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Psychiatric disorders in the elderly. Psychopharmacologic management
C R Tobias1, D M Turns, S Lippmann
1Veterans Administration Medical Center, Louisville, KY 40202.
Postgraduate Medicine
|January 1, 1988
Summary
Managing psychiatric symptoms in elderly patients requires careful evaluation to address age-related changes and medical issues. Discontinue psychotropic medications if symptoms worsen to avoid toxicity and seek psychiatric consultation.
Area of Science:
- Geriatric Psychiatry
- Clinical Psychology
- Internal Medicine
Background:
- Elderly patients present unique challenges in psychiatric management due to age-related physiological changes and comorbidities.
- Somatic complaints in this population warrant serious consideration, even when a psychiatric disorder is present.
Purpose of the Study:
- To outline essential considerations for the psychiatric management of elderly patients.
- To emphasize thorough evaluation and appropriate use of psychotropic therapy.
Main Methods:
- Comprehensive patient evaluation to differentiate psychiatric from somatic disorders.
- Careful monitoring of psychotropic therapy efficacy and potential toxicity.
Main Results:
- Psychotropic therapy is primarily indicated for depression, agitation, and psychotic symptoms in the elderly.
- Persistent or worsening psychiatric symptoms necessitate discontinuation of psychotropics to prevent adverse effects like anticholinergic delirium.
Conclusions:
- Thorough assessment is crucial for effective psychiatric care in older adults.
- Psychiatric consultation is recommended when symptoms persist or worsen despite treatment, especially to avoid drug toxicity.