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Based on the particular mental health needs of older adults, this article formulates a theoretical approach integrating spirituality and cognitive behavioral therapy (CBT) for counseling older adults. CBT is easily applicable and highly appropriate for use with the older adult cohort. Its efficacy is well documented, specifically for disorders commonly experienced by older adults. However, as presenting problems of older adults frequently include spiritual and existential concerns, the incorporation of spirituality and meaning-making with CBT is ideal for serving this cohort. This article presents a theoretical approach to spiritually integrated CBT by formulating a modified style of assessment, formulation, beginning therapy, cognitive restructuring, behavior modification, and termination.
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