Affective Disorders In Elderly

Question 1

3 things to look out for in elderly mood disorders

Answer 1

Cognition
Medical comorbidities
Functional assessment

Question 2

How can depression present in elderly different

Answer 2

Cognitive impairment

Question 3

Somatic features of depression presentation in elderly?

Answer 3

Increasing Pain
Fatigue
Weight loss
Bowels/constipation

Question 4

How can depression present in elderly?

Answer 4

Irritable
Psychosis
Substance abuse

Question 5

Passive suicidality

Answer 5

Wish to die, not doing anything about it

Question 6

Active suicidality?

Answer 6

Active idea to take their life

Question 7

What SSRIs in elderly usually?

Answer 7

Sertraline

Escitalopram

Question 8

Elderly depression Meds after SSRI?

Answer 8

SNRI
Mirtazipine
TCAs/MAOi

Question 9

What is epilam?

Answer 9

Valproate

Question 10

Types of Mania in elderly

Answer 10

BPAD - relapse: most common
Had unipolar, then has first mania as elderly
First Presentation (organic?)

Question 11

Most common cause of first presentation of mania organic

Answer 11

Cerebrovascular changes

Question 12

If get hypo mania on SSRIs, then what does mean?

Answer 12

Person could be more vulnerable to getting bipolar

Question 13

Risks for mania in elderly

Answer 13

Financial
Reputation
Harm
Self neglect
Sexual disinhibition

Question 14

What atypical antipsychotics have mood stabilizing properties?

Answer 14

Olanzipine

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