The mental healthcare of older adults can lead to age specific challenges, however, many healthcare settings have limited access to expert geriatric psychiatric consultation. This compelling book provides a comprehensive compilation of real-life cases involving the psychiatric care of older adults in the long-term care setting. Providing practical guidance for healthcare professionals who work regularly with older adults, the chapters cover key topics such as neurocognitive disorders, mood disorders, anxiety disorders, psychotic disorders, end-of-life mental health care, and sexuality issues in older adults. Offering all the information necessary for the diagnosis and formulation of treatment plans for a wide variety of psychiatric presentations, the book covers pharmacologic and non-pharmacologic options for each disorder to assist healthcare professionals in providing well-rounded care. For all those involved in the prevention, assessment, diagnosis, and management of neuropsychiatric disorders in long-term care populations.
Preface; Part I. Neurocognitive Disorders: 1. 'I've fallen…and I can't get up': Sundowner syndrome; 2. 'I think I hit my head': major neurocognitive disorder secondary to alcohol use disorder; 3. 'It's like she's a different person': neuropsychiatric complications of TBI; 4. 'I am tired all the time': dementia with Lewy Bodies; 5. 'I am okay': frontotemporal dementia; 6. 'Leave me alone': agitation in MNCD; 7. 'I am fine': apathy syndrome; 8. 'Those children are cute': cholinesterase inhibitors and memantine; 9. 'Those terrible men have left': agitation in MNCD; 10. 'I saw the heavenly gates': end of life care in MNCD; 11. 'Leave me alone': pain control in MNCD; Part II. Mood Disorders: 12. 'I am in hell and I will die in hell': treatment resistant depression and electroconvulsive therapy; 13. 'My mom looks like a zombie!': antipsychotic-related movement disorders; 14. 'My soul is in England': treatment of depression and anxiety at end-of-life; 15. 'I feel terrible': SSRIs and treatment resistant depression; 16. 'I don't care': SSRIs/SNRIs and bleeding risk; 17. 'I feel very lonely': depression/Psychogenomic testing; 18. 'I don't feel right': bipolar disorder; 19. 'I am feeling great': secondary mania; 20. 'I am staying here illegally': major depressive disorder with psychosis; Part III. Psychotic Disorders: 21. 'That priest is a gossip': schizophrenia and long-acting injectable antipsychotics; 22. 'He just won't get up': catatonia; 23. 'My body is being taken over by a fungus!': delusional disorder; 24. 'This is humiliating': clozapine; 25. 'I want to go home': delirium; 26. 'I am a worrier': schizoaffective disorder and antipsychotics; 27. 'Get out of my house': medication induced delirium; Part IV. Anxiety and Related Disorders: 28. 'My whole life is in there!': hoarding disorder; 29. 'My vision has been worsening in the last two weeks': generalized anxiety disorder; 30. 'I am not addicted to Valium': panic disorder; 31. 'Of course, I worry about him': generalized anxiety disorder in the setting of MNCD; 32. 'Bombs are falling! Run, run!': PTSD; Part V. Substance Abuse Disorders: 33. 'I used to do a bit of everything': substance use disorders; Part VI. Personality Disorders: 34. 'No one here is on my level': narcissistic personality disorder; 35. 'I cannot wait to get out of this miserable place': borderline personality disorder; Part VII. Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-term Care: 36. 'Can I have a hug?': sexually inappropriate behavior; 37. 'Everyone is just so good to me!': pseudobulbar affect; 38. 'Why do they say I have dementia?': ADD in older adults; 39. 'I hate that guy... I can't get any sleep!': sleep-wake cycle disorders; 40. 'Just one kiss': sexuality in long-term care; 41. 'I don't feel well': anticholinergic medications, incontinence and overactive bladder; 42. 'I like food': binge eating disorder; 43. 'I like the way she laughs': sexuality in long-term care; 44. 'This is so hard': caring for the caregiver; Index.
Matthew Gibfried is adjunct professor in the Department of Geriatric Psychiatry at Saint Louis University School of Medicine, Missouri. He completed his geriatric psychiatry fellowship in 2023 and has nearly twenty years of experience caring for older adults and education of future providers in the long-term care setting. George T. Grossberg is Henry & Amelia Nasrallah Endowed Professor and Director of the Division of Geriatric Psychiatry in the Department of Psychiatry & Behavioral Neuroscience at Saint Louis University School of Medicine, Missouri. He is a past president of the American Association for Geriatric Psychiatry and of the International Psychogeriatric Association.
