A Model for Modifying Interpersonal Psychotherapy (IPT) for Depressed Elders with Cognitive Impairment

The authors review the psychological and emotional aspects of late-life depression complicated by cognitive impairment and propose a treatment model for modifying interpersonal psychotherapy (IPT) to better serve this group of patients and their family caregivers. The key component of this modificat...

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Bibliographic Details
Published in:Clinical gerontologist 2007-01, Vol.30 (2), p.79-101
Main Authors: Miller, Mark D., Richards, Valerie, Zuckoff, Allan, Martire, Lynn M., Morse, Jennifer, Frank, Ellen, Reynolds, Charles F.
Format: Article
Language:English
Subjects:
Amnesia
Carers
cognitive
Cognitive impairment
Depressed
elders
impairment
Interpersonal psychotherapy
late-life
Psychoeducational treatment
Treatment methods
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Summary:The authors review the psychological and emotional aspects of late-life depression complicated by cognitive impairment and propose a treatment model for modifying interpersonal psychotherapy (IPT) to better serve this group of patients and their family caregivers. The key component of this modification, named "IPT-CI" (for C ognitive I mpairment) is a combined patient/caregiver approach that provides psychoeducation for both parties, opportunity for problem solving for both parties individually, and a forum for role dispute resolution through joint meetings. Caregivers thus have regular input into the therapeutic process and are encouraged to extend the therapeutic work between meetings to help the patient to maintain progress despite memory loss and/or impairments in insight, judgment, or executive function. A detailed case vignette provides an illustration of the use of this modified form of IPT
ISSN:0731-7115
1545-2301
DOI:10.1300/J018v30n02_07