Doris Bersing, PhD
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Therapy for the Elderly

Copyright : Aaron Amat

Copyright : Aaron Amat

Many of us have the impression that old people are sad, depressed, and/or grumpy but it turns out not to be particularly accurate. Many older adults and seniors can lead a very happy life. However, what about those who had experienced multiple losses, heartaches, and little access to therapy?

Moreover, for many of the elders with whom I work, emotional distress is their own business, sometimes a source of shame, and for sure something not to share with “strangers” like the therapist.  Others think therapy is for young or younger people to what even Sigmund Freud noted that around age 50, “the elasticity of the mental process on which treatment depends is, as a rule, lacking,” adding, “Old people are no longer educable.” (Never mind that he continued working until he died at 83.) and as an article in The New York Times by states: “…In years past, too, there was a sense among medical professionals that a patient often could not be helped after a certain age unless he had received treatment earlier in life… ‘that’s been totally turned around by what we’ve learned about cognitive psychology and cognitive approach — changing the way you think about things, redirecting your emotions in more positive ways,” said Karl Pillemer, a gerontologist and professor of human development at Cornell, and author of “30 Lessons for Living.”

Treatment regimens can be difficult in this population. Antidepressants, for instance, can have unpleasant side effects and only add to the pile of pills many elderly patients take daily. Older patients may feel that they don’t have the time necessary to explore psychotherapy, or that it’s too late to change.

But many eagerly embrace talk therapy, particularly cognitive behavioral techniques that focus on altering thought patterns and behaviors affecting their quality of life now. Experts say that seniors generally have a higher satisfaction rate in therapy than younger people because they are usually more serious about it. Time is critical, and their goals usually are well defined. Read Ellin’s  article


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