title: Modifying Cognitive-Behavioral Therapy for a Depressed Older Adult With Partial Sight: A Case Report.
abstract: Depression is a common mental health problem in older adults, especially among those suffering from visual impairment. A clinical case of an Indonesian older adult with retinal detachment (75% blindness) suffering from Major Depressive Disorder, based onDiagnostic and Statistical Manual of Mental Disorders(4th ed., text rev.;DSM-IV-TR) criteria, was reported. Her principal motivation to seek help was her depressive symptoms, as well as her husband's discomfort with her change. A modified standardized cognitive-behavioral therapy was delivered in eight sessions, and a clinically significant reduction of depressive symptoms was observed at the middle of the treatment (Session 5); symptoms were further reduced at follow-up. This case report showed that conventional evidence-based psychological treatment can be modified to handle mental health problems in people with visual impairments.
authors.affiliation: University of Indonesia, Depok, Indonesia.
authors.forename: Dharmayati Bambang
authors.initials: DB
authors.lastname: Utoyo
keywords: cognitive-behavioral therapy; depression; older adults; retinal detachment; visual impairment