Intervención clínica en caso de adulta mayor relacionado a problemas de distimia y deterioro cognitivo

Abstract

Abstract: The present case addresses the study of an adult over 79 years of age who presents sadness and depression throughout the day, feelings of guilt, inadequate nutrition and sleep cycle disturbance for 17 years due to memories of a separation loving, whose evaluation process was carried out through observation and interview, in addition to psychological reagents such as Moca Test, Mini mental, Scale of failures of memory of daily life, Yesavage geriatric depression scale, Barthel index and Lawton and Brody scale, which contributed to determining the diagnosis of Dysthymia and deterioration cognitive. The intervention was carried out using the integrative model that combined the model cognitive-behavioral and Gestalt, its objective was to reduce depressive symptoms and improve quality of life, as well as maintaining an optimal cognitive state. Among the main changes observed, the patient was able to modify her thoughts of guilt, improved her mood and self-esteem, replaced maladaptive thoughts with adaptive ones, recognizes his emotions and experienced a partial improvement in memory, according to the results obtained.