This article examines how the loss of perceived control over one's environment (i.e. “helplessness”) can result in anxiety, depression, or death in people who otherwise appear to have favorable prognoses. Particular reference is made to the role of helplessness as a potentially life threatening condition in the older patient. Four effects of helplessness are discussed along with their implications for treatment. The paper presents seven specific treatment strategies for combatting the condition of helplessness, all of which are compatible with the skills possessed by an occupational therapist.
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