Cognitive Behavioural Therapy for an older adult with Generalised Anxiety Disorder

This paper describes my reflections on working clinically with Elizabeth (pseudonym), a woman in her seventies referred to an older adult psychology service following an attempted suicide shortly after her husband’s death. Cognitive Behavioural Therapy (CBT) was adapted using the Comprehensive Conceptualisation Framework (CCF) for older adults. The work highlighted the importance of cohort beliefs, family scripts around mental health, and the emotional impact of life-stage transitions. Elizabeth made meaningful progress, reconnecting with her community and regaining confidence in her ability to cope independently.