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Older Age Bipolar Disorder.

Annemiek Dols1, Aartjan Beekman2

  • 1Department of Old Age Psychiatry, GGZinGeest and VUmc University Medical Center, Amstelveenseweg 589, 1081 JC, Amsterdam, The Netherlands; Mental Health Program, Amsterdam Public Health Research Institute, Van der Boechorstsstraat 7, 1081 BT, Amsterdam, The Netherlands; Mood, Anxiety and Psychosis Program, Amsterdam Neuroscience, De Boelelaan 1085, 1081 HV, Amsterdam, The Netherlands.

The Psychiatric Clinics of North America
|February 8, 2018
PubMed
Summary
This summary is machine-generated.

Understanding older age bipolar disorder (OABD) is crucial for tailored treatments. Research highlights the need for specific approaches due to age-related changes, as findings from younger adults do not directly apply.

Keywords:
Bipolar disorderCognitionLate lifePhysical healthSomatic comorbidityTreatment

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Area of Science:

  • Geriatric Psychiatry
  • Neuroscience
  • Pharmacology

Background:

  • Older age bipolar disorder (OABD) presents unique challenges due to age-related somatic and cognitive changes.
  • Late-onset mania requires comprehensive psychiatric and somatic evaluation, including neuroimaging.
  • Limited research exists on the pharmacotherapy specifically for OABD.

Purpose of the Study:

  • To emphasize the need for further understanding of OABD.
  • To highlight the importance of age-specific treatment considerations.
  • To underscore the limitations of extrapolating findings from younger bipolar disorder (BD) populations.

Main Methods:

  • Literature review on OABD treatment and characteristics.
  • Analysis of diagnostic requirements for late-onset mania.
  • Examination of current pharmacotherapy recommendations for OABD.

Main Results:

  • OABD requires tailored treatment strategies accounting for age-related vulnerabilities.
  • Pharmacotherapy research in OABD is notably limited.
  • Standard BD treatments may need modification for older adults due to side effect risks and comorbidities.

Conclusions:

  • Further research into OABD is essential.
  • Treatment protocols must be adjusted for the specific needs of older adults with bipolar disorder.
  • Age-related changes necessitate distinct approaches compared to younger BD patients.