Elissa Kozlov

speaker

159 appearances 1 recordings 1 series first heard Jan 2020 last heard Jan 2020

Elissa Kozlov’s voice in public audio — every appearance, attributed to the second.

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GeriPal - A Geriatrics and Palliative Medicine Podcast · Depression at the end of life: Podcast with Elissa Kozlov and Claire Ankuda · 23 Jan 2020 podcast

Um, I I've been looking at mental health symptoms at end of life in my own research area for quite some time.

And it's actually incredibly challenging to get good data on this topic because

Um, you know, Claire and I were just talking about how you can't really predict when someone's going to die with great precision.

So doing longitudinal studies to try to figure out what the symptomatology is throughout those last few years is pretty hard to do in a prospective study.

And I was reading an article that looked at this data set um

uh and how it pertained to pain pain epidemiology.

And I messaged Claire, I said, Can we do this with depression?

And she said there's absolutely no reason why not.

And so this was the first paper

that really looked at the epidemiology of depression in that last year of life and we learned a lot about how people spend the last year of their life suffering with with a lot of uh depressive symptoms that are not being addressed by our current healthcare system necessarily.

And I'll just add you asked some measurement questions, which um I wanna I wanna touch on briefly because the psychological sciences have made really great strides in trying to differentiate what is depression, what is grief, what is anxiety, what is normal and what is abnormal in general.

So there's some really good measures and tools out there.

to help us differentiate that.

But what we do with that information doesn't always come naturally.

I had the benefit of training in a hospice setting uh at a VA hospital, actually in the Bay Area, uh, while I was on internship and

You know, we had the benefit of having social work and chaplaincy and doctors and nursing all working collaboratively, and there's room for everyone because there's a lot of support that's needed.

But what often doesn't get deployed outside of uh like those kinds of very robust teams is evidence based

brief psychotherapy, which does work.

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