Mental Health in Aging Flashcards

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1
Q

What is mental health

A
  • The promotion of well being, the prevention of mental disorders, and the treatment and rehabilitation of people affected by mental disorders
  • Essentially the absence of illness
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2
Q

Mental health in older adults

A
  • Life changes that impact their mental
  • Approximately 17-30% of peole 65+ experience some kind of mental health concern, most commonly anxiety or depression
  • Older men have the highest suicide rate
  • Conditions are associated with increased cognitive decline and dementia risk
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3
Q

Why do mental health conditions go unrecognized

A
  • Stigma around the issue
  • Other issues with health can make it more difficult to stop
  • They don’t have enough services, so they only get help when it’s too late
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4
Q

Risk factors for mental health in older adults

A
  • Cumulative stressed and adversity across life
  • Lack of social and emotional support leading to increased loneliness
  • Abuse of older adults increases anxiety and depression risk
  • Caring for a spouse with chronic conditions
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5
Q

Warning signs of mental illness in old people

A
  • Same as in young people
  • A few weird one’s like being constant pain
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6
Q

Substance abuse in older adults

A
  • Many take lots of meds and this can lead to polypharmacy
  • Alcohol, weed, and other meds are used to treat things like sleep problems, pain, etc.
  • Due to decreased muscle mass it takes longer for meds to breakdown and this can lead to things like dizziness
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7
Q

Generalized anxiety disorder

A
  • Constant or excessive worry about everything which interferes with life
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8
Q

Phobias

A
  • Extreme anxiety and fear associated a situation or object
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9
Q

PTSD

A
  • Extreme fear after a traumatic event
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10
Q

Panic disorder

A
  • Experiencing frequent and unexpected periods of intense fear when there is no danger
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11
Q

Depression

A
  • Major depressive disorder
  • Persistent depressive disorder
  • Drug induced depression
  • Illness induced depression
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12
Q

Suicide

A
  • Older white men commit suicide most often
  • 40% of people who commit suicide visited the doctor within a week of doing it and 75% within a month
  • A lot of doctors donc look at the link between mental and physical issues
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13
Q

General health effects of mental illness

A
  • Anxiety/depression result in high rates of medical service utilization
  • Increased mortality and risk of disease
  • Increases in cortisol
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14
Q

Cognitive changes due to mental illness

A
  • Depression and anxiety are associated with impairments in executive functioning and attention as well as problems with memory
  • Not clear whether cognitive deficits precede, follow, correlate with or are causal for mood/anxiety disorders
  • Some suggets that poor cognitive function predicts onset/increased severity of mood and anxiety disorder over time
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15
Q

Brain changes due to mental health

A
  • Reduced GM volume and WM integrity
  • Functional and structural abnormalities in places like the hippocampus and amygdala
  • These changes suggest abnormalities in executive function, memory, and attention to some stimuli
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16
Q

Links between depression and dementia

A
  • Having chronic depression is a risk factor for dementia
  • May be caused by prolonged damage to the hippocampus
17
Q

Delirium

A
  • Hyperactive or hypoactive
  • Confused thinking and reduced awareness of one’s environment that develop rapidly
  • Can affect cognition and other things like sleep
  • Many causes
18
Q

Prevention of mental illness in old people

A
  • Measures to reduce financial insecurity and income inequality
  • Programme to ensure safe and accessible housing/transportation
  • Social supports for healthy behaviours
  • Health and social programs for vulnerable groups
19
Q

Treatment for mental health

A
  • Meds
  • Therapies
  • Mix
20
Q

Treatments for depression in mild cognitive impairments and AD

A
  • Therapy for depression can be challenging for people with dementia
  • More therapies/solutions are in the work