GeroCentral

GeroCentral

Anxiety

Anxiety disorders in older adults have received far less attention in the research literature than depression, yet if anything the epidemiological research demonstrates that anxiety is more common than depression in later life (Kessler et al., 2005). The literature on late life anxiety is growing, but lags significantly behind depression and other disorders. Anxiety disorders in older persons are associated with high levels of service use and economic burden (Andlin-Sobocki & Wittchen, 2005; Porensky et al. 2009).

Late life anxiety prevalence estimates range from 3.2-14.2%, depending on the ages and specific diagnoses (e.g., generalized anxiety disorder) included (Wolitzky-Taylor, Castriotta, Lenze, Stanley, & Craske, 2010). According to a recent systematic review (Baxter, Scott, Vos, & Whiteford, 2013), the current global prevalence of anxiety disorders is 7.3%, and higher (10.4%) among developed (i.e. Anglo/European) compared to developing (i.e. African) nations (5.3%). Rates increase significantly among veteran groups when PTSD is included. Co-morbidity is also high between anxiety and depression in later life; in one study 47.5% of those with major depressive disorder also met criteria for anxiety disorders, and 26.1% of those with anxiety disorders also met criteria for major depressive disorder (Beekman, van Balkom, Deeg, van Dyck, & van Tilburg, 2000).

The most common anxiety disorders reported in older adults are phobias and GAD (Beekman et al., 2000; LeRoux, Gatz, & Wetherell, 2005). Obsessive compulsive disorder, panic disorder and post-traumatic stress disorder are relatively less common in later life (Wolitzky-Taylor et al., 2010). Anxiety disorders, although common in older adults, are less prevalent than in younger age groups (Kessler et al., 2005). Subsyndromal presentations of anxiety are also common among older adults (e.g. Lenze et al., 2005).

There are several identified protective factors and risk factors for anxiety in later life. Protective factors include high perceived social support, regular exercise and higher levels of education (Vink, Aartsen & Schoevers, 2008). Risk factors include female gender, lower levels of education, poor self-rated general health, current anxiolytic use (which is a risk factor as well as a common form of treatment of anxiety), physical or sexual abuse in childhood, current smoking and excessive alcohol use, stressful life events and neuroticism (Vink et al., 2009). Depression is also a risk factor for anxiety (Wetherell, Gatz & Pedersen, 2001). Not enough research has been conducted to date to comment on culture and ethnicity with respect either to risk or protective factors or symptom presentation differences (e.g. Wolitzky-Taylor et al., 2010).

Anxiety symptoms in later life are associated with diminished well-being, reduced quality of life, increased mortality, impaired ability to carry out basic activities of daily living (such as preparing meals), poorer health, and reduced life satisfaction (Bryant, Jackson, & Ames, 2009; Porensky, et al., 2009).

Current evidence suggests that cognitive behavioral and pharmacological interventions are effective in treating late life anxiety (Wetherell, Lenze, & Stanley, 2005). A review of 17 evidence-based psychological treatment studies for late-life anxiety recently concluded that CBT was more effective than relaxation therapy, supportive therapy, and cognitive therapy (Ayers, Sorrell, Thorp & Wetherell, 2007). A further two meta-analyses and a review article all conclude that CBT is moderately and significantly more effective than waitlist or usual care control conditions in treating anxiety (Gonçalves & Byrne, 2012; Hendricks, Oude Voshaar, Keijsers, Hoogduin, & van Balkom. 2008; Nordhus & Pallesen, 2003). Finally, two recent meta-analyses suggest that CBT and pharmacotherapy share similar effect sizes for treating late-life anxiety disorders (Gonçalves & Byrne, 2012; Thorp et al. 2009). However, more research is needed to further refine psychological approaches, and to evaluate the efficacy of combined psychological and pharmacological interventions, for treating anxiety disorders in later life (Miloyan, Byrne, & Pachana, in press).

