Class 9

Question 1

Risk factors for mental illness:

Answer 1

loss of social roles, loss of autonomy, deaths, declining health, isolation, financial constraints, decrease in cognitive functioning

Question 2

Most common mental illness

Answer 2

neurocognitive disorders (50% = alzheimers), delirium, depression (15%), phobias, SUD

Question 3

Assessment elderly

Answer 3

Functional capacity, fall risk, cognition, mood, polypharmacy, social support, financial concerns, goals of care, advance care preferences, ADL, nutrition/weight change, urinary continence, sexual function, vision/hearing, dentition, living situation, spirituality, involve family

Question 4

Cause depression

Answer 4

physical illness, functioning disorder, cognitive impairment, loss of spouse.

Question 5

Cause suicide

Answer 5

loss, financial difficulties

Question 6

White matter hyperintensities: indicative of

Answer 6

NCD

Question 7

xpercent of people with Alzheimer’s disease suffer from significantdepression.

Answer 7

40

Question 8

New cases bipolar prevalance

Answer 8

0.1-0.4%

Question 9

Bipolar in the elderly

Answer 9

Course of illness may be more heterogenous, reduced risk of suicide vs young bipolar pts, more at risk for dementia, more cognitive impairment, more comorbid GMC, excessive sexual interest less common. Comorbid anxiety and SUD less present. Larger gap between manic and depressive episodes

Question 10

Comorbid elderly (physical and psychiatric)

Answer 10

frontal executive dysfinction, language impairment, dementia, anxiety, SUD, arthritis, hta, metabolic syndrome, arthritis, db

Question 11

BPD in the elderly

Answer 11

Less likely impulsivity and suicidal thoughts

Question 12

How to differentiate between BPD and NCD

Answer 12

Common features of NCD is change in personality, or exacerbation of preexisting characteristics, so need longitudinal history.

Question 13

Erikson tasks of elderly

Answer 13

maintain body image and integrity, life review, maintain sexual activity and interest, deal with death of significant other, accept implication of retirement, accept the genetically programmed failure of organ systems, accept changes in the relationship with grandchildren, divest onself to the attachment of posessions

Question 14

Prevalence of late onset

Answer 14

26,5% of pts with schizophrenia

0.6%

Question 15

Diff dx new onset psychosis

Answer 15

cancer, infection, epilepsy, thyroid, glucose, drugs, toxins