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Adaptations to working therapeutically with Older Adults

Dr Katharina Reichelt

Thursday 9 October 2025

Introduction

With an ageing population, ‘older adults’ are no longer exclusively seen in older people’s secondary care services.  Twenty percent of the population are over the age of 65. With increasing age, people are at higher risk of having difficulties with their memory. For example, in those over 80, one in six will have a dementia.  The impact of old age does not only affect the person themselves, but those who support them: spouses, children and grandchildren. Still, many practitioners working mainly with a working age population feel unease when working with this client group. Today’s workshop aims to address myths and discuss adaptations helpful when working with this client group. 


The event will be equivalent to 2.3/4 hrs of CPD.

Content

The workshop aims to review models and frameworks that are considered helpful when working therapeutically with an older generation. A decision matrix will be discussed with regards to what approach is indicated for which client group with regards to cognitive and physical health. Further, useful adaptations to approaches (such as CBT) will be discussed, with a view to enable you to work with people who may experience mild forgetfulness.

Learning Objectives

You will learn:
1) Common mental health presentation in older adults.
2) Choosing an appropriate approach for the person’s presentation in context of physical and cognitive changes.
3) Consider adaptations when working with older people.

Training Modalities

Didactic teaching, case examples Q&A, videos.

Key References

James, I.A. (2021). Helpful clinical models for trainee therapists working with older people. FPOP Bulletin (156), pp 34-52.

James, I.A. (2010) Cognitive Behaviour Therapy with older people: Interventions for those with and without dementia. London, Jessica Kingsley.

Laidlaw, K (2021) Cognitive Behaviour Therapy with older people. In A. Wenzel (ed.) Handbook of cognitive behavioural therapy: Applications (pp751-771) APA.

About the presenter

Katharina Reichelt is a consultant clinical psychologist working in the North of England in Cumbria, Northumberland, Tyne and Wear NHS Foundations Trust. She qualified in 2003 and obtained her CBT qualification at the Newcastle CBT Centre in 2005. She worked initially with working age adults and then mainly older adult populations and stroke survivors. Main therapeutic work is employing a CBT framework. She also works in memory services carrying out assessments to establish neurodegenerative conditions (dementia). She teaches trainee clinical psychologists on the local courses, and has published on a variety of topics including formulation, dementia, behaviours that challenge.

Who should attend

This event is suitable for those providing psychological therapy to older people or people who support them. Material covered will be relevant to those working in all-age services, and those new to old-age specialist services. For those specialising in late-life work, it will provide an opportunity to reflect on strategies for supporting, training and supervising those new to work with older people.

Details coming soon

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