scholarly journals Acceptance and Commitment Therapy for Generalized Anxiety Disorder in Older Adults: A Preliminary Report

2011 ◽  
Vol 42 (1) ◽  
pp. 127-134 ◽  
Author(s):  
Julie Loebach Wetherell ◽  
Lin Liu ◽  
Thomas L. Patterson ◽  
Niloofar Afari ◽  
Catherine R. Ayers ◽  
...  
Keyword(s):  
Older Adults ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Acceptance And Commitment Therapy ◽  
Preliminary Report ◽  
Generalized Anxiety ◽  
Commitment Therapy ◽  
Acceptance And Commitment

scholarly journals Optimising the acceptability and feasibility of acceptance and commitment therapy for treatment-resistant generalised anxiety disorder in older adults

2019 ◽  
Vol 48 (5) ◽  
pp. 741-750
Author(s):  
Vanessa Lawrence ◽  
Kate Kimona ◽  
Robert J Howard ◽  
Marc A Serfaty ◽  
Julie Loebach Wetherell ◽  
...  
Keyword(s):  
Older Adults ◽  
Anxiety Disorder ◽  
Acceptance And Commitment Therapy ◽  
Generalised Anxiety Disorder ◽  
Treatment Resistant ◽  
Cognitive Changes ◽  
Commitment Therapy ◽  
Age Related ◽  
Acceptance And Commitment ◽  
Increased Risk

Abstract Background generalised anxiety disorder (GAD) is common in later life with a prevalence of 3–12%. Many only partially respond to cognitive behavioural therapy or pharmacotherapy and can be classified as treatment resistant. These patients experience poor quality of life, and are at increased risk of comorbid depression, falls and loneliness. Acceptance and commitment therapy (ACT) is an emerging therapy, which may be particularly suited to this population, but has not been tailored to their needs. Objectives to optimise the acceptability and feasibility of ACT for older adults with treatment-resistant GAD. Design a person-based approach to ground the adapted ACT intervention in the perspectives and lives of those who will use it. Methods first, we conducted qualitative interviews with 15 older adults with GAD and 36 healthcare professionals to develop guiding principles to inform the intervention. Second, we consulted service users and clinical experts and interviewed the same 15 older adults using ‘think aloud’ techniques to enhance its acceptability and feasibility. Results in Stage 1, older adults’ concerns and needs were categorised in four themes: ‘Expert in one’s own condition’, ‘Deep seated coping strategies’, ‘Expert in therapy’ and ‘Support with implementation’. In Stage 2, implications for therapy were identified that included an early focus on values and ACT as a collaborative partnership, examining beliefs around ‘self as worrier’ and the role of avoidance, validating and accommodating individuals’ knowledge and experience and compensating for age-related cognitive changes. Discussion Our systematic approach combined rigour and transparency to develop a therapeutic intervention tailored to the specific needs of older adults with treatment-resistant GAD.

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