Calmer Life: A Worry Reduction Program for Older Adults

Preliminary work in a related study (H-22763) suggests that a significant percentage of older
patients think that incorporating religion and/or spirituality into counseling is important.
Based on data from this study, available scholarly literature, and input from consultants, we
have developed an initial version of Calmer Life that is sufficiently flexible to incorporate
a range of religious and spiritual beliefs and coping skills based on each patient's unique
values and beliefs. The manual for this treatment includes intervention components from
evidence-based treatment for late-life anxiety (H-23798; H-15958), suggested strategies for
incorporating religion or spirituality into the coping skills for anxiety and depression, and
spiritually-based interventions (e.g., forgiveness, gratitude). Patients have a choice to
include or not include religious or spiritually based components. The proposed project will
begin to test this broad spiritually based CBT for older adults (Calmer Life) with
Generalized Anxiety Disorder (GAD) with or without depression. Further modifications to the
Calmer Life manual and in the treatment approach will be made based on patient, clinician,
and consultant input.

Inclusion Criteria:

- Age 50+;

- A principal or co-principal diagnosis of General Anxiety Disorder;

- Interest in receiving CBT for anxiety/depression with the option of including religion
and spirituality;

- Must be English speaking

Exclusion Criteria:

- Active suicidal intent;

- Current psychosis or bipolar disorder;

- Substance abuse within the last month