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This chapter outlines some of the ways in which cognitive behavior therapy (CBT) for anxiety disorders and depression has been modified and adapted to the ageing older population. Aspects that are outlined include modifications to the process of conceptualization, which has been expanded to include relevant gerontological factors. The areas that should be incorporated into the assessment of older adults with anxiety and depression prior to starting therapy are delineated, with a focus on the characteristic features that color the presentation in the case of older adults. The changes that must be made in carrying out CBT for older adults with depression and anxiety disorders so that it is effective are described. This includes accommodations for cognitive changes and health-related difficulties as well as taking into consideration factors that are specific to the older population.
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