treatment is just as effective for older adults as it is for younger people however since depression in the elderly is often triggered or compounded by a difficult life situation or challenge any treatment plan should address that issue too. Limited literature exists on the effectiveness of cbt for treatment of depression or anxiety in older adults with comorbid dementias in practice however experienced therapists at some clinics are delivering cbt to patients with mild dementia using a format focusing more heavily on behavioral interventions
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