A model for modifying interpersonal psychotherapy (IPT) for depressed elders with cognitive impairment

Mark D. Miller, Valerie Richards, Allan Zuckoff, Lynn Margaret Martire, Jennifer Morse, Ellen Frank, Charles F. Reynolds

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

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 Cognitive Impairment) 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.

Original languageEnglish (US)
Pages (from-to)79-101
Number of pages23
JournalClinical Gerontologist
Volume30
Issue number2
DOIs
StatePublished - Mar 12 2007

All Science Journal Classification (ASJC) codes

  • Social Psychology
  • Health(social science)
  • Clinical Psychology
  • Gerontology
  • Geriatrics and Gerontology

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