Clinicians Guide to Interpersonal Psychotherapy in Late Life: Helping Cognitively Impaired or…

Paperback | April 20, 2009

byMark D. Miller

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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 inthe 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 changesare 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 forworking 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 fromthe first visit to lifelong management.

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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 inthe older population due to disease or age-re...

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 th...

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Format:PaperbackDimensions:224 pages, 9.25 × 6.13 × 0.68 inPublished:April 20, 2009Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195382242

ISBN - 13:9780195382242

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Table of Contents

Section I: Rationale and Background for IPT-ciIntroduction1. Overview of Basic Principles of Interpersonal Psychotherapy2. Rationale and Background for IPT3. A Concise Review of Gerontology/Geriatric Medicine4. Overview of Late Life Depression5. The Cognitive Impairment Spectrum: MCI to Dementia6. Manifestations of Executive DysfunctionSection II: Principles of IPT for Cognitive Impairment (IPT-ci)7. IPT Basics8. Incorporating Family/Caregivers into the Treatment Process from the First Meeting9. Specific Foci in IPT: Grief, Role, Transition, Role Dispute, Interpersonal Deficits10. The Caregiver's Own Role Transition11. Flexible Individual or Joint Sessions12. Reaching Steady State and Long Term PlanningPostscript: Future Directions for IPT

Editorial Reviews

"Through careful explanation of strategies and tactics and through vivid case descriptions, Dr. Miller demonstrates that not only is it possible to use psychotherapy with depressed elders with cognitive impairment, but that such individuals are likely to take particular comfort from being ableto do the work of interpersonal psychotherapy and to reap the benefits in terms of improved depressive symptoms. Dr. Miller is to be congratulated on this clear and highly useful aid to clinicians working with depression in older individuals." --Ellen Frank, Distinguished Professor of Psychiatry and Professor of Psychology University of Pittsburgh School of Medicine