Chapter

Cognitive behavioural therapy

Sandra J. Waters and Francis J. Keefe

Edited by Chris J. Main

in Pain in Older People

Published on behalf of Oxford University Press

ISBN: 9780199212613
Published online May 2011 | e-ISBN: 9780199606924 | DOI: http://dx.doi.org/10.1093/med/9780199212613.003.0009

Series: Oxford Pain Management Library Series Opml P

Cognitive behavioural therapy

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• Adopt a biopsychosocial perspective in which each component needs to be evaluated before developing a treatment plan. • Centre recommendations on meaningful and age-appropriate goals, identified and agreed with the patient. • Assess the possible influence of cognitive, auditory, visual, and physical impairments. • Consider not only the content but also the method of information transmission. • Be prepared to allow extra time/sessions to ensure comprehension, retention of information, and skills acquisition. • Supplement discussion with the provision of reminders and encouragement in whatever form seems most appropriate for the patient. • Continually emphasize the patient's ownership of the change process as a way of increasing the likelihood of maintaining and further developing treatment gains after the conclusion of treatment. • If possible involve a family member or care-giver in the treatment plan.

Chapter.  3909 words. 

Subjects: Geriatric Medicine ; Pain Medicine

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