T. Lau, MD, FRCPC [psych], MSc., Director Undergraduate Education, Faculty of Medicine, UNIVERSITY OF OTTAWA Royal Ottawa Mental Health Centre Geriatrics. Review Of Geriatric Psychiatry. Why is it important to know something about the elderly. Geriatrics Overview. 3 D ’ s Depression
“I want to die in my sleep like my grandfather, not like the people kicking and screaming in the backseat of his car.”
Sue McKay Geriatric Psychiatrist
The following is true regarding depression
c) Psychotherapy is effective in severe depression
d) it rarely presents with multi-system physical complaints
Depression in old age:
MCQ # 3
b) Excessive fatigue
c) Hypersomnia (sleeping too much)
d) Digestive problems
a) Active suicidal ideation
b) Prominent psychotic symptoms
c) Crying spells when she thinks of her deceased husband.
d) Profound feelings of guilt
e) Being unable to attend to her usual daily activities 3 months after the death of her husband
In the Elderly
In younger patients
Regarding psychosis in late life, which is the best answer?
Meagher (1996), BJP
The following is true of delirium
Canadian Study of Heath and Aging Working Group. CMAJ 1994;150:899-913.
Nursing home placement, death from pneumonia and/or other comorbidities
Mild - MMSE >20
Moderate - MMSE 10-20
Severe - MMSE <10
Adapted from Galasko D. Eur J Neurol. 1998;5:S9-S17.
Mood and Behaviour
Vascular PreventionTHERAPEUTIC STRATEGIES
. Vascular risk factors
Alois Alzheimer 1906
Canadian Journal of Psychiatry Oct 2007
The following is true of Alzheimer’s
Which of the following is true regarding Dementia with Lewy Bodies
All of the following is true regarding Vascular Dementia
60 year old married mother of 2 who presents with a 2 year history of increasingly strange and uncharacteristic behaviour.
She was caught shoplifting and has become surprisingly disinhibited. Her awareness of her social inappropriateness was negligible and quite embarassing for her family who feel she seems like a different person.
Frontotemporal Dementia is characterized by