Essentials of Geriatric Psychiatry

by Blazer, Dan G.; Steffens, David C., M.d.; Busse, Ewald W.

• ISBN13: 9781585622474
• ISBN10: 1585622478
• Edition: 1st
• Format: Paperback
• Copyright: 2006-11-30
• Publisher: Amer Psychiatric Pub Inc

Summary

The Essentials of Geriatric Psychiatrypresents the essence of The American Psychiatric Publishing Textbook of Geriatric Psychiatry, Third Edition, covering not only a wide range of important mental diseases of the elderly but also the so-called normal age changes that result in biological, social, and behavioral changes in older adults. Essentials of Geriatric Psychiatryreviews the knowledge that has transformed the practice of geriatric psychiatry. It is authored by both basic and clinical scholars-not only psychiatrists, but also contributors from relevant biomedical and behavioral disciplines-who make the sometimes complex material understandable. Its coverage maintains an eclectic orientation regarding theory and practice, beginning with demography and epidemiology of late-life disorders and physiological considerations of patient care, then continuing with all of the parent text's chapters on diagnostic interviews-including chapters on laboratory tests and the neuropsychological assessment of dementia. Subsequent chapters address ten of the most prominent psychiatric disorders of the elderly and include recent insights into such matters as understanding the parameters of late-life depression and treating the seven recognized somatoform disorders. Each chapter ends with multiple-choice questions for self-assessment. Among the other topics considered are: " Differential diagnostic problems in distinguishing dementia from delirium or depression and in identifying specific dementia disorders" Insights on treating late-onset schizophrenia and identifying psychotic symptoms arising secondary to the dementia of Alzheimer's disease" In-depth review of late-life bereavement, reflecting a wealth of recent research regarding intense and/or "complicated" grief" Sleep and circadian rhythm disturbances-including sleep apnea-and treatment of insomnia" Physical consequences of alcoholism in later life, with consideration of interactions between alcohol use and chronic or periodic illness in elderly patients" Approaches to agitation and suspiciousness, with the presentation of nonpharmacological guidelines to helping families deal with these problems in older relatives The final four chapters are devoted to treatment and summarize current psychopharmacology, advances in psychotherapy, working with families, and providing care in the nursing home. Together, these contributions constitute an essential source for psychiatrists and other health professionals committed to the care of older adults and for those seeking board certification in geriatrics.

Author Biography

Dan G. Blazer, M.D., Ph.D., is J.P. Gibbons Professor of Psychiatry in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center in Durham, North Carolina.

David C. Steffens, M.D., M.H.S., is Professor in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center in Durham, North Carolina.

Ewald W. Busse, M.D. (deceased), was J.P. Gibbons Professor of Psychiatry Emeritus and Associate Provost and Dean of Medical Education Emeritus at Duke University Medical Center in Durham, North Carolina.

Table of Contents

Contributors	xi
Preface	xv
Dan G. Blazer
David C. Steffens
Part 1 Basic Issues in Geriatric Psychiatry
Demography and Epidemiology of Psychiatric Disorders in Late Life	3	(26)
Dan G. Blazer
Celia F. Hybels
Judith C. Hays
Physiological and Clinical Considerations of Geriatric Patient Care	29	(20)
Robert M. Kaiser
Harvey J. Cohen
Part 2 The Diagnostic Interview in Late Life
The Psychiatric Interview of Older Adults	49	(16)
Dan G. Blazer
Use of the Laboratory in the Diagnostic Workup of Older Adults	65	(12)
Warren D. Taylor
P. Murali Doraiswamy
Neuropsychological Assessment of Dementia	77	(22)
Kathleen A. Welsh-Bohmer
Deborah K. Attix
Part 3 Psychiatric Disorders in Late Life
Cognitive Disorders	99	(32)
Murray A. Raskind
Lauren T. Bonner
Elaine R. Peskind
Movement Disorders	131	(14)
Burton L. Scott
Mood Disorders	145	(32)
Harold G. Koenig
Dan G. Blazer
Schizophrenia and Paranoid Disorders	177	(16)
Dilip V. Jeste
Christian R. Dolder
Anxiety and Panic Disorders	193	(14)
John L. Beyer
Somatoform Disorders	207	(12)
Marc E. Agronin
Bereavement and Adjustment Disorders	219	(22)
Larry W. Thompson
Paulette C.Y. Tang
John Di Mario
Marty Cusing
Dolores Gallagher-Thompson
Sleep and Circadian Rhythm Disorders	241	(16)
Andrew D. Krystal
Jack D. Edinger
William K. Wohlgemuth
Joseph M. Sharpe
Alcohol and Drug Problems	257	(22)
Dan G. Blazer
Paul D. Nagy
Agitation and Suspiciousness	279	(14)
Lisa P. Gwyther
David C. Steffens
Part 4 Treatment of Psychiatric Disorders in Late Life
Psychopharmacology	293	(44)
Benoit H. Mulsant
Bruce G. Pollock
Individual and Group Psychotherapy	337	(20)
Ann K. Aspnes
Thomas R. Lynch
Working With the Family of the Older Adult	357	(18)
Lisa P. Gwyther
Clinical Psychiatry in the Nursing Home	375	(28)
Joel E. Streim
Ira R. Katz
Answer Guide	403	(60)
Index	463