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- Page navigation anchor for Realising the potential of improving access to psychological therapies for older adultsRealising the potential of improving access to psychological therapies for older adults
Thank you for your editorial regarding improving access to psychological therapies (IAPT) for older adults.1 As discussed, this topic is particularly relevant in the COVID-19 pandemic. Indeed, if we are to be proactive about mental health promotion with our older population, current circumstances can act as a platform to start discussions.
I read with interest the barriers to uptake of IAPT, particularly that pertaining to the misconception that depression is part of normal aging. The misattribution of symptoms as part of the aging process is what I have since seen described as the ‘understandability phenomena’, which may prevent older people from seeking help when depressed.2 The manifestation of physical rather than emotional symptoms seen in older adults with depression2 mean that GPs need to be vigilant towards atypical presentations and be mindful that it can be difficult to detect depression in this population.
The editorial suggested social isolation as a risk factor for depression1, a circumstance no doubt perpetuated by the COVID-19 pandemic. To aid in the recognition of deteriorating mental health in older patients, we should be able to recognise life events and social situations that can potentially have an impact. To elaborate further, the following factors could contribute to a decline in mental health in older adults: bereavement3; living in care settings4; dep...
Competing Interests: None declared.