Use of cognitive behavioral therapy in late-life psychiatric disorders

With prevalence rates approaching 10% for anxiety disorders and 6% for major depression, anxiety and depression have a significant impact on adults in later life. Cognitive behavioral therapy (CBT) is a psychosocial intervention for anxiety and depression that can serve as a useful alternative or adjunct to pharmacologic intervention for older adults. Older adults often prefer nonmedical treatment and need to limit use of medications in conjunction with serious medical illness. This article presents a basic description of CBT in light of special considerations for older patients. The principles of CBT can be integrated into primary care interactions. Assessment instruments for anxiety and depressive disorders are mentioned, in addition to referral sources.