Treatment for Obsessive compul...

Obsessive compulsive disorder (OCD) affects an individual’s thoughts and behaviour. Here the individual has intrusive repetitive distressing thoughts and compulsions or ritualistic mental acts or behaviour that temporarily reduces the distress. Living with OCD can be devastating as the individual is aware that something is wrong with them but are unable to control their thoughts. […]

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Is alcoholism hereditary?

Number of studies has been conducted to find if our gene is the cause of alcoholism, yet there has not been a study that confirms it. Experts have conducted twin and adoption studies to reach this goal. However what was found was; genes or heredity is not the sole reason for alcoholism, along with it […]

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Impact of alcoholism on family

Alcoholism is a well known health hazard. It impacts the individual’s health, their social status, finance and mental health too. But along with these it also affects the abuser’s family. Man is a social being and is always connected to others; the closet among all is family. Hence the family is bound to get an […]

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Alcohol withdrawal Syndrome

Alcohol withdrawal Syndrome are a group of symptoms that are life threatening and occur when an individual completely stops consuming alcohol or greatly reduces their intake after a long period of alcohol intake. These symptoms may start from 8 hours to days after the individual stops and may last for day or even weeks. When […]

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Obsessive compulsive disorder-...

“An individual looking as normal as person can be, has an ordinary simple job and lives an ordinary life. But when it comes to having meals this individual has rules; the fork has to be on the right and spoon on the left straight, salt always on the right side of the plate, food has […]

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Geriatric psychiatry: Proper diagnosis helps treatment

Ageing is a normal process of gradual deterioration of physiological function

geriatric-04accompanied by loss of viability and increase in vulnerability. It is common to all living beings such as animals and plants. Ageing becomes mor
e pronounced and our mental faculties become dull as we grow in age, needing urgent psychiatric care and medication.

Age related issues

Man’s physical abilities and the capacity to apply intellectual reasoning is considerably impaired as he grows old. Geriatric psychiatry, also known as psychiatry of old age, entails treating and dealing with this essentially age-related problem.

Increasing elderly population

In India’s context Geriatric psychiatry has assumed paramount importance. As per the latest provisional data of Census of India, the elderly in the age group of over 60 comprise 8.3% of India’s population, second largest in the world. This 60+ group is also the second fastest growing segment of Indian population. The population growth is likely to register 3.5 times increase by 2050, in percentage terms.

Need for action-plan

This calls for a comprehensive action-plan to deal with Geriatric psychiatry, involving diagnosis, treatment and management of dementia and depression among aged persons. It is important to know that psychiatric illness of the elderly is different from the illnesses of adult patients. Doctors and psychiatrists need to be well prepared to deal with this problem to avoid any future complications.

History important!

To properly diagnose a geriatric psychiatric illness it is imperative to take a detailed note of the elderly’s history. The history needs to focus on:

  • Changes in functional performance of daily life
  • Need to document the drugs consumed
  • Need to know if non-prescription drugs, responsible for psychiatric symptoms are being used
  • Need for a proper physical examination of higher functioning
  • Need to check all sensory systems such as hearing and vision
  • Need to assess mental status through Mini Mental State Examination (MMSE)
  • Need to conduct simple lab tests for electrolyte imbalance, anemia, malnutrition, metabolic abnormalities, urinary retention

Management of Geriatric psychiatry

Psychosocial intervention can make considerable difference to the elderly person’s condition.

  • New drugs working through one neurotransmitter, of late, has been found to be safer
  • Start the treatment without further delay. Risk of suicide increases with delay in treatment
  • There is a need for adequate treatment of co-morbidity
  • Mental functioning of patients and dementia may aggravate if treatment of any illness or severe infection is delayed
  • It is better to avoid benzodiazepine group of drugs that cause more harm than benefit
  • Medication needs to go slow and start slow
  • Any sudden or early withdrawal of medicines should be avoided at all costs

 

 

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