Aging and Mental Health (eBook)

Daniel L. Segal, PhD, is Professor of Psychology at the University of Colorado at Colorado Springs. Sara Honn Qualls, PhD, is Kraemer Professor of Aging Studies, Professor of Psychology, and Director of the Gerontology Center at the University of Colorado at Colorado Springs. Michael A. Smyer, PhD, is Professor of Psychology and former Provost at Bucknell University.

Preface xi

Part I Introduction 1

1 Mental Health and Aging: An Introduction 3

2 Basic Gerontology for Working with Older Adults 21

3 Psychological Bases of Positive Mental Health 45

Part II Models of Mental Health in Later Life 65

Part II Introduction 65

4 Psychodynamic Model 69
with co-author Lacey Edwards

5 Cognitive-Behavioral Model 89

6 Stress and Coping Model 117

7 Family Systems Model 145

Part II Summary and Commentary: Choosing Among Models of Mental Disorders in Later Life 165

Part III Introduction to Mental Disorders 171

Part III Introduction 171

8 Cognitive Impairment and Neurocognitive Disorders 175

9 Major Depression and Bipolar Disorder 207

10 Serious Mental Disorders in Older Adults: Schizophrenia and Other Late-Life Psychoses 241
Stephen J. Bartels, Karen L. Fortuna, and John A. Naslund

11 Anxiety Disorders, Hoarding Disorder, and Post-Traumatic Stress Disorder 281

12 Sexual Disorders, Sleep Disorders, and Chronic Pain 313

13 Substance-Related Disorders and Personality Disorders 343

Part IV Settings and Contexts of Mental Health 375

Part IV Introduction 375

14 Health Services Delivery Systems 377

15 Housing, Social Services, and Mental Health 393

16 Family and Friend Relationships, and Caregiving 407

17 Ethical Issues in Work with Older Adults: Advanced Care, Financial Decision-Making, and the Impacts of Climate Change 423

Epilogue 445

Index 447

"Aging and Mental Health is that rare book which is both pleasurable to read and deeply informative. The science of psychiatric diagnosis and treatment is set forth through rich conceptual frameworks of gerontology and psychology, and - new in this edition - critical health service contexts. As a comprehensive and skillfully crafted resource all in one volume, the book is an indispensable gem for students and practitioners alike."

Jennifer Moye, PhD, Associate Director for Education and Evaluation New England GRECC (VA Boston and Bedford) and Professor of Psychology, Harvard Medical School



"The Third Edition of Aging and Mental Health offers far more than an update. It is a thoughtfully and creatively designed textbook poised to serve as a strong introduction to major clinical disorders, dominant models of therapy, service delivery systems, and ethical issues, together rounding out the universe of mental health and mental illness in older adults. Generous and well-selected references for each topic are provided."

Erlene Rosowsky, PsyD, Director of the Center for Mental Health and Aging and Associate Professor of Psychology, William James College



"Kudos to the authors of this updated new edition on Aging & Mental Health. Life span developmental theory, normative biopsychosocial processes, and models of successful aging inform clinical recommendations for mental health professionals who provide services to older adults. This is an excellent volume to read and reference if one desires to employ an evidence-based state-of-the art approach to assess and treat the mental health problems of older adults and to promote integrated care in geriatric settings."

Victor Molinari, PhD, President of the American Board of Geropsychology and Professor, School of Aging Studies, University of South Florida



"I've used Aging and Mental Health as a textbook for my undergraduate class in "Gerontological Counseling" and my graduate class in "Aging and Mental Disorders" for a decade. This book is unique in including reviews of fundamental issues in gerontology (e.g. age-related changes), major theoretical models of mental health, the most common mental disorders of late life, and contextual issues such as policy, housing, and caregiving issues. The text is full of vivid case studies and practical information. The Third Edition includes valuable updates, such as incorporation of the DSM-5 and recent research information. The authors bring years of experience in clinical practice, research, and public policy related to mental health to bear on the topic. This is the perfect text for instructors from diverse fields who want to engage their students in understanding mental health and aging, and help them develop a passion for providing excellent care for older adults and their families. "

William E. Haley, PhD, Professor, School of Aging Studies, University of South Florida