Clinician's Guide to Interpersonal Psychotherapy in Late Life: Helping Cognitively Impaired Or Depressed Elders and Their Caregivers

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Oxford University Press, 2009 - Medical - 198 pages
Interpersonal Psychotherapy for Cognitive Impairment (IPT-ci) aims to improve coping skills of older adults. It builds on traditional Interpersonal Psychotherapy, an evidence-based treatment that has been found useful in treating depressed elders. Cognitive impairment, a common occurrence in the older population due to disease or age-related causes of changes in brain function, calls for additional strategies to optimize functioning. IPT-ci seeks to help older patients and their caregivers manage the effects of cognitive impairment, particularly in the early phase when behavior changes are often misunderstood, as well as to plan for potential future declines in cognitive functioning.

Part I offers an overview of IPT principles and the development of IPT-ci, as well as essential background information for those new to the field of clinical geriatrics. Chapters on late-life depression, cognitive impairment/dementia, and executive function provide key points of reference for working with this population. Part II demonstrates the IPT-ci approach from the initial interview through long-term follow up. Special attention is paid to the role of concerned family members or caregivers and the role transition they are going through becoming caregivers.

This guide is replete with case examples, numbered for easy reference and representing a range of patients and issues. Detailed analysis clarifies the application of IPT-ci elements. Clinicians will find this guide a practical resource for treating older patients and assisting their caregivers from the first visit to lifelong management.
 

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Contents

IPT for Cognitive Impairment IPTci
85
Postscript Future Directions for IPTci
175
Appendix Montreal Cognitive Assessment MoCA Administration and Scoring Instructions
179

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About the author (2009)


Mark D. Miller, MD, is an Associate Professor of Geriatric Psychiatry as Western Psychiatric Institute and Clinic at the University of Pittsburgh Medical Center. Dr. Miller serves as the Medical Director of the Late Life Depression Center, where he conducts clinical research. He also has worked directly with a variety of patients at the Benedum Geriatric Center since 1987.

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