Abstract

The elderly are often excluded from the benefits of psychotherapy, especially in low- and middle-income countries. There are many potential barriers to psychotherapy in the elderly, including the high frequency of medical comorbidities, decreased mobility, and cognitive deficits. The elderly are often unable to access psychotherapy due to structural barriers and the perceptions of patients and health-care professionals regarding this treatment modality. These obstacles can potentially be overcome using elderly-centered approaches. Possible adaptations in the elderly include making clinics more easily accessible, providing home-based treatment where appropriate, education of health professionals, and involvement of the primary caregiver. There are a number of evidence-based psychotherapeutic treatments for specific disorders that occur commonly in elderly persons. Psychotherapeutic modalities such as cognitive behavioral therapy, interpersonal therapy, problem-solving therapy, and reminiscence therapy are effective in elderly patients, and some of these approaches have been adapted for application in low- and middle-income countries.

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