Bipolar Disorder in Older Age Patients

ISBN-13: 9783319489100 / Angielski / Twarda / 2017 / 238 str.

Susan Lehmann; Brent P. Forester

Opis

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 psychiatrist working with older patients with bipolar disorder.

Recenzje

"This book is concise and accessible to the generalist, yet it also provides scientific insights and clinically useful advice to the specialist along with a number of interesting diversions into less-frequented subjects." (James W. Herron, The British Journal of Psychiatry, Vol. 213 (1), July, 2018)

"This is a comprehensive review of current research regarding the evaluation and management of older adults suffering from bipolar disorder. ... It is intended for general psychiatrists caring for older adults with bipolar disorder. It is also relevant for all gerontologists, residents, medical students, and health care providers and policy makers involved in the creation of programs and treatment of this patient population. ... Each chapter includes clinical vignettes, learning points, and clinical pearls to illustrate the principles." (Michael Easton, Doody's Book Reviews, June, 2017) 

Spis treści

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.

O autorze

Susan W. Lehmann, MD

Associate Professor

Johns Hopkins University School of Medicine

Department of Psychiatry and Behavioral Sciences

Baltimore, MD

USA

Brent P. Forester, MD, MSc

Chief, Division of Geriatric Psychiatry, McLean Hospital, Belmont, MA

Medical Director, Behavioral Health Integration, Center for Population Health, Partners Healthcare, Boston, MA

Assistant Professor of Psychiatry, Harvard Medical School, Boston, MA

USA