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Behavior Modification
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Cognitive Behavioral Treatment for Older Adults with Generalized Anxiety Disorder

A Therapist Manual for Primary Care Settings

Melinda A. Stanley

Gretchen J. Diefenbach

Derek R. Hopko

University of Texas, Health Science Center at Houston

At least four academic clinical trials have demonstrated the utility of cognitive behavior therapy (CBT) for older adults with generalized anxiety disorder (GAD). These data may not generalize, however, to more heterogeneous and functionally impaired patients and the medical settings in which they typically receive care. A recent pilot project suggested the potential benefits of a new version of CBT for GAD among older patients in primary care. The manual developed and tested in this pilot project is presented here. Treatment components include motivation and education, relaxation skills, cognitive therapy, problem-solving-skills training, exposure exercises, and sleep-management-skills training. Procedures are designed to be administered flexibly to maximize attentionto individualpatient needs. Examples of session summaries, patient handouts, and homework forms are provided.

Key Words: anxiety • generalized anxiety disorder • elderly • primary care

Behavior Modification, Vol. 28, No. 1, 73-117 (2004)
DOI: 10.1177/0145445503259259
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