Do I need a drug rehabilitatio...

Many wish that getting rid of addiction was as easy as taking a pill. But no, it requires determination, resilience and motivation. Some who want to quit often opt for an out-patient program, wherein they need to weekly see the therapist, but often they don’t last. Getting out of addiction is a journey that needs […]

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Types of bipolar disorder.

Bipolar disorder is a group of mood disorders that involves serious mood swings between extreme mood states. The mood changes are so severe that it disrupts the individual’s personal as well as professional life areas. The patterns and duration of these changes may vary from person to person. One of the most important part of […]

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What are addiction treatment p...

We at Cadabams provide a wide range of services when it comes to addiction related mental health problems. Addiction is a serious mental condition that is complex and often chronic in nature. It affects the functioning and the constitution of the brain and body. Addiction has serious repercussions on relationships, families, schools, work life and […]

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Is Manic Depression Genetic/ H...

Research and studies indicate that bipolar disorder also known as manic depression share a genetic component. The disorder has a higher risk of being diagnosed in an individual if the disorder is/was prevalent in the individual’s family members. However, the mental illness is mainly triggered and shows an onset post a stressful life event. The […]

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Drug Abuse Rehabilitation

Drug abuse causes drug addiction; it is a chronic disease characterized by compulsive need to seek drug irrespective of its harmful effects. It causes lasting changes in the brain. In order to recover and undo effects of drug the individual and his family members must undertake rehabilitative measures. Rehabilitation helps encourage the addicted individual to: […]

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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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