 Written by Nancy Pachana, PhD, University of Queensland, Australia

 

GENERAL

Wolitzky-Taylor, K.B., Castriotta, N., Lenze, E.J., Stanley, M.A., Craske, M.G. (2010). Anxiety disorders in older adults: A comprehensive review. Depression and Anxiety, 27 (2):190-211. PMID: 20099273

Wolitzky-Taylor, K.B., Castriotta, N., Lenze, E.J., Stanley, M.A., & Craske, M.G. (2010). Anxiety disorders in older adults: A comprehensive review. Depression and Anxiety, 27 (2):190-211. PMID: 20099273

Posted in reference | Tagged , , , | Comments Off on Wolitzky-Taylor, K.B., Castriotta, N., Lenze, E.J., Stanley, M.A., Craske, M.G. (2010). Anxiety disorders in older adults: A comprehensive review. Depression and Anxiety, 27 (2):190-211. PMID: 20099273

Pachana, N. A., Laidlaw, K., & Knight, B. G. (Eds.). (2010). Casebook of clinical geropsychology: International perspectives on practice . New York: Oxford University Press.

Pachana, N. A., Laidlaw, K., & Knight, B. G. (Eds.). (2010). Casebook of clinical geropsychology: International perspectives on practice . New York: Oxford University Press.

Posted in reference | Tagged , , , , , | Comments Off on Pachana, N. A., Laidlaw, K., & Knight, B. G. (Eds.). (2010). Casebook of clinical geropsychology: International perspectives on practice . New York: Oxford University Press.

Laidlaw, K., & Knight, B. (2008). Handbook of emotional disorders in later life: Assessment and treatment . New York, NY US: Oxford University Press.

Laidlaw, K., & Knight, B. (2008). Handbook of emotional disorders in later life: Assessment and treatment . New York, NY US: Oxford University Press.

Posted in reference | Tagged , , , | Comments Off on Laidlaw, K., & Knight, B. (2008). Handbook of emotional disorders in later life: Assessment and treatment . New York, NY US: Oxford University Press.

Gum, A. M., King-Kallimanis, B., & Kohn, R. (2009). Prevalence of mood, anxiety, and substance-abuse disorders for older Americans in the National Comorbidity Survey?Replication. American Journal of Geriatric Psychiatry, 17, 769-781.

Gum, A. M., King-Kallimanis, B., & Kohn, R. (2009). Prevalence of mood, anxiety, and substance-abuse disorders for older Americans in the National Comorbidity Survey: Replication. American Journal of Geriatric Psychiatry, 17, 769-781.

Posted in reference | Tagged , , , , , , | Comments Off on Gum, A. M., King-Kallimanis, B., & Kohn, R. (2009). Prevalence of mood, anxiety, and substance-abuse disorders for older Americans in the National Comorbidity Survey?Replication. American Journal of Geriatric Psychiatry, 17, 769-781.

ASSESSMENT OF ANXIETY IN LATER LIFE

Zarit, S.H., & Zarit, J.M. (2007). Mental disorders in older adults: Fundamentals of Assessment and Treatment (2 nd ed.). New York: The Guilford Press.

Zarit, S.H., & Zarit, J.M. (2007). Mental disorders in older adults: Fundamentals of Assessment and Treatment (2 nd ed.). New York: The Guilford Press.

Posted in reference | Tagged , , , , , , | Comments Off on Zarit, S.H., & Zarit, J.M. (2007). Mental disorders in older adults: Fundamentals of Assessment and Treatment (2 nd ed.). New York: The Guilford Press.

Thorp, S. R., Sones, H. M., & Cook, J. M. (2011). Prolonged exposure therapy for older combat veterans in the VA Healthcare System. In K. H. Sorocco & S. Lauderdale (Eds.), Cognitive behavior therapy with older adults: Innovations across care settings (pp. 421-442). New York, NY: Springer Publishing Company.

Thorp, S. R., Sones, H. M., & Cook, J. M. (2011). Prolonged exposure therapy for older combat veterans in the VA Healthcare System. In K. H. Sorocco & S. Lauderdale (Eds.), Cognitive behavior therapy with older adults: Innovations across care settings (pp. 421-442). New York, NY: Springer Publishing Company.

Posted in reference | Tagged , , , , | Comments Off on Thorp, S. R., Sones, H. M., & Cook, J. M. (2011). Prolonged exposure therapy for older combat veterans in the VA Healthcare System. In K. H. Sorocco & S. Lauderdale (Eds.), Cognitive behavior therapy with older adults: Innovations across care settings (pp. 421-442). New York, NY: Springer Publishing Company.

