By Susan W. Lehmann, Brent P. Forester
This publication offers a complete yet functional realizing of the scientific method of comparing and taking care of older individuals with bipolar affliction. elements of getting older that effect the analysis, scientific path, and administration of bipolar sickness are defined; specifically, recognition is attracted to the consequences of comorbidities and clinical complexity for the psychiatric care of older people with the illness. nevertheless, similarities to therapy in more youthful sufferers also are pointed out. The insurance comprises thorough evaluation of present learn within the box. scientific case vignettes are used all through to focus on sensible issues, and every bankruptcy comprises “clinical pearls” that summarize key issues for the clinician. The publication closes by way of reading expected study instructions and the longer term wishes of this sufferer inhabitants.
Bipolar disease in Older Age Patients could be a great replace for the practising group or geriatric psychiatrist operating with older sufferers with bipolar disorder.
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Additional info for Bipolar Disorder in Older Age Patients
K’s inadequate medication adherence, an untreated medical condition, or a new somatic comorbidity presenting as secondary mania should all be considered. The clinical picture of older age bipolar mania can present as a mild confusional state, with disturbed attention as a key symptom. Additionally, the ﬁrst priority should be to check her lithium serum levels, as toxicity can cause a variety of symptoms and subtherapeutic serum levels can induce a relapse. Learning Points • Medical comorbidity is common in older people with bipolar disorder.
Mendez MF. Mania in neurologic disorders. Curr Psychiatry Rep. 2000;2(5):440–5. 32. Jorge RE, Robinson RG, Starkstein SE, Arndt SV, Forrester AW, Geisler FH. Secondary mania following traumatic brain injury. Am J Psychiatry. 1993;150(6):916–21. 33. Robinson RG, Boston JD, Starkstein SE, Price TR. Comparison of mania and depression after brain injury: causal factors. Am J Psychiatry. 1988;145(2):172–8. 34. Braun CM, Larocque C, Daigneault S, Montour-Proulx I. Mania, pseudomania, depression, and pseudodepression resulting from focal unilateral cortical lesions.
The MATRICS Consensus Cognitive Battery (MCCB) was initially designed to be uniformly applied to clinical trials targeting cognitive function in patients with schizophrenia [69, 70]. MCCB assesses the domains of attention/vigilance, processing speed, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition. MCCB has been tested in mixed-age patients with bipolar disorder [71, 72]. The Brief Assessment of Cognition in Affective Disorders (BAC-A) is composed of 6 subtests of the Brief Assessment of Cognition (BAC) and Brief Assessment of Cognition in Schizophrenia (BAC-S) and 2 additional tests: affective interference and emotion inhibition.
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