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Recognizing and treating anxiety in the elderly

G W Small1

  • 1Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, School of Medicine, USA.

The Journal of Clinical Psychiatry
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

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Anxiety in older adults is often missed and undertreated. However, medication and therapy are safe and effective for geriatric anxiety, with careful dosing adjustments.

Area of Science:

  • Geriatric Psychiatry
  • Mental Health in Aging Populations

Background:

  • Anxiety in the elderly is frequently overlooked and undertreated.
  • Complicating factors include medical comorbidities, cognitive disorders, ageism, and depression.
  • Limited clinical trial data exist specifically for geriatric anxiety patients.

Purpose of the Study:

  • To review the safety and efficacy of anxiety treatments in the elderly.
  • To highlight necessary modifications for pharmacologic interventions in older adults.
  • To emphasize the role of psychotherapy in geriatric anxiety management.

Main Methods:

  • Review of existing data from young adult studies and clinical experience.
  • Consideration of age-related physiological changes impacting treatment.

Related Experiment Videos

  • Analysis of factors complicating diagnosis and treatment in the elderly.

    • Main Results:

    • Pharmacologic treatments are considered safe and effective for anxious elderly patients.
    • Age-related physiological changes necessitate cautious dosing strategies.
    • Psychotherapy and patient education are valuable adjuncts to treatment.

    Conclusions:

    • Anxiety in older adults requires better recognition and treatment.
    • Pharmacotherapy, with dose adjustments, is a viable option for geriatric anxiety.
    • A combined approach of medication, education, and psychotherapy is often beneficial.