Lichtenberg, P.A. (Ed.) (2010). Handbook of assessment in clinical gerontology (2nd edition). Burlington, MA: Academic Press.

Lichtenberg, P.A. (Ed.) (2010). Handbook of assessment in clinical gerontology (2nd edition). Burlington, MA: Academic Press.

Posted in reference | Tagged , , , , , , , , , , , , | Comments Off on Lichtenberg, P.A. (Ed.) (2010). Handbook of assessment in clinical gerontology (2nd edition). Burlington, MA: Academic Press.

Bryant, C., Mohlman, J., Gum, A., Stanley, M., Beekman, A.T.F., Wetherell, J.L., Thorp, S.R., Flint, A.J, and Lenze, E.J. (2012). Anxiety disorders in older adults looking to DSM-5 and beyond. American Journal of Geriatric Psychiatry. Published online – doi: 10.1097/JGP.0b013e3182546167

Bryant, C., Mohlman, J., Gum, A., Stanley, M., Beekman, A.T.F., Wetherell, J.L., Thorp, S.R., Flint, A.J, and Lenze, E.J. (2012). Anxiety disorders in older adults looking to DSM-5 and beyond. American Journal of Geriatric Psychiatry. Published online – doi: 10.1097/JGP.0b013e3182546167

Posted in reference | Tagged , , , | Comments Off on Bryant, C., Mohlman, J., Gum, A., Stanley, M., Beekman, A.T.F., Wetherell, J.L., Thorp, S.R., Flint, A.J, and Lenze, E.J. (2012). Anxiety disorders in older adults looking to DSM-5 and beyond. American Journal of Geriatric Psychiatry. Published online – doi: 10.1097/JGP.0b013e3182546167

MEASURES OF ANXIETY

Look at the extensive assessment database of geriatric measures from the University of Alabama’s Alabama Research Institute on Aging! Register for access to the database HERE.

In the meantime, the most commonly used, validated measures of anxiety include:

PSYCHOTHERAPY FOR ANXIETY IN LATER LIFE

Cognitive Behavioral Therapy

Thorp, S. R., Stein, M. B., Jeste, D. V., Patterson, T. L., & Wetherell, J. L. (accepted for publication). Prolonged exposure therapy for older veterans with posttraumatic stress disorder: Pilot study. American Journal of Geriatric Psychiatry.

Thorp, S. R., Stein, M. B., Jeste, D. V., Patterson, T. L., & Wetherell, J. L. (accepted for publication). Prolonged exposure therapy for older veterans with posttraumatic stress disorder: Pilot study. American Journal of Geriatric Psychiatry.

Posted in reference | Tagged , , , , | Comments Off on Thorp, S. R., Stein, M. B., Jeste, D. V., Patterson, T. L., & Wetherell, J. L. (accepted for publication). Prolonged exposure therapy for older veterans with posttraumatic stress disorder: Pilot study. American Journal of Geriatric Psychiatry.

Thorp, S. R., Sones, H. M., & Cook, J. M. (2011). Posttraumatic stress disorder among older adults. In K. H. Sorocco & S. Lauderdale (Eds.), Cognitive behavior therapy with older adults: Innovations across care settings (pp. 189-217). New York, NY: Springer Publishing Company.

Thorp, S. R., Sones, H. M., & Cook, J. M. (2011). Posttraumatic stress disorder among older adults. In K. H. Sorocco & S. Lauderdale (Eds.), Cognitive behavior therapy with older adults: Innovations across care settings (pp. 189-217). New York, NY: Springer Publishing Company.

Posted in reference | Tagged , , , , | Comments Off on Thorp, S. R., Sones, H. M., & Cook, J. M. (2011). Posttraumatic stress disorder among older adults. In K. H. Sorocco & S. Lauderdale (Eds.), Cognitive behavior therapy with older adults: Innovations across care settings (pp. 189-217). New York, NY: Springer Publishing Company.

Stanley, M. A., Diefenbach, G. J., Hopko, D.R. (2004). Cognitive behavioral treatment for older adults with generalized anxiety disorder: A therapist manual for primary care settings. Behavior Modification, 28, 73-117.

