Bipolar Disorder in Older Age Patients / edited by Susan W. Lehmann, Brent P. Forester.

Format:

Book

Contributor:

Lehmann, Susan W., editor.

Forester, Brent P., editor.

SpringerLink (Online service)

Language:

English

Subjects (All):

Medicine.

Psychiatry.

Chemotherapy.

Clinical psychology.

Medicine & Public Health.

Clinical Psychology.

Pharmacotherapy.

Local Subjects:

Medicine & Public Health.

Psychiatry.

Clinical Psychology.

Pharmacotherapy.

Physical Description:

1 online resource (XIV, 238 pages 5 illustrations in color.)

Contained In:

Springer eBooks

Place of Publication:

Cham : Springer International Publishing : Imprint: Springer, 2017.

System Details:

text file PDF

Summary:

This book provides a comprehensive but practical understanding of the clinical approach to evaluating and caring for older people with bipolar disorder. Aspects of aging that impact the diagnosis, clinical course, and management of bipolar disorder are explained; in particular, attention is drawn to the implications of comorbidities and medical complexity for the psychiatric care of older individuals with the disorder. On the other hand, similarities to treatment in younger patients are also identified. The coverage includes thorough review of current research in the field. Clinical case vignettes are used throughout to highlight practical points, and each chapter includes “clinical pearls” that summarize key points for the clinician. The book closes by examining anticipated research directions and the future needs of this patient population. Bipolar Disorder in Older Age Patients will be an ideal update for the practicing community or geriatric psychiat rist working with older patients with bipolar disorder.

Contents:

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.

Other Format:

Printed edition:

ISBN:

9783319489124

Access Restriction:

Restricted for use by site license.