Title Page	7
	Copyright Page	8
	Contents	11
	Preface	13
	Part I Introduction	19
	Chapter 1 Mental Health and Aging	21
	What Is Normal Aging?	22
	What Is Abnormal or Unhealthy Aging?	24
	Mental Health and Mental Disorder	25
	Diagnostic and Statistical Manual of Mental Disorders (DSM?5)	25
	Linking the Physical and Mental in Later Life: Comorbidity	28
	Individual Differences and Assessment of Risk	29
	The Context of Clinicians and Clients: Now What Do We Do?	32
	The Biopsychosocial Model	33
	Summary and Conclusions	34
	Critical Thinking / Discussion Questions	35
	Website Resources	35
	References	35
	Chapter 2 Basic Gerontology for Working with Older Adults	39
	Developmental Issues in Mental Health and Aging	40
	The Complexity of Working with Older Adults: Contexts, Cohorts, and Specific Challenges	49
	Summary and Conclusions	57
	Critical Thinking / Discussion Questions	58
	Website Resources	58
	References	58
	Chapter 3 Psychological Bases of Positive Mental Health	63
	What do Models have to Account for?	64
	Successful Aging	65
	Selective Optimization with Compensation (SOC)	68
	Resilience	70
	Contributions from Psychological Science: Stereotype Threat and Positive Psychology	72
	Are There Secrets to Aging Well?	75
	Summary and Conclusions	76
	Critical Thinking / Discussion Questions	77
	Website Resources	77
	References	77
	Part II Models of Mental Health in Later Life	83
	References	86
	Chapter 4 Psychodynamic Model	87
	Introduction to the Model	88
	Adult Development: The Context for Aging	89
	Development in the Second Half of Life	91
	Mental Health in Later Life	92
	Development of Psychopathology	93
	Assessment	97
	Treatment	97
	Summary and Conclusions	103
	Critical Thinking / Discussion Questions	103
	Website Resources	104
	References	104
	Chapter 5 Cognitive-Behavioral Model	107
	Introduction to the Model	107
	Cognitive Aspects of the CBT Model	108
	Behavioral Aspects of the CBT Model	111
	Mental Health from the Cognitive?Behavioral Model	114
	Mental Health in Older Adults	114
	Assessment	116
	Treatment	123
	Additional Comments about the Cognitive?Behavioral Model	130
	Summary and Conclusions	131
	Critical Thinking / Discussion Questions	131
	Website Resources	132
	References	132
	Chapter 6 Stress and Coping Model	135
	Introduction to the Model	136
	Conceptualizing Coping	142
	Stress and Coping: Normal and Abnormal Adaptation	143
	Assessment Strategies	144
	General Treatment Strategies and Health Psychology	151
	Treatment Strategies	152
	Summary and Conclusions	156
	Critical Thinking / Discussion Questions	157
	Website Resources	157
	References	158
	Chapter 7 Family Systems Model	163
	Introduction to the Model: Aging Families	164
	Family Dynamics: A Systems Model	167
	Mental Health within a Systems Model	171
	Assessment	172
	Intervention	176
	Summary and Conclusions	179
	Critical Thinking / Discussion Questions	179
	Website Resources	179
	References	180
	Part II Summary and Commentary: Choosing Among Models of Mental Disorders in Later Life	183
	Applying Models to Individual Life Circumstances	184
	Reference	187
	Part III Introduction to Mental Disorders	189
	References	192
	Chapter 8 Cognitive Impairment and Neurocognitive Disorders	193
	Is Cognitive Impairment Normal for Older Adults?	195
	Diagnostic Categories: A Time of Transition	199
	Delirium: A Common, Reversible Cause of Cognitive Impairment	200
	Mild Cognitive Impairment and Mild NCD	203
	Major Neurocognitive Disorders	205
	Depression and Cognitive Impairment	208
	Summary of the Types of Cognitive Impairment	209
	Assessment	209
	Interventions	211
	Summary and Conclusions	217
	Critical Thinking / Discussion Questions	217
	Website Resources	217
	References	218
