Guide to the Psychiatry of Old Age

Cover......Page 1
Half-title......Page 3
Guide to the Psychiatry of Old Age......Page 5
Copyright......Page 6
Contents......Page 7
Foreword......Page 9
Preface......Page 13
Abbreviations......Page 15
1 What is the psychiatry of old age and why do we need it?......Page 17
The future......Page 18
Book......Page 20
Where to assess the patient......Page 21
Role of the carer/informant......Page 22
Mental status examination......Page 24
Cognitive assessment and benefits of early diagnosis......Page 26
Which cognitive assessment instrument(s) to use?......Page 27
The Clock Drawing Test......Page 28
Frontal lobe/executive impairment......Page 30
Capacity assessments......Page 32
Special investigations......Page 34
Referral for assessment by allied health practitioners......Page 35
Articles......Page 36
Books......Page 37
Book chapters......Page 38
History taking......Page 39
Family history......Page 41
False theories of depression and dementia......Page 43
Evidence-based hypotheses of a relationship between depression and dementia......Page 44
Clinical implications of the growing relationship between depression and dementia......Page 45
Book chapter......Page 46
Types and causes of dementia......Page 47
Alzheimer’s disease......Page 48
Dementia with Lewy bodies......Page 51
Mild cognitive impairment......Page 52
The epidemiology of dementia......Page 53
Moderate......Page 54
Informant history......Page 55
Medical assessment......Page 56
Special investigations......Page 57
Co-morbid medical conditions......Page 58
Cholinesterase inhibitors......Page 59
Drug treatment of VaD......Page 60
Carer support......Page 61
Articles......Page 62
Books......Page 63
Specific symptoms......Page 65
Natural history of BPSD......Page 66
Management principles......Page 67
Non-pharmacological management......Page 68
Antipsychotic drugs......Page 69
Other psychotropic drugs......Page 70
Articles......Page 71
Books......Page 72
Clinical features......Page 73
Delirium and mood disorders......Page 75
Neuropathophysiology......Page 76
Epidemiology......Page 77
Risk factors......Page 78
Course and prognosis......Page 79
Address the underlying causes......Page 80
Prevent common complications......Page 81
Prevention......Page 82
Articles......Page 83
Book......Page 84
Cognitive impairment, dementia and the phenomenology of depression......Page 85
Suicide risk......Page 89
Pathophysiology......Page 90
Treatment......Page 91
Definition......Page 93
Classification......Page 94
Age of onset......Page 95
Neurological co-morbidity and pathophysiology......Page 96
Neuroimaging......Page 97
The determinants of bipolar disorder in later life......Page 98
Treatment......Page 99
Summary......Page 100
Articles......Page 101
Book chapters......Page 102
Brief historical notes......Page 103
Schizophrenia with onset in late life......Page 104
Neuroimaging in late-onset schizophrenia (LOS)......Page 105
Pharmacological management......Page 106
Residential care......Page 107
Other conditions which may exhibit psychotic symptoms......Page 108
Articles......Page 109
Book chapter......Page 110
The concept of neurosis......Page 111
Destabilization factors......Page 113
Clinical features......Page 114
Somatic symptoms......Page 115
Depression......Page 116
Schizophrenia......Page 117
Generalized anxiety (GAD)......Page 118
Somatoform disorders......Page 119
Cognitive behaviour therapy (CBT)......Page 120
Psychodynamic therapy......Page 121
Drug treatments......Page 122
Panic disorder......Page 123
Introduction......Page 124
Personality and organic brain disorders......Page 127
Book......Page 128
Prevalence......Page 129
Health-related effects of excessive consumption of alcohol in the elderly......Page 130
Management of alcohol problems in the elderly......Page 131
Prescribed medications – iatrogenesis......Page 133
Conclusion......Page 134
Book chapter......Page 135
International consensus model on organizations of care......Page 137
Residential care......Page 139
Medical care......Page 140
Advocacy......Page 141
What are the necessary components of a service?......Page 142
Conclusion......Page 143
Consensus statement......Page 144
Historical influences......Page 145
Clinical neuroscience......Page 146
Future training in clinical neuroscience......Page 148
Age-based vs. needs-based services: the future of geriatrics?......Page 149
Articles......Page 151
Index......Page 153