Geriatric Psychiatry

Geriatric Psychiatry — Expert Reference

How it begins

Diagnóstico y manejo de los trastornos mentales en el adulto mayor: la interacción única entre envejecimiento cerebral, comorbilidad médica, polifarmacia y presentación clínica atípica. Una revisión exhaustiva de nivel experto.

What it covers

1. Overview of Psychogeriatrics
2. · 1.1 Particularities of the Clinical Presentation
3. The Aging Brain: Neurobiological Substrate
4. · 2.1 Structural Changes
5. · 2.2 Neurochemical Changes
6. · 2.3 Cognitive Reserve and Brain Reserve
7. Geriatric Pharmacology: «Start Low, Go Slow» — But No «No Go»
8. · 3.1 Pharmacokinetic Changes
9. · 3.2 Pharmacodynamic Changes
10. · 3.3 Anticholinergic Load
11. · 3.4 Pharmacological Optimization Tools
12. Geriatric Depression
13. · 4.1 Atypical Clinical Presentation
14. · 4.2 Vascular Depression Hypothesis
15. · 4.3 Depressive Pseudodementia
16. · 4.4 Treatment
17. Late Onset Bipolar Disorder
18. · 5.1 «Secondary Mania»: Mandatory Differential Diagnosis
19. · 5.2 Particularities of the Treatment
20. Anxiety Disorders in the Elderly
21. · 6.1 Clinical Particularities
22. · 6.2 Treatment: The Benzodiazepine Problem
23. Psychotic Disorders in the Elderly
24. · 7.1 Classification by Age of Start
25. · 7.2 Mandatory Diagnostic Evaluation
26. · 7.3 Charles Bonnet syndrome
27. · 7.4 Antipsychotic Treatment in the Elderly
28. Delirium
29. · 8.1 Epidemiology and Relevance
30. · 8.2 Clinical Subtypes
31. · 8.3 Diagnosis: The CAM Method
32. · 8.4 Etiology: The Mnemonic Acronym
33. · 8.5 Handling
34. Major Neurocognitive Disorder (Dementia)
35. · 9.1 Alzheimer's disease
36. · 9.2 Vascular Neurocognitive Disorder
37. · 9.3 Dementia with Lewy Body
38. · 9.4 Frontotemporal Dementia
39. Behavioral and Psychological Symptoms of Dementia (BPSD)
40. · 10.1 Spectrum of Manifestations
41. · 10.2 Stepped Therapeutic Approach
42. The D-D-D Triad: Depression, Delirium and Dementia
43. Suicide in the Elderly
44. · 12.1 Particularities of Geriatric Suicide Risk
45. Substance Use Disorders in Older Adults
46. · 13.1 Alcohol
47. · 13.2 Benzodiazepines and Sedatives
48. · 13.3 Opioids
49. Sleep Disorders in the Elderly
50. · 14.1 REM Sleep Behavior Disorder (RSBD)
51. · 14.2 Sleep Apnea-Hypopnea Syndrome (SAHS)
52. Capacity Assessment and Informed Consent
53. · 15.1 The Four Pillars of Capacity for Medical Decisions
54. · 15.2 Ability to Drive
55. Elder Abuse
56. · 16.1 Typologies
57. · 16.2 Risk Factors and Warning Signs
58. Electroconvulsive Therapy and Neuromodulation in the Elderly
59. · 17.1 Priority Indications in Geriatrics
60. · 17.2 Security Considerations
61. Grief, Loss and Psychiatry at the End of Life
62. · 18.1 Normal Duel vs. Prolonged Grief Disorder
63. · 18.2 Palliative Care Psychiatry
64. Synthesis and Integrative Clinical Pearls
65. · Table-Summary of Red Flags by Syndrome