Bipolar Disorder in Older Age Patients

Bipolar Disorder in Older Age Patients

Forester, Brent P.; Lehmann, Susan W.

Springer International Publishing AG

07/2018

238

Mole

Inglês

9783319840451

15 a 20 dias

454

Descrição não disponível.
Part I: Introduction, Overview and Epidemiology: Definition, what is late-life bipolar disorder, what is known about demographics.- Distinguishing late-onset vs early- onset bipolar disorder.- Bipolar 1 vs bipolar 2 disorder.- Natural history and course of illness, including morbidity, use of psychiatric and medical services.- Part II: The Clinical Assessment: Differential diagnosis, including distinguishing late-life bipolar disorder from frontotemporal dementia and from disinhibition syndromes due to neurologic disease and from secondary mania due to medications.- Aspects about the clinical interview, aspects to address in obtaining relevant history from patients and families, useful psychometric scales for office use, risk assessment, cognitive assessment.- Comorbidities: medical comorbidities, psychiatric comorbidities, including anxiety disorders and substance use disorders and their impact on clinical course.- Part III: Neurobiology of late-life bipolar disorder: findings from current research.- Neuroimaging findings.- Neuroprogression.- Biomarker and oxidative stress, mitochondrial distress/dysfunction.- Neurocognitive research.- Part IV: Principles of management: Overview: Acute and Maintenance treatment, Risk for suicide, Coordination with other treating physicians , Medication adherence and risk of relapse.- Pharmacotherapy: Mania.- Pharmacotherapy: Bipolar depression.- Pharmacology: rapid cycling, mixed episodes.- Pharmacotherapy: best practices for maintenance treatment.- Lithium: overview of effects on the kidney, both acute and long-term; impact of lithium on endocrine disease (e.g. diabetes insipidus, hypercalcemia and hyperparathyroidism).- ECT: what is its role for late-life bipolar disorder.- Cognitive impairment, dementia and late-life bipolar disorder.- Psychotherapy and psychosocial interventions, family psychoeducation and support.-Treatment settings: inpatient, partial hospitalization, outpatient, models of integrated care.- Part V: Future directions: Future directions, future research, and anticipated future needs for this population of patients.
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Bipolar Disorders in Older Patients;Geriatric Bipolar Disorder;Geriatric Depression;Manic-depressive illness;Pychopharmacotherapy in Bipolar Disorder;late-onset Bipolar Depression;pharmacotherapy