Stanley, M. A., Diefenbach, G. J., Hopko, D.R. (2004). Cognitive behavioral treatment for older adults with generalized anxiety disorder: A therapist manual for primary care settings. Behavior Modification, 28, 73-117.

Posted in reference | Tagged , , , , , | Comments Off on Stanley, M. A., Diefenbach, G. J., Hopko, D.R. (2004). Cognitive behavioral treatment for older adults with generalized anxiety disorder: A therapist manual for primary care settings. Behavior Modification, 28, 73-117.

Stanley, M. A., Beck, J., G., Novy, D. M., Averill, P. M., Swann, A. C., Diefenbach, G. J., & Hopko, D. R. (2003). Cognitive-behavioral treatment of late-life generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 71, 309-319. doi: 10.1037/0022-006X.71.2.309

Stanley, M. A., Beck, J., G., Novy, D. M., Averill, P. M., Swann, A. C., Diefenbach, G. J., & Hopko, D. R. (2003). Cognitive-behavioral treatment of late-life generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 71, 309-319. doi: 10.1037/0022-006X.71.2.309

Posted in reference | Tagged , , , | Comments Off on Stanley, M. A., Beck, J., G., Novy, D. M., Averill, P. M., Swann, A. C., Diefenbach, G. J., & Hopko, D. R. (2003). Cognitive-behavioral treatment of late-life generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 71, 309-319. doi: 10.1037/0022-006X.71.2.309

Sorocco, KH & Lauderdale, S. (2001). Cognitive Behavior Therapy with Older Adults: Innovations Across Care Settings . New York, NY: Springer.

Sorocco, KH & Lauderdale, S. (2001). Cognitive Behavior Therapy with Older Adults: Innovations Across Care Settings . New York, NY: Springer.

Posted in reference | Tagged , , , , , , , , , | Comments Off on Sorocco, KH & Lauderdale, S. (2001). Cognitive Behavior Therapy with Older Adults: Innovations Across Care Settings . New York, NY: Springer.

Paukert, A.L., Phillips, L., Cully, J.A., Loboprabhu, S.M., Lomax, J.W., & Stanley, M.A. (2009). Integration of religion into cognitive behavioral therapy for geriatric anxiety and depression. Journal of Psychiatric Practice, 15(2):103-112. PMID: 19339844

Paukert, A.L., Phillips, L., Cully, J.A., Loboprabhu, S.M., Lomax, J.W., & Stanley, M.A. (2009). Integration of religion into cognitive behavioral therapy for geriatric anxiety and depression. Journal of Psychiatric Practice, 15(2):103-112. PMID: 19339844

Posted in reference | Tagged , , , , | Comments Off on Paukert, A.L., Phillips, L., Cully, J.A., Loboprabhu, S.M., Lomax, J.W., & Stanley, M.A. (2009). Integration of religion into cognitive behavioral therapy for geriatric anxiety and depression. Journal of Psychiatric Practice, 15(2):103-112. PMID: 19339844

Leichsenring, F., Salzer, S., Jaeger, U., Kachele, H., Kreische, R., Leweke, F. Ruger, U., Winkelbach, C., & Leibing, E. (2009) Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial. American Journal of Psychiatry, 166, 875-881. doi: 10.1176/appi.ajp.2009.09030441

Leichsenring, F., Salzer, S., J aeger, U., Kachele, H., Kreische, R., Leweke, F. Ruger, U., Winkelbach, C., & Leibing, E. (2009) Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial. American Journal of Psychiatry, 166, 875-881. doi: 10.1176/appi.ajp.2009.09030441

Posted in reference | Tagged , , , , | Comments Off on Leichsenring, F., Salzer, S., Jaeger, U., Kachele, H., Kreische, R., Leweke, F. Ruger, U., Winkelbach, C., & Leibing, E. (2009) Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial. American Journal of Psychiatry, 166, 875-881. doi: 10.1176/appi.ajp.2009.09030441

Laidlaw, K., Thompson, L. W., Dick-Siskin, L., & Gallagher-Thompson, D. (2003). Cognitive Behaviour Therapy with Older People . Chichester, West Sussex, England: John Wiley & Sons. (2 nd ed. expected in 2012)

