Depression And Anxiety In Later Life

Depression and anxiety can be avoided or minimized through medication and therapy and by adapting to changing circumstances as we age. Physical problems and emotional stresses, such as bereavement, health conditions, pain, concerns about the future, side effects of medications, and the accumulated effects of lifestyle choices, may lead to depression or anxiety in older people. However, as Drs. Mark D. Miller and Charles F. Reynolds III know, these mental disorders are not a natural or an inevitable part of aging. In Depression and Anxiety in Later Life, these psychiatrists show how depression and anxiety can be avoided or minimized by adapting to changing circumstances while controlling risk factors and getting help when it's needed. This reassuring book balances discussions of the causes, symptoms, and treatments of mental illness with descriptions of successful adaptive aging. Case studies illustrate the less obvious depression symptoms of irritability, disorganization, and social withdrawal. Readers will find information about memory loss, pain, sleep, nutrition, and end-of-life issues particularly helpful. Aging can be challenging, but it doesn’t always lead to depression or anxiety. Depression and Anxiety in Later Life will help older people, their family members, and caregivers make positive changes to take control of their own individual situations.

Working with older adults no longer means working exclusively with frail or disabled people. Older adults are healthier now on average than in decades past, but they still require specialized care. Mental health providers are seeing a growing number of older patients in their practice and may have little experience in the best methods for working with them. To fill that gap, Patricia A. Are�n assembled this volume of best practices in treating mental disorders in late life. It includes an overview of geropsychology and the training resources available to help clinicians develop the competencies they need to work with older adults. Chapters focus on evidence-based treatments for late-life depression, anxiety, trauma, and substance abuse disorders, including cognitive behavioral therapy, problem solving treatment, behavioral activation, interpersonal therapy, relaxation training, exposure therapy, substance abuse relapse prevention, and motivational interviewing. Detailed case examples in each chapter illustrate the interventions in action. Although mental disorders are not as common in later life as they are in younger populations, they can be disabling and costly. With the accumulation of evidence over the past twenty-five years, assumptions about whether older adults can benefit from psychotherapy have changed greatly. Not only is psychotherapy a more effective treatment option than medication for many older adults, the effects are as good as those seen in younger adults. This book will help mental health providers take advantage of the latest research and be more effective in their work with older adults.

Social anxiety disorder is persistent fear of (or anxiety about) one or more social situations that is out of proportion to the actual threat posed by the situation and can be severely detrimental to quality of life. Only a minority of people with social anxiety disorder receive help. Effective treatments do exist and this book aims to increase identification and assessment to encourage more people to access interventions. Covers adults, children and young people and compares the effects of pharmacological and psychological interventions. Commissioned by the National Institute for Health and Clinical Excellence (NICE). The CD-ROM contains all of the evidence on which the recommendations are based, presented as profile tables (that analyse quality of data) and forest plots (plus, info on using/interpreting forest plots). This material is not available in print anywhere else.

Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.

As demographic trends shift toward an aging population, there is a growing need for improved mental health treatment for older adults. With depression as the leading mental health concern in later life, one of the greatest challenges for treatment providers is the wide variability of life circumstances that accompany depressive symptoms for clients across outpatient mental health, integrated primary care, and inpatient psychiatric settings. Treating Later-Life Depression: Clinician Guide outlines culturally responsive practices that target the contexts and drivers/antecedents of depression in middle-aged and older adults. Clinicians can choose research-supported modules from the accompanying Workbook that fit the needs of their clients (i.e. chronic pain, sleep problems, anxiety, experiences of loss). This practical guide reflects continuing international scientific and clinical advances in applying CBT to age-related problems using individual and group formats, with clinician-tested recommendations for telehealth practice. With the flexible clinical tools provided in this guide, practitioners can personalize the application of change strategies, including behavioral activation, relaxation training, self-compassion, cognitive reappraisal, and communication skills training among others. Case examples are also provided from a range of disciplines (e.g., clinical psychology, psychiatry, social work, counseling, marriage and family therapy, nursing, occupational therapy and recreational specialists) to illustrate application in busy clinical practices. The guide closes with aging-friendly assessment tools and other resources to support ongoing professional development. Treating Later-Life Depression, Clinician Guide is an indispensable resource for all behavioral health providers who wish to help diverse aging clients thrive effectively and efficiently in a daily life that is true to their values and personal strengths.

This handy DSM-5(R) Classification provides a ready reference to the DSM-5 classification of disorders, as well as the DSM-5 listings of ICD-9-CM and ICD-10-CM codes for all DSM-5 diagnoses. To be used in tandem with DSM-5(R) or the Desk Reference to the Diagnostic Criteria From DSM-5(R), the DSM-5(R) Classification makes accessing the proper diagnostic codes quick and convenient. With the advent of ICD-10-CM implementation in the United States on October 1, 2015, this resource provides quick access to the following: - The DSM-5(R) classification of disorders, presented in the same sequence as in DSM-5(R), with both ICD-9-CM and ICD-10-CM codes. All subtypes and specifiers for each DSM-5(R) disorder are included.- An alphabetical listing of all DSM-5 diagnoses with their associated ICD-9-CM and ICD-10-CM codes.- Separate numerical listings according to the ICD-9-CM codes and the ICD-10-CM codes for each DSM-5(R) diagnosis.- For all listings, any codable subtypes and specifiers are included with their corresponding ICD-9-CM or ICD-10-CM codes, if applicable. The easy-to-use format will prove indispensable to a diverse audience--for example, clinicians in a variety of fields, including psychiatry, primary care medicine, and psychology; coders working in medical centers and clinics; insurance companies processing benefit claims; individuals conducting utilization or quality assurance reviews of specific cases; and community mental health organizations at the state or county level.

"Late-Life Depression and Anxiety empowers health care professionals to identify and diagnose anxiety and depression in older adult patients and help them find relief, stay independent, and lower their risk of suicide. Readers will gain up-to-date knowledge of the scope and seriousness of depression, anxiety, and suicide in older adults, alongside a system of proven assessment and treatment techniques for turning evidence-based theory into practice"--

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.