Clinical Case Studies

 

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Clinical Case Studies, Vol. 7, No. 2, 154-166 (2008)
DOI: 10.1177/1534650107307477

Psychotherapy in Nontraditional Settings

A Case of In-Home Cognitive-Behavioral Therapy With a Depressed Older Adult

Molly Maxfield

University of Colorado at Colorado Springs, mmaxfiel{at}uccs.edu

Daniel L. Segal

University of Colorado at Colorado Springs

The underuse of psychological services among older adults is quite common. A variety of barriers contribute to this problem, one of which involves the difficulties associated with getting to appointments. The inability to attend appointments is frequently attributable to the occurrence of age-related physical limitations leaving the individual homebound. This case study offers an illustration of cognitive-behavioral psychotherapy in the treatment of a depressed homebound older adult with limited social and financial resources. Special consideration is given to difficulties often experienced by older adults and the unconventional circumstances associated with providing in-home psychotherapy.

Key Words: home-based treatment • cognitive-behavioral therapy • depression • elderly


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