from Part 2 - Evidence-Based Psychotherapy in Later Life
Published online by Cambridge University Press: 09 January 2020
Problem-solving therapy (PST) is an evidence-based psychotherapy for depression, with particularly robust evidence for use among older adults. It is based on the premise that depression is maintained by ineffective problem-solving and resultant poor coping, low self-efficacy, and negative emotions. Problem-solving therapy aims to reduce symptomatology and maximize quality of life by developing problem-solving skills and emphasizing goal setting and action planning to achieve those goals. This chapter presents the theoretical framework of PST and reviews a typical course of treatment, illustrated by a case of an older depressed patient with cognitive impairment and complex biopsychosocial needs. Problem-solving therapy is a brief and effective intervention for older adults with depression, including those with concurrent medical problems. Recent empirical findings and considerations for special populations are presented, along with resources for further PST training.
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