Psychotherapeutic Support for Family Caregivers of People With Dementia

Gabiele Wilz, PhD, is Head of the Department of Counseling and Clinical Intervention and Director of the Psychotherapeutic Outpatient Clinic and CBT qualification at the Friedrich Schiller University Jena since 2009. She studied psychology in Marburg, received her PhD in 1998 at University of Leipzig, and worked from 1998 - 2003 as Assistant assistant Professor professor at the University of Leipzig in the Department of Medical Psychology and Medical Sociology. From 2003 to 2008 she was Professor of Clinical and Health Psychology at the Technical University of Berlin. She is a licensed clinical psychologist and clinical supervisor with licensure in cognitive-behavioral psychotherapy.

Foreword
Preface
1 Demands, Burden, and Health Impact of
Caregiving
1.1 Introduction
1.2 Overview of Specific Caregiver Burden in
Dementia
1.3 Models and Predictors for Burden and Coping
With Caregiving
1.4 Family Caregivers' Coping Strategies
1.5 Positive Aspects of Caregiving
2 Need for and Effectiveness of Psychosocial
Interventions
2.1 Need for Helpful Family Caregiver Interventions
2.2 Demands for Helpful Family Caregiver
Interventions
2.3 CBT-Based Caregiver Interventions: Content,
Evaluation, and Recommendations
2.4 Concept and Evaluation of the Tele.TAnDem
Intervention
3 Helpful Information on Dementia and Caregiving-
Specific Issues for Family Caregivers
3.1 Illness-Specific Topics
3.2 Medical Questions
3.3 Care-Related Questions
3.4 Legal Questions
3.5 Financial Questions
4 Diagnostic Tools for Caregiving of People With
Dementia
4.1 Questionnaires for Family Caregivers
4.2 Questionnaires for the Subjective Assessment
of Behavioral Problems in Dementia Patients
4.3 Assessment of the Severity of Dementia
5 Therapist Attitude and Relationship Building
5.1 The Caregivers Are Caregiving Experts
5.2 Normalizing and Depathologizing Counseling
5.3 Family Caregivers Are Doing Their Best:
Appreciation and Validation of Their Efforts
5.4 Isolation and Severe Suffering: Empathy and
Patience
5.5 Unchangeable Burdens and Loss of Control:
Confrontation and Acceptance
6 Therapy Topics, Intervention Methods, and
Framework
6.1 Individualized Therapy
6.2 Setting
6.3 Therapy Process and Structure of the Sessions
6.4 Work Between Sessions: Therapeutic Homework
7 First Session and Relationship Building
7.1 Goals of the Module
7.2 Therapeutic Approach
8 "I Grew Up in the Countryside, and That Was a
Given There": Changing Dysfunctional Thoughts
and Appraisals
8.1 Goals of the Module
8.2 Therapeutic Approach
9 "You Are Still at Home Here!" - Dealing With
Challenging Behavior
9.1 Goals of the Interventions
9.2 Therapeutic Approach
10 " Anger Is Completely Normal" - Stress
Management and Emotion Regulation
10.1 Goals of the Module
10.2 Therapeutic Approach
11 "And What About Me?" - Self-Care and
Value-Based Activities
11.1 Goals of the Module
11.2 Therapeutic Approach
12 "From the Diagnosis Until Death" - Dealing
With Change, Loss, and Grief
12.1 Goals of the Module
12.2 Therapeutic Approach
12.3 The Time After the Death of the Person With
Dementia
13 "I Need to Do It on My Own" - Support Options
for Family Caregivers of Persons With Dementia
13.1 Goals of the Module
13.2 Identifying the Need for Assistance
13.3 Overcoming Barriers to Utilizing Support
13.4 Finding the Right Time for Support
13.5 Searching for Support Options
13.6 Difficulties Regarding Utilization of Support
14 Nursing-Home Placement - When the Limits
of Home Care Have Been Reached
14.1 Goals of the Module
14.2 Decision-Making Factors
14.3 Support in Decision Making
14.4 Care in an Emergency
14.5 Dealing With the Decision
14.6 Therapeutic Procedure for Intolerable
Caregiving Situations
15 Completion of Therapy
15.1 Goals of the Module
15.2 Therapeutic Approach