Laidlaw, K., Thompson, L. W., Dick-Siskin, L., & Gallagher-Thompson, D. (2003). Cognitive Behaviour Therapy with Older People . Chichester, West Sussex, England: John Wiley & Sons. (2 nd ed. expected in 2012)

Posted in reference | Tagged , , , , , , , | Comments Off on Laidlaw, K., Thompson, L. W., Dick-Siskin, L., & Gallagher-Thompson, D. (2003). Cognitive Behaviour Therapy with Older People . Chichester, West Sussex, England: John Wiley & Sons. (2 nd ed. expected in 2012)

Gallagher-Thompson, D. G. Steffen, A. M., & Thompson, L. W. (2008). Handbook of behavioral and cognitive therapies with older adults . New York: Springer.

Gallagher-Thompson, D. G. Steffen, A. M., & Thompson, L. W. (2008). Handbook of behavioral and cognitive therapies with older adults . New York: Springer.

Posted in reference | Tagged , , , , , , | Comments Off on Gallagher-Thompson, D. G. Steffen, A. M., & Thompson, L. W. (2008). Handbook of behavioral and cognitive therapies with older adults . New York: Springer.

Cully, J.A., Paukert, A., Falco, J., & Stanley, M.A. (2009). Cognitive-behavioral therapy: Innovations for cardiopulmonary patients with depression and anxiety. Cognitive and Behavioral Practice, 16 , 394-407.

Cully, J.A., Paukert, A., Falco, J., & Stanley, M.A. (2009). Cognitive-behavioral therapy: Innovations for cardiopulmonary patients with depression and anxiety. Cognitive and Behavioral Practice, 16 , 394-407.

Posted in reference | Tagged , , , , , , , | Comments Off on Cully, J.A., Paukert, A., Falco, J., & Stanley, M.A. (2009). Cognitive-behavioral therapy: Innovations for cardiopulmonary patients with depression and anxiety. Cognitive and Behavioral Practice, 16 , 394-407.

Brenes, G.A., Miller, M.E., Williamson, J.D., McCall, W.V., Knudson, M., & Stanley, M.A., (2012). A randomized controlled trial of telephone-delivered cognitive-behavioral therapy for late-life anxiety disorders. American Journal of Geriatric Psychiatry, 20(8) 707-16. PMID: 22828172 PMCID: PMC3407971

Brenes, G.A., Miller, M.E., Williamson, J.D., McCall, W.V., Knudson, M., & Stanley, M.A., (2012). A randomized controlled trial of telephone-delivered cognitive-behavioral therapy for late-life anxiety disorders. American Journal of Geriatric Psychiatry, 20(8) 707-16. PMID: 22828172 PMCID: PMC3407971

Posted in reference | Tagged , , | Comments Off on Brenes, G.A., Miller, M.E., Williamson, J.D., McCall, W.V., Knudson, M., & Stanley, M.A., (2012). A randomized controlled trial of telephone-delivered cognitive-behavioral therapy for late-life anxiety disorders. American Journal of Geriatric Psychiatry, 20(8) 707-16. PMID: 22828172 PMCID: PMC3407971

Cognitive Behavioral Therapy for Anxiety Manuals

Wetherell, J.L., Sorrell, J.T., Stoddard, J.A., McChesney, K.A., Lenze, E.J., Kornblith, S., & White, K.S. (2007). The Extended Relief Study: Escitalopram Plus Psychotherapy in the Management of Late-life Anxiety Psychotherapy Therapist Manual. University of California, San Diego and VA San Diego Healthcare System. ACCESS MANUAL HERE.

Wetherell, J.L., Sorrell, J.T., Stoddard, J.A., McChesney, K.A., Lenze, E.J., Kornblith, S., & White, K.S. (2007). The Extended Relief Study: Escitalopram Plus Psychotherapy in the Management of Late-life Anxiety Psychotherapy Therapist Manual.  University of California, San Diego and VA San Diego Healthcare System. ACCESS MANUAL HERE.

