Lecture 9- geriatric psych

Question 1

Neuropsychiatric complications in depression are…

Answer 1

VERY COMMON- Impact most patients with dementia if they live long enough

Question 2

Generalized anxiety disorder in old age should be treat with?

Answer 2

Non-pharmacological interventions, SSRIs. PRN benzos early in the course of the illness

Question 3

Manic depressive illness type VI is

Answer 3

that type of bipolar disease that complicates dementia and often responsive to a combination of mood stabilizer and an atypical antipsychotic

Question 4

Wandering in patients with dementia is best treated with…

Answer 4

Access to areas where walking can be safe and monitored

Question 5

DICE approach

Answer 5

D- describe the behavior
I- Investigate for triggers and underlying causes
C- Create a comprehensive plan
E- Evaluate the effectiveness of the intervention in an ongoing fashion

Question 6

Features of the demented brain

Answer 6

• Atrophy in the cortex
• Atrophy in the hippocampi
• Decreased acetylcholine
• disruption of dopamine function
• Decrease in serotonin availability
• Glutamate hyperactivity

Question 7

The 5 major causes of dementia

Answer 7

• alzheimers
• Diffuse Lewy Body Disease
• Frontotemporal dementia
• Normal pressure hydrocephalus
• Vascular dementia

Question 8

General strategy for treating geriatric psych issues

Answer 8

Two main elements
- The environment

• Direct Caregiving

Question 9

targeted strategies for treating geriatric psych issues

Answer 9

• cognitive stimulation
• reminiscence therapy
• simulated presence
• Validation therapy
• behavioral management techniques
• Sensory stimulation interventions