Counseling Older Adults

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Across
  1. 1. By 2030, the proportion of older adults in the United States will grow more than _______ percent of the general population.
  2. 4. Older adults rarely seek treatment for substance abuse problems because of ______ and perhaps because they feel uncomfortable in programs that deal with street drugs, such as heroin and cocaine.
  3. 5. Assess for _________, since it can also result in dementia-like performance or the overreporting of cognitive problems. Remember that _______ and dementia often occur together.
  4. 7. The majority of older individuals, however, are quite healthy and are able to live ________ lives requiring only minimal assistance.
  5. 8. ________ has been found to undo or negate the negative effects of loneliness and depression in older adults.
  6. 10. ________ Sexual interest and activity continue well into the 80s and 90s for many individuals.
  7. 12. Normal cognitive declines may be reversed with specific training. Older adults with declines in ___________ reasoning or spatial orientation were helpful in improving skills.
  8. 13. ________ care can help reduce caregiver burnout.
  9. 15. The ________ of drugs can produce conditions resembling organic or mental health conditions.
  10. 16. As compared to younger substance abusers, older patients respond better to more _________ programs, more flexible rules concerning discharge, more comprehensive assessment, and greater outpatient mental health aftercare.
  11. 19. Many older adults, especially ethnic and minority group members, place a high value on _______________ beliefs, a factor contributing to a sense of hope and optimism, meaning and purpose in life, and better mental health.
  12. 21. Depression and ________ isolation are common complaints among older adults.
Down
  1. 2. Many older adults consider ___________ to be demeaning, and even those with severe dementia may react negatively to its use by showing behavioral resistance.
  2. 3. For those with a normal decline, _________ and strategies to improve cognitive functioning can be useful.
  3. 6. Therapists should be sensitive to _____________ considerations when working with older adults, and should comprehensively assess for potential problems with discrimination when working with those who have a disability, who come from a different ethnic or cultural group to the therapist’s own or who are members of a sexual minority.
  4. 9. Depression is more strongly associated with feelings of being old than with actual age or health status. __________ life changes, such as the deaths of friends and relatives, increasing social isolation, or financial distress, can increase the risk of depression.
  5. 11. _________ interventions appear to improve neuroplasticity, increase neuronal connections in the brain, and increase cognitive reserve.
  6. 14. _________ may be stressful and may increase conflict among family members.
  7. 17. Self-identity and _________ are important to older adults, including those with dementia.
  8. 18. Older adults were thought to be _________ in their thought processes,
  9. 20. Meta-analyses of evidence-based therapists, such as cognitive behavioral therapy, ____________ behavior therapy, and interpersonal therapy indicate that these therapies are effective in reducing depression and dealing with issues such as loss, transition, and cognitive decline in older individuals.