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Late-onset bipolar disorder.

R Yassa1, N P Nair, H Iskandar

  • 1McGill University, Montreal, Québec, Canada.

The Psychiatric Clinics of North America
|March 1, 1988
PubMed
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Late-onset mania in older adults is more common than previously believed, presenting similarly to younger patients. Early diagnosis and treatment are key, with similar outcomes to younger individuals.

Area of Science:

  • Geriatric Psychiatry
  • Neuroscience
  • Mental Health

Background:

  • Late-onset mania is increasingly recognized in geriatric populations.
  • It accounts for a notable percentage of psychogeriatric admissions.

Purpose of the Study:

  • To describe the clinical presentation, diagnosis, and management of mania in elderly patients.
  • To compare late-onset mania with mania in younger populations.

Main Methods:

  • Review of clinical presentations in elderly patients admitted to a psychogeriatric department.
  • Differential diagnosis considerations, particularly excluding secondary mania.
  • Analysis of treatment approaches and prognostic factors.

Main Results:

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  • Late-onset mania represents up to 5% of psychogeriatric admissions.
  • Clinical presentation often mirrors that of younger patients, with occasional atypical features.
  • Prognosis and treatment efficacy appear comparable to younger individuals with mania.

    • Conclusions:

    • Mania in old age is a significant clinical concern.
    • Exclusion of secondary mania is crucial for accurate diagnosis of primary affective disorder.
    • Effective management and positive prognosis are achievable for late-onset mania.