Posted in reference | Tagged , , | Comments Off on Wetherell, J.L., Sorrell, J.T., Stoddard, J.A., McChesney, K.A., Lenze, E.J., Kornblith, S., & White, K.S. (2007). The Extended Relief Study: Escitalopram Plus Psychotherapy in the Management of Late-life Anxiety Psychotherapy Therapist Manual. University of California, San Diego and VA San Diego Healthcare System. ACCESS MANUAL HERE.

Wetherell, J.L., Sorrell, J.T., Stoddard, J.A., McChesney, K.A., Lenze, E.J., Kornblith, S., & White, K.S. (2007). The Extended Relief Study: Escitalopram Plus Psychotherapy in the Management of Late-life Anxiety Psychotherapy Workbook. University of California, San Diego and VA San Diego Healthcare System. ACCESS MANUAL HERE.

Wetherell, J.L., Sorrell, J.T., Stoddard, J.A., McChesney, K.A., Lenze, E.J., Kornblith, S., & White, K.S. (2007). The Extended Relief Study: Escitalopram Plus Psychotherapy in the Management of Late-life Anxiety Psychotherapy Workbook.  Unpublished manuscript, University of California, San Diego and VA San Diego Healthcare System. ACCESS MANUAL HERE.

Posted in reference | Tagged , , | Comments Off on Wetherell, J.L., Sorrell, J.T., Stoddard, J.A., McChesney, K.A., Lenze, E.J., Kornblith, S., & White, K.S. (2007). The Extended Relief Study: Escitalopram Plus Psychotherapy in the Management of Late-life Anxiety Psychotherapy Workbook. University of California, San Diego and VA San Diego Healthcare System. ACCESS MANUAL HERE.

Quijano, L.M., Calleo, J., Wetherell, J.L., & Stanley, M.A. (2007). Peaceful Living: Patient manual, edited for brief CBT. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Quijano, L.M., Calleo, J., Wetherell, J.L., & Stanley, M.A. (2007). Peaceful Living: Patient manual, edited for brief CBT.  Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School.  ACCESS MANUAL HERE.

Posted in reference | Tagged , , | Comments Off on Quijano, L.M., Calleo, J., Wetherell, J.L., & Stanley, M.A. (2007). Peaceful Living: Patient manual, edited for brief CBT. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Quijano, L.M., Calleo, J., Wetherell, J.L., & Stanley, M.A. (2007). Peaceful Living: Intervention manual: Cognitive behavioral treatment for older medical patients with generalized anxiety disorder, with or without depression. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Quijano, L.M., Calleo, J., Wetherell, J.L., & Stanley, M.A. (2007). Peaceful Living: Intervention manual: Cognitive behavioral treatment for older medical patients with generalized anxiety disorder, with or without depression.  Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Posted in Uncategorized | Tagged , , | Comments Off on Quijano, L.M., Calleo, J., Wetherell, J.L., & Stanley, M.A. (2007). Peaceful Living: Intervention manual: Cognitive behavioral treatment for older medical patients with generalized anxiety disorder, with or without depression. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Stanley, M.A., Kraus, C., Paukert, A., Balasubramanyam, A., Wilson, N.L., Snow, A.L., McNeese, T.D., & Robinson, C.M. (2007). Peaceful Mind Workbook: Patient Manual. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Stanley, M.A., Kraus, C., Paukert, A., Balasubramanyam, A., Wilson, N.L., Snow, A.L., McNeese, T.D., & Robinson, C.M. (2007). Peaceful Mind Workbook: Patient Manual. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School.  ACCESS MANUAL HERE.

Posted in reference | Tagged , , | Comments Off on Stanley, M.A., Kraus, C., Paukert, A., Balasubramanyam, A., Wilson, N.L., Snow, A.L., McNeese, T.D., & Robinson, C.M. (2007). Peaceful Mind Workbook: Patient Manual. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Stanley, M.A., Kraus, C., Paukert, A., Balasubramanyam, A., Wilson, N.L., Snow, A.L., McNeese, T.D., & Robinson, C.M. (2007). Peaceful Mind Workbook: Collateral Version. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Stanley, M.A., Kraus, C., Paukert, A., Balasubramanyam, A., Wilson, N.L., Snow, A.L., McNeese, T.D., & Robinson, C.M. (2007). Peaceful Mind Workbook: Collateral Version. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School.  ACCESS MANUAL HERE.

