Aging and Mental Health with Dr. R. Paul Bogenberger

CPD

Handouts

Speaker

Robert Bogenberger, MA, PhD Related seminars and products

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Robert Bogenberger, MA, PhD is a nationally acclaimed instructor who has trained thousands of fellow professionals in the process of DSM® diagnosis via years of APA accredited workshops presented across the country. He is a practicing psychologist with more than 20 years of clinical experience in a wide range of mental health settings …assessment and diagnosis including preschoolers and K-12 learning disordered students, emergency settings, adults with eating and substance disorders, and elderly populations.  Special focus has been given to trauma, PTSD, substance abuse, children & adolescents, and end of life issues.

 

Robert is an experienced professional educator, published author and training consultant, currently licensed as a psychologist in California, Washington and Colorado. He is known for dynamic presentations that bring clarity and humor to even the most complex and multifaceted topics.

Speaker Disclosures:
Financial: Robert Bogenberger receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Robert Bogenberger has no relevant non-financial relationships.

Objectives

• Adapt treatment approaches to the changing needs of elder clients.
• Summarize a framework with the essential components of problem behavior assessment.
• Explain the differences and similarities in presentation of dementia, delirium and depression.
• Improve ability to develop rapport with anxious, frustrated, or angrily defended elder clients.
• Create transition plans for care and residential settings.
• Describe standard of care approaches and treatment plans for dementia, depression, and the most common challenging geriatric behaviors.
• Incorporate into your professional work the most common medication interventions, risk-benefit analysis and evidence based indications for usage.
• Differentiate between common dementias and age related cognitive decline.

Outline

Healthy Aging

• What is normal?
• Middle, late-life cognitive decline

Age-Related Presentations

• Biochemical, physiological changes
• Depression
• Agitation and aggressive behavior
• Decisional incapacity/competency assessment
• Anxiety
• Difficult adjustment to losses, moves, failing health and ability
• Alzheimer’s/other dementias
• Substance abuse
• Wandering
• Sleepless nights

Age and Diagnostic Evaluation

• Psychosocial assessment
• Physical factors and medication
• Differentiating dementia, depression and delirium
• Identifying sensory, cognitive, personal resilience and vulnerability

Most Frequent Psychiatric Diagnoses& Treatment

• Anxiety Disorders
• Cognitive Disorders – Mild Cognitive Impairment, Dementia, Delirium
• Mood Disorders
• Psychiatric symptoms produced by medical conditions (and medical treatments)

Risk Assessment

• Suicidality
• Elders increased vulnerability to treatment errors
• Responding to lost or disrupted social supports

Age Specific Assessment Tools

• Depression scales
• Mental status exam (MOCA, SLUMS)
• Verbal/Spatial screening tools
• Clinical functional assessment

Strategies to Develop An Effective Therapeutic Relationship

• Engaging reluctant clients, consent issues
• Multidisciplinary team approach—families, therapists, nurses

Concrete Intervention Techniques

• Behavioral issues
• Loss and complicated grief
• Stimulation based therapies for reducing, defusing agitation
• Proven cognitive approaches

Ethical Considerations:

• Confidentiality and HIPAA
• Competency – therapist and client
• Family involvement
• Right to refuse care
• End of life decision making

Target Audience

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