Book contents
- Practise Psychiatry
- Practise Psychiatry
- Copyright page
- Contents
- Acknowledgements
- Part 1: Vignettes
- Case 1: Schizophrenia
- Case 2: Delusional Disorder
- Case 3: Major Depressive Disorder
- Case 4: Dysthymic Disorder and Premenstrual Dysphoric Disorder
- Case 5: Grief
- Case 6: Bipolar Disorder
- Case 7: Generalised Anxiety Disorder
- Case 8: Panic Disorder and Agoraphobia
- Case 9: Social Anxiety Disorder
- Case 10: Separation Anxiety and Selective Mutism
- Case 11: Obsessive–Compulsive Disorder
- Case 12: Body Dysmorphic Disorder
- Case 13: Trichotillomania and Excoriation Disorder
- Case 14: Hoarding Disorder
- Case 15: Anorexia Nervosa
- Case 16: Bulimia Nervosa
- Case 17: Pica and Rumination Disorder
- Case 18: Acute Stress Disorder, Post-Traumatic Stress Disorder and Adjustment Disorder
- Case 19: Illness Anxiety Disorder and Somatic Symptom Disorder
- Case 20: Conversion Disorder and Factitious Disorder
- Case 21: Delirium and Neurocognitive Disorders
- Case 22: Mental Capacity Assessment
- Case 23: Attention Deficit Hyperactivity Disorder
- Case 24: Autism Spectrum Disorder and Intellectual Developmental Disorder
- Case 25: Alcohol Use Disorder
- Case 26: Cannabis Use Disorder
- Case 27: Stimulant Use Disorder
- Case 28: Opioid Use Disorder
- Case 29: Hallucinogen Use Disorder
- Case 30: Gambling Disorder
- Case 31: Borderline Personality Disorder
- Case 32: Antisocial Personality Disorder
- Case 33: Schizoid, Schizotypal and Paranoid Personality Disorder
- Case 34: Dependent Personality Disorder
- Case 35: Suicide Risk Assessment
- Case 36: Catatonia and Electroconvulsive Therapy
- Case 37: Neuroleptic Malignant Syndrome and Serotonin Syndrome
- Case 38: Insomnia Disorder
- Case 39: Narcolepsy Disorder
- Case 40: Breathing-Related Sleep Disorders
- Case 41: Non-Rapid Eye Movement Sleep Arousal Disorder
- Case 42: Rapid Eye Movement Sleep Behaviour Disorder
- Case 43: Dissociative Amnesia and Dissociative Identity Disorder
- Case 44: Voyeuristic, Exhibitionistic, Frotteuristic and Sexual Masochism and Sadism Disorders
- Case 45: Paedophilic Disorder
- Case 46: Transvestic and Fetishistic Disorders
- Case 47: Gender Dysphoria
- Case 48: Pyromania
- Case 49: Kleptomania
- Case 50: Child and Adolescent Mental Health Services
- Case 51: Old Age Psychiatry
- Case 52: Pregnancy and Breastfeeding
- Case 53: Hepatic Impairment
- Case 54: Renal Impairment
- Case 55: Forensic Psychiatry
- Part II: Topical MCQs
- Index
- References
Case 51: - Old Age Psychiatry
from Part 1: - Vignettes
Published online by Cambridge University Press: 04 September 2025
Book contents
- Practise Psychiatry
- Practise Psychiatry
- Copyright page
- Contents
- Acknowledgements
- Part 1: Vignettes
- Case 1: Schizophrenia
- Case 2: Delusional Disorder
- Case 3: Major Depressive Disorder
- Case 4: Dysthymic Disorder and Premenstrual Dysphoric Disorder
- Case 5: Grief
- Case 6: Bipolar Disorder
- Case 7: Generalised Anxiety Disorder
- Case 8: Panic Disorder and Agoraphobia
- Case 9: Social Anxiety Disorder
- Case 10: Separation Anxiety and Selective Mutism
- Case 11: Obsessive–Compulsive Disorder
- Case 12: Body Dysmorphic Disorder
- Case 13: Trichotillomania and Excoriation Disorder
- Case 14: Hoarding Disorder
- Case 15: Anorexia Nervosa
- Case 16: Bulimia Nervosa
- Case 17: Pica and Rumination Disorder
- Case 18: Acute Stress Disorder, Post-Traumatic Stress Disorder and Adjustment Disorder
- Case 19: Illness Anxiety Disorder and Somatic Symptom Disorder
- Case 20: Conversion Disorder and Factitious Disorder
- Case 21: Delirium and Neurocognitive Disorders
- Case 22: Mental Capacity Assessment
- Case 23: Attention Deficit Hyperactivity Disorder
- Case 24: Autism Spectrum Disorder and Intellectual Developmental Disorder
- Case 25: Alcohol Use Disorder
- Case 26: Cannabis Use Disorder
- Case 27: Stimulant Use Disorder
- Case 28: Opioid Use Disorder
- Case 29: Hallucinogen Use Disorder
- Case 30: Gambling Disorder
- Case 31: Borderline Personality Disorder
- Case 32: Antisocial Personality Disorder
- Case 33: Schizoid, Schizotypal and Paranoid Personality Disorder
- Case 34: Dependent Personality Disorder
- Case 35: Suicide Risk Assessment
- Case 36: Catatonia and Electroconvulsive Therapy
- Case 37: Neuroleptic Malignant Syndrome and Serotonin Syndrome
- Case 38: Insomnia Disorder
- Case 39: Narcolepsy Disorder
- Case 40: Breathing-Related Sleep Disorders
- Case 41: Non-Rapid Eye Movement Sleep Arousal Disorder
- Case 42: Rapid Eye Movement Sleep Behaviour Disorder
- Case 43: Dissociative Amnesia and Dissociative Identity Disorder
- Case 44: Voyeuristic, Exhibitionistic, Frotteuristic and Sexual Masochism and Sadism Disorders
- Case 45: Paedophilic Disorder
- Case 46: Transvestic and Fetishistic Disorders
- Case 47: Gender Dysphoria
- Case 48: Pyromania
- Case 49: Kleptomania
- Case 50: Child and Adolescent Mental Health Services
- Case 51: Old Age Psychiatry
- Case 52: Pregnancy and Breastfeeding
- Case 53: Hepatic Impairment
- Case 54: Renal Impairment
- Case 55: Forensic Psychiatry
- