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Social and Behavioral Sciences Commons™
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Full-Text Articles in Social and Behavioral Sciences
Mental Health Disorders In Later Life, Zvi Gellis, Bonnie Kenaley
Mental Health Disorders In Later Life, Zvi Gellis, Bonnie Kenaley
Bonnie Kenaley
Depression and anxiety disorders are common in older adults. These disorders are associated with impaired functioning, disability, and high service use and costs. Co-occurrence of depression and anxiety is common with chronic diseases. Effective psychological and pharmacological treatments are available. However, too often, depression and anxiety disorders are underdiagnosed or are not optimally treated. This chapter presents an update on the state of knowledge on depression and anxiety disorders in later life, focusing on prevalence, comorbidity, and effective evidence-based treatments.
When Traumatic Stressors Are Not Past, But Now: Psychosocial Treatment To Develop Resilience With Children And Youth Enduring Concurrent, Complex Trauma, Katherine Mccrea, Deanna Guthrie, Jeffrey Bulanda
When Traumatic Stressors Are Not Past, But Now: Psychosocial Treatment To Develop Resilience With Children And Youth Enduring Concurrent, Complex Trauma, Katherine Mccrea, Deanna Guthrie, Jeffrey Bulanda
Katherine Tyson McCrea
While providing school-based treatment for 450 urban impoverished children and youth from 2006-2014, we found implementing specific elements of PTSD treatment models reduced engagement and aggravated clients’ symptoms. Clients’ traumas were neither past nor single-type, but were multiple (complex) and unavoidably occurring concurrently with treatment, so we speculated that many trauma treatment elements needed revision to be effective. Using a participatory action research methodology, we developed a resilience-focused treatment model for concurrently-traumatized clients. Drawing from the strengths perspective, self-determination, and hope theories, key treatment elements revised here are triggers, re-enactment, avoidance, “silencing,” and dissociation. Treatment guidelines include creating a safe …