	Chapter 9 Major Depression and Bipolar Disorder	225
	Definition of Depression	226
	Prevalence of Depression in Older Adults	228
	Theories of Etiology	230
	Vascular Depression and its Link to Dementia	236
	Assessment	236
	Interventions	239
	Prevention of Depression	244
	Suicide	245
	Bipolar Disorder	248
	Prevalence of Bipolar Disorder in Older Adults	250
	Etiology, Assessment, and Interventions	251
	Summary and Conclusions	253
	Critical Thinking / Discussion Questions	253
	Website Resources	253
	References	254
	Chapter 10 Serious Mental Disorders in Older Adults: Schizophrenia and Other Late-Life Psychoses	259
	Overview of Schizophrenia Throughout the Lifespan	261
	Distinguishing Schizophrenia from Other Psychotic Disorders	262
	Differences in the Onset, Course, and Outcome of Schizophrenia	263
	Factors Complicating the Course and Outcomes of Schizophrenia	264
	The Aging Person with Schizophrenia: Early-Onset Schizophrenia (EOS)	267
	The Aging Person with Schizophrenia: Late-Onset Schizophrenia (LOS)	278
	Future Directions and Opportunities	282
	Summary and Conclusions	288
	Critical Thinking / Discussion Questions	289
	Website Resources	289
	References	289
	Chapter 11 Anxiety Disorders, Hoarding Disorder, and Post-Traumatic Stress Disorder	299
	Anxiety	300
	Hoarding Disorder	311
	Post-Traumatic Stress Disorder (PTSD)	316
	Summary and Conclusions	323
	Critical Thinking / Discussion Questions	323
	Website Resources	324
	References	324
	Chapter 12 Sexual Disorders, Sleep Disorders, and Chronic Pain	331
	Sexual Disorders	332
	Sleep Disorders	339
	Chronic Pain	345
	Summary and Conclusions	353
	Critical Thinking / Discussion Questions	353
	Website Resources	354
	References	354
	Chapter 13 Substance-Related Disorders and Personality Disorders	361
	Substance-Related Disorders	361
	Prevalence	364
	Presentation in Older Adults	367
	Theories of Etiology	368
	Assessment of Substance Use and Abuse	369
	Interventions for Substance Abuse	373
	Personality Disorders	375
	Prevalence	378
	Presentation in Older Adults	379
	Theories of Etiology	382
	Assessment of Personality Disorders	384
	Interventions for Personality Disorders	385
	Summary and Conclusions	387
	Critical Thinking / Discussion Questions	388
	Website Resources	388
	References	388
	Part IV Settings and Contexts of Mental Health	393
	Chapter 14 Health Services Delivery Systems	395
	Health Service Delivery Systems 101	396
	Mental Health Services Industry	401
	Looking to the Future: Integration of Health Services	404
	Summary and Conclusions	408
	Critical Thinking / Discussion Questions	408
	Website Resources	408
	References	408
	Chapter 15 Housing, Social Services, and Mental Health	411
	Person–Environment Fit: A Key Principle That Shapes Housing Choices and Challenges	411
	The Continuum of Senior Housing	415
	Social Services	419
	Summary and Conclusions	422
	Critical Thinking / Discussion Questions	423
	Website Resources	423
	References	423
	Chapter 16 Family and Friend Relationships, and Caregiving	425
	Social Networks in Later Life	426
	Family Caregiving Relationships and Mental Health	429
	Interventions to Assist Families	434
	Summary and Conclusions	438
	Critical Thinking / Discussion Questions	438
	Website Resources	438
	References	438
	Chapter 17 Ethical Issues in Work with Older Adults: Advanced Care, Financial Decision-Making, and the Impacts of Climate Change	441
	Advanced Illness and Advanced Care Directives	442
	Financial Fraud and Abuse	451
	Aging and Climate Change: Another Context for Concern	454
	Inequality and Issues of Justice	456
	Summary and Conclusions	458
	Critical Thinking / Discussion Questions	458
	Website Resources	458
	References	459
	Epilogue	463
	Index	465
	EULA	474