CBT: OLDER ADULTS

CBT with olDER ADULTS: Therapy edition BY sAM, mEG, & mADDY

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Experience an amazing adventurewith Jumanlly:

1. Gather your tribe: Play with more players individually or form teams. 2. Choose your avatar: Select an animal token to accompany you on this adventure. 3. Roll the virtual die: Click! Discover how many squares you will advance on your color path. 4. Watch out for special squares: Do you see one marked? There awaits a challenge for you. Overcome it to move forward. 5. Failed challenges: If you don't succeed, go back 3 squares. Come on, you can recover! 6. Win!: Be the first person to conquer the central square!

PLAY

wILL YOU MAKE IT TO YOUR THERAPY SESSION ON TIME? let's find out...

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Players

You made it to your session... But what's waiting for you?

What cbt technique for emotion regulation do you believe would be helpful when working with betty?Examples: self-care, relaxation, refocusing, engaging in valued behavior, and self-soothing?

Share a positive reflection or challenge to the following sentence:"I'm so lonely, I took a walk through the park just to be near other people."

What cbt interventions do you think would help with clients who experience chronic illness or pain?

How could you use cbt to help older adults address and/or change any negative attitudes they have towards therapy?

What tools would you use for clients who struggle to identify their own thoughts and/or feelings?

How might an older adult develop depression within a cbt framework?

Which of the 14 principles of treatment do you think would be the LEAST important element of CBT with an older adult population (e.g., action plans, structure, guided discovery, present-focused, time, sensitive, goal-oriented, collaborative, positive, etc.)?

How would you respond if your new client who is an older adult told you that they don't know if they can work with a younger therapist?

How might developing the therapeutic relationship look different with an older adult client?

How might you adapt cbt with older adult clients who have memory impairments?

What is an example of a problem or goal that would be helpful to work on in a therapy session with the client presented in our presentation today?

What automatic thoughts might interfere with you asking older adult clients for feedback?

What cultural factors will be important to consider in betty's treatment?

What thoughts could your group have that would deter them from working with older adults? What would be good responses to those thoughts?

How would you respond to the older adult client's thought: "It feels like I’ve got so many problems. I’m not sure anything can help."

Can you think of any generational beliefs that older adults may hold that influence their response to therapy?

How could you use behavioral experiments to test betty's fears (e.g., falling, get involved with her church, etc.)?

Do you have any fears about interrupting an older adult client? if so, what is coming up for you and how can you manage those thoughts as their provider?

What do you think would be the most difficult part of working with older adults in a cbt framework?

CONGRATULATIONS, YOU WIN!

You get first dibs on the candy.

What CBT technique would you most want to try with an older adult client?

What may help an older adult deal with role loss and retirement?

How might you encourage and strengthen social supports with older adult clients?

Which of the 14 principles of treatment do you think would be the most important element of CBT with an older adult population (e.g., action plans, structure, guided discovery, present-focused, time, sensitive, goal-oriented, collaborative, positive, etc.)?

How might you help educate an older adult client on the dangers of online dating?

What's an important adaption to cbt with older adults that we may have not mentioned?

If an older adult client has cognitive declines, how can you utilize caregivers and social supports in treatment?

Why is it important to help older adult clients identify their values and goals in cbt treatment?

What would you Use with an older adult client when activity levels are limited or when they're socially isolated to increase daytime engagement and reduce accidental dozing?

How can you help older adult clients who routinely forget to do their homework outside of session?

challenge the following thought from an older adult client who struggles with insomnia:"I can't limit my non-sleep time in bed because my body aches and I don't have energy for anything else."