Terms in this set (834)

depression, Dysthymia
Dysthymia is not uncommon among elderly depressed people. Dysthymia in the elderly is not associated with Axis II diagnosis, which is different from younger people presenting with dysthymia. Symptoms are more cognitive and functional. There is equal distribution in men and women. Onset is preceded by high frequency of life stressors
Treatment for Depression
Treatment in people over 70 benefit more from continued therapy for a period of 2 years after resolution of symptoms. Exercise has proven as effective as medication. Exercise and medication can be safely used together under medical supervision. Problem solving therapy has been shown to be effective in resolving depressive symptoms and training them to be able to make their own decisions.
Counseling Strategies
Reminiscence Journaling: Allows older clients the opportunity to "experience" and reminiscence about where they have been by journaling on specific topics.
Life Review: With the use of photographs and other meaningful items this technique may offer a sense of peace and hope to older clients who struggle with the realization of unfulfilled youthful dreams and the questions of "Who am I" and "Why am I here?"
Develop Realistic Goals: Provide training in decision-making skills to enable older persons to consider alternative courses of action to resolve practical and emotional issues. Ask thought-provoking questions ("What brings meaning to your life now?" or "How can you make a difference in the world now?") This process can aid in helping older clients live in a present-oriented life.
Community Resource Referrals: Have available a listing of resources to assist clients with issues outside of the counselor's area of treatment or expertise.
Problem Solving Therapy
Reminiscence Therapy