Schema Therapy in the Nursing Home Setting: A Case Study of a Cognitively Impaired Patient

The use of schema therapy to treat personality disorders in older adults is gaining scientific attention. Personality are prevalent one out ten and have a detrimental effect on quality life. Although 24% or more nursing home residents may disorders, psychotherapeutic treatment options the case comorbid cognitive impairment not yet been studied. This study concerns 63-year-old care-dependent male resident with disorder, substance several impairments due cerebrovascular disease, who presented complaints loneliness, low self-esteem, sleeping problems anger outbursts. Schema was delivered based mode model for period 27 months. Post-treatment assessment demonstrated decrease early maladaptive schemas dysfunctional modes improved functioning overall. situational psychological distress fluctuated throughout treatment, life after 7 months remained stable onwards. Presented either remitted strongly diminished. Substance also addressed remission last 20 therapy. suggests that viable present homes.