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Cognitive Behavior Therapy With Older Adults: Innovations Across Care Settings, edited by Kristen Hilliard Sorocco and Sean Lauderdale

This edited volume begins with a chapter that reviews the cognitive behavioral therapy (CBT) approach and the evidence base that exists for using CBT with older adults who have mental health concerns. This chapter reviews separately the cognitive and behavioral aspects of treatment and includes information on frequently used measures and tools, and discusses modifications to treatment protocols that may be necessary when working with older adults. After this orienting chapter, the book is divided into two parts: One focuses on common mental health disorders of older adults (mood disorders, anxiety disorders, dementia, and sexual dysfunction); the other focuses on innovative modifications of the use of CBT that occur in a variety of settings (the home, primary care, the VA, and palliative care). The chapters in Part 1 typically include information regarding the epidemiology, assessment, and treatment of each disorder. Many offer a detailed CBT treatment protocol with modifications for older adults. Chapter 2 details a comprehensive treatment approach for older adults with major depressive disorder that emphasizes psychoeducation to engage older adults in treatment. Suicidality and suicide risk assessment are discussed in chapter 4 and the authors offer several resources for clinicians as well as details about creating safety plans. As depression is often comorbid with other mental health issues, there is a chapter that comprehensively reviews the evidence available for using CBT for those with depression comorbid with anxiety, sleep disorders, personality disorders, or alcohol and substance abuse disorders. Psychosocial interventions that are effective for the different stages of dementia are presented in chapter 9. Another highlight of this chapter is the emphasis that is placed on the cultural aspects of assessment for dementia in African American and Hispanic older adults. The chapter on sexual dysfunction offers a model for the complete state of sexual health that is particularly relevant to older adults. Although there is limited evidence for the use of CBT for sexual dysfunction in older adults, the authors offer advice on modifications of interventions that have worked with younger adults. Not all of the contributors endorse a CBT approach, due to a lack of empirical evidence. For example, the chapter on anxiety disorders offers a plan that starts