Teens and Drugs Abuse

“The average age of marijuana addiction is 23 in India and 13 in Bangalore” This is because the thirst and the thrill of trying new things is the bitter truth behind most of the teen’s drug abuse habit which becomes an addiction in future. In a hawk eye view- Regular marijuana use can cause a […]

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Cognitive Behavioral Therapy f...

A study compared CBT to other psychological interventions found it to be more effective with other therapies and techniques examined. Also, mental health professionals have restated over years about CBT and medications to have been demonstrated as effective treatment methods for schizophrenia.   Cognitive-behavioral therapy for schizophrenia provides an additional treatment option for residual symptoms, […]

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Yes! Am a Schizophrenic so wha...

“If there is a survivor who conquered the everlasting nightmare of schizophrenia definitely he/she capable of waving his victory flag in all the unfortunate events in the life.” Hello, am Raj. A thriving and lucrative writer in a private organization and a fruitful survivor of schizophrenia. Whenever people meet me, they will bring a common […]

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Prescription Drug Addiction

Prescription drugs are only for the reason the doctor intended. Those are the drugs which are used for the medical purpose and most often as painkillers, anti-depressants, and sleeping pills. However, if those drugs are taken for a prolonged period or beyond the prescribed time then there a high risk of becoming dependents on them […]

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Schizophrenia Symptoms

Schizophrenia is not to be ignored! Do you know people affected with schizophrenia tend to become so suspicious that they go the extent of believing that medications can cause them harm?   It is estimated that 50 percent of the people can lead normal lives with schizophrenia, while 50 % need family or a medical […]

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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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