As demographic trends shift toward an aging population, there is a growing need for improved mental health treatment for older adults. With depression as the leading mental health concern in later life, one of the greatest challenges for treatment providers is the wide variability of life circumstances that accompany depressive symptoms for clients across outpatient mental health, integrated primary care, and inpatient psychiatric settings.
Treating Later-Life Depression: Clinician Guide outlines culturally responsive practices that target the contexts and drivers/antecedents of depression in middle-aged and older adults. Clinicians can choose research-supported modules from the accompanying Workbook that fit the needs of their clients (i.e. chronic pain, sleep problems, anxiety, experiences of loss). This practical guide reflects continuing international scientific and clinical advances in applying CBT to age-related problems using individual and group formats, with clinician-tested recommendations for telehealth practice. With the flexible clinical tools provided in this guide, practitioners can personalize the application of change strategies, including behavioral activation, relaxation training, self-compassion, cognitive reappraisal, and communication skills training among others. Case examples are also provided from a range of disciplines (e.g., clinical psychology, psychiatry, social work, counseling, marriage and family therapy, nursing, occupational therapy and recreational specialists) to illustrate application in busy clinical practices. The guide closes with aging-friendly assessment tools and other resources to support ongoing professional development.
Treating Later-Life Depression, Clinician Guide is an indispensable resource for all behavioral health providers who wish to help diverse aging clients thrive effectively and efficiently in a daily life that is true to their values and personal strengths.

Ann M. Steffen, PhD, ABPP is a professor in the Department of Psychological Sciences at the University of Missouri-St. Louis and is a faculty clinician at the UM-St. Louis Community Psychological Service. Dr. Steffen is a dual certified Diplomat in Behavioral and Cognitive Psychology (ABBCP) and a Diplomat in Geropsychology (ABGERO) of the American Board of Professional Psychology.
Larry W. Thompson, PhD, ABPP is a board-certified geropsychologist and an emeritus professor from Stanford University School of Medicine. His 40+ year career in research and clinical care of older adults has resulted in his being a highly sought-after trainer for community-based mental health programs seeking to expand their services to older persons-particularly those with depression, bipolar disorder, or anxiety disorders. He has received several prestigious awards including the M. Powell Lawton award for lifetime contributions to the field of geropsychology. He is currently co-director of the Optimal Aging Center.

Dolores Gallagher-Thompson, PhD, ABPP is a board-certified geropsychologist who practices at Stanford University School of Medicine, where she is also an active research professor (emerita). Her commitment to developing innovative ways to employ CBT with older adults (and to research its efficacy) has spanned the past 30 years. She has received several prestigious awards including the M. Powell Lawton award for lifetime contributions to the field of geropsychology. She is currently co-director of the Optimal Aging Center.

Part I: Introductory Information for Clinicians

Chapter 1: How to Use This Treatment Approach

Chapter 2: Depression and Age-Related Issues

Chapter 3: Assessment with Aging Individuals

Chapter 4: Cognitive-Behavioral Therapies 101

Chapter 5: Psychotherapy Modifications with Aging Clients

Part II: Core Modules (For Most Clients)

Chapter 6 Module 1: Skills for Getting Started: Planning Your Treatment

Chapter 7 Module 2: Skills for Feeling: Recognizing and Managing Strong Emotions

Chapter 8 Module 3: Skills for Doing: Values-Based Living and Solving Problems

Chapter 9 Module 4: Skills for Thinking: Self-Compassion and Helpful Thoughts

Chapter 10 Module 11: Skills for Wrapping Up: Finishing Treatment

Part III: Personalized Modules (For Some Clients)

Chapter 11 Module 5: Skills for Brain Health: Healthy Cognitive Aging

Chapter 12 Module 6: Skills for Managing Chronic Pain: Improving Daily Life

Chapter 13 Module 7: Skills for Healthy Sleep: Resting Better and Longer

Chapter 14 Module 8: Skills for Caregiving: Reducing Stress While Helping Others

Chapter 15 Module 9: Skills for Living with Loss: Bereavement and Grief

Chapter 16 Module 10: Skills for Relating: Getting Along and Communicating Your Needs

Afterword: Professional Development

Appendix A: Professional Development Resources

Appendix B: Recommendations for Group Treatments

Appendix C: California Older Person's Positive Experiences Schedule-Revised (COPPES-R)

Appendix D: Clinical Tools and Measures