I Need A Response To This Assignment 2 References Week 11 Di

I Need A Response To This Assignment2 Referencesweek 11 Discussion Pos

There are special considerations when working with older adults, as the psychosocial developmental process can be both positive and negative. The positive is that later years allow time for personal growth and development that were difficult when work and family responsibilities were priorities (Wheeler, 2014). The negative is that family relationships begin to change, friendships change, and losses occur. Retirement often means finding new meaning in life (Wheeler, 2014). During group therapy sessions with older adults, many of the members are diagnosed with depression.

Depression is common among the elderly but is not a natural aspect of aging (Wheeler, 2014). Symptoms often include physical manifestations such as aches, pains, gastrointestinal problems, and cognitive symptoms such as changes in sleep, appetite, and use of pain medication (Wheeler, 2014). One of the main issues that have presented itself during our group sessions is participation resistance. Some of the elderly members are reluctant to share and are withdrawn. Techniques by the facilitator include a variety of ways to encourage participation.

While this may seem silly, one of these techniques is to play Jenga. Each member of the group takes turns grabbing a wood piece from the stack without causing the stack to fall. Once they successfully grab a piece, the facilitator asks a question such as, “what is one of your greatest accomplishments” or “what is one stressor or situation you have overcome in your life”. This encourages participation without putting group members on the spot. This also promotes cohesiveness among group members as they’re working together toward a common goal.

Other techniques by the facilitator include art therapy, worksheets, and vision boards. One challenge that may arise is members who blatantly refuse to participate. When this occurs, the facilitator should encourage participation without being forceful. For example, “Joe, we’d love to have you join us in this activity but we understand if you’re not feeling up to it today”. While strategies may vary, several studies have concluded that cognitive behavioral therapy is effective in older adults with depression (Krishna et al., 2012; Krishna et al., 2010).

Paper For Above instruction

Working with older adults in a therapeutic context requires an understanding of the unique psychosocial and physiological aspects of aging. As highlighted by Wheeler (2014), the aging process can foster positive growth opportunities, such as increased self-awareness, wisdom accumulation, and time for reflection and personal development. Conversely, it also involves challenges like changes in family dynamics, social networks, and the experience of loss, which can contribute to mental health issues, including depression.

Depression among the elderly is widespread but should not be viewed as an inevitable part of aging. Studies indicate that depression rates increase with age, often complicated by comorbid health conditions (Fiske, Wetherell, & Gatz, 2009). Symptoms frequently manifest through physical complaints such as aches, pains, gastrointestinal disturbances, as well as cognitive and emotional symptoms like sleep disturbances, appetite changes, fatigue, and feelings of hopelessness or worthlessness (Wheeler, 2014). Detecting depression in older adults can be challenging due to overlapping symptoms with medical illnesses, emphasizing the importance of thorough assessment and tailored interventions.

Group therapy is a valuable modality for addressing depression in older populations. However, resistance to participation is common, often stemming from stigma, feelings of vulnerability, or cognitive impairments. Facilitators employ various creative techniques to enhance engagement. For instance, incorporating games like Jenga can serve as a low-pressure approach to initiate conversation, foster camaraderie, and promote self-expression. When a participant successfully removes a block, the facilitator may ask reflective questions that encourage sharing of personal achievements or stressors, thus blending activity with psychological processing (Yalom & Leszcz, 2005).

Additional techniques including art therapy, worksheets, and vision boards provide alternative avenues for expression, particularly for individuals uncomfortable with verbal communication. Art therapy enables participants to explore emotions visually, which can be especially beneficial for those with cognitive decline or communication difficulties (Malchiodi, 2012). Facilitators also need to handle reluctance tactfully, respecting personal boundaries while gently encouraging involvement. Statements like, “Joe, we’d love to have you join us but understand if you’re not feeling up to it today,” demonstrate empathetic engagement that preserves dignity and autonomy.

Evidence supports the effectiveness of Cognitive Behavioral Therapy (CBT) in treating depression among older adults. Krishna et al. (2012, 2010) conducted systematic reviews demonstrating that CBT reduces depressive symptoms, improves mood, and enhances quality of life in this demographic. The therapy’s structured approach helps individuals identify and challenge negative thought patterns, develop coping skills, and foster resilience. When combined with social and behavioral strategies, CBT can significantly improve mental health outcomes in aged populations.

In conclusion, providing effective mental health support to older adults involves understanding their unique developmental challenges and applying tailored intervention techniques. By creating engaging, respectful, and empathetic group environments, practitioners can help mitigate depression and foster psychological well-being. Utilizing evidence-based therapies like CBT alongside creative activities enhances participation, supports emotional expression, and promotes connection among elders—ultimately contributing to healthier aging processes (Wheeler, 2014; Krishna et al., 2012; Malchiodi, 2012).

References

• Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual Review of Clinical Psychology, 5, 363-389.
• Krishna, M., Honagodu, A., Rajendra, R., Sundarachar, R., Lane, S., & Lepping, P. (2012). A systematic review and meta-analysis of group psychotherapy for sub-clinical depression in older adults. International Journal of Geriatric Psychiatry, 28(9), 881–888.
• Krishna, M., Jauhari, A., Lepping, P., Turner, J., Crossley, D., & Krishnamoorthy, A. (2010). Is group psychotherapy effective in older adults with depression? A systematic review. International Journal of Geriatric Psychiatry, 26(4), 331–340.
• Malchiodi, C. A. (2012). Expressive therapies. Guilford Publications.
• Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse (2nd ed.). Springer Publishing Company, LLC.
• Yalom, I. D., & Leszcz, M. (2005). The Theory and Practice of Group Psychotherapy. Basic Books.