Tuning In

Drawing on the experience of authors who conduct work in psychiatric and medical clinics for geriatric patients, in both inpatient and outpatient and private practice settings, Tuning In: The Art and Science of Psychotherapy in Older Adults is an expert guide on addressing common real-world scenarios that present themselves for treatment in this population. Without discounting the value of evidence-based treatments for specific pathologies, it emphasizes the importance of advanced clinical interviewing skills for truly understanding patients' backgrounds, concerns, and goals for treatment. Filled with case vignettes, the book opens with an overview of numerous therapeutic modalities—including cognitive-behavioral therapy, motivational interviewing, dialectical behavior therapy, and group therapies—and their use with older adults. It goes on to consider • Factors that impact clinical presentation and care, including cognitive functioning, socioeconomic status, structural racism, and social determinants of health• Adopting a transdiagnostic and integrative psychotherapy approach when working with older patients• Common life challenges encountered by clinicians, including new-onset alcohol and substance use, grief and bereavement, and cognitive dysfunction• Current therapeutic approaches, including the use of telehealth and digital tools, interventions in primary care, and psychological wellness groups Accessible, wide-ranging, and rooted in real-world experience, this volume provides readers with the guidance they need to effectively communicate with patients in a way that is understandable and motivating. The information included in this guide will help clinicians as they make patients and their families feel understood, respected, and hopeful about the goals of treatment.