Posted in reference | Tagged , , | Comments Off on Stanley, M.A., Kraus, C., Paukert, A., Balasubramanyam, A., Wilson, N.L., Snow, A.L., McNeese, T.D., & Robinson, C.M. (2007). Peaceful Mind Workbook: Collateral Version. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Stanley, M.A., Kraus, C., Paukert, A., Balasubramanyam, A., Wilson, N.L., Snow, A.L., McNeese, T.D., & Robinson, C.M. (2007). The Peaceful Mind Program: CBT-AD Therapist Manual. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Stanley, M.A., Kraus, C., Paukert, A., Balasubramanyam, A., Wilson, N.L., Snow, A.L., McNeese, T.D., & Robinson, C.M. (2007). The Peaceful Mind Program: CBT-AD Therapist Manual. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School.  ACCESS MANUAL HERE.

Posted in reference | Tagged , , | Comments Off on Stanley, M.A., Kraus, C., Paukert, A., Balasubramanyam, A., Wilson, N.L., Snow, A.L., McNeese, T.D., & Robinson, C.M. (2007). The Peaceful Mind Program: CBT-AD Therapist Manual. Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. ACCESS MANUAL HERE.

Stanley, M.A., Diefenbach, G.J., & Hopko, DR. (2004). Cognitive Behavioral Treatment for Older Adults with Generalized Anxiety Disorder in Primary Care (CBT-GAD/PC). Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. Access Manual Here.

Stanley, M.A., Diefenbach, G.J., & Hopko, DR. (2004). Cognitive Behavioral Treatment for Older Adults with Generalized Anxiety Disorder in Primary Care (CBT-GAD/PC).  Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School.  ACCESS MANUAL HERE.

Posted in reference | Tagged , , | Comments Off on Stanley, M.A., Diefenbach, G.J., & Hopko, DR. (2004). Cognitive Behavioral Treatment for Older Adults with Generalized Anxiety Disorder in Primary Care (CBT-GAD/PC). Unpublished manuscript, Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School. Access Manual Here.

Stanley, M. A., Diefenbach, G. J., Hopko, D.R. (2004). Cognitive behavioral treatment for older adults with generalized anxiety disorder: A therapist manual for primary care settings. Behavior Modification, 28, 73-117.

Stanley, M. A., Diefenbach, G. J., Hopko, D.R. (2004). Cognitive behavioral treatment for older adults with generalized anxiety disorder: A therapist manual for primary care settings. Behavior Modification, 28, 73-117.

Posted in reference | Tagged , , , , , | Comments Off on Stanley, M. A., Diefenbach, G. J., Hopko, D.R. (2004). Cognitive behavioral treatment for older adults with generalized anxiety disorder: A therapist manual for primary care settings. Behavior Modification, 28, 73-117.

Psychodynamic Therapy

Leichsenring, F., Salzer, S., Jaeger, U., Kachele, H., Kreische, R., Leweke, F. Ruger, U., Winkelbach, C., & Leibing, E. (2009) Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial. American Journal of Psychiatry, 166, 875-881. doi: 10.1176/appi.ajp.2009.09030441

Leichsenring, F., Salzer, S., J aeger, U., Kachele, H., Kreische, R., Leweke, F. Ruger, U., Winkelbach, C., & Leibing, E. (2009) Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial. American Journal of Psychiatry, 166, 875-881. doi: 10.1176/appi.ajp.2009.09030441

Posted in reference | Tagged , , , , | Comments Off on Leichsenring, F., Salzer, S., Jaeger, U., Kachele, H., Kreische, R., Leweke, F. Ruger, U., Winkelbach, C., & Leibing, E. (2009) Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial. American Journal of Psychiatry, 166, 875-881. doi: 10.1176/appi.ajp.2009.09030441

Evans, S. (2004). Talking over the years: A handbook of psychodynamic psychotherapy with older people . New York, NY: Brunner-Routledge.

Evans, S. (2004). Talking over the years: A handbook of psychodynamic psychotherapy with older people . New York, NY: Brunner-Routledge.

Posted in reference | Tagged , , , , , | Comments Off on Evans, S. (2004). Talking over the years: A handbook of psychodynamic psychotherapy with older people . New York, NY: Brunner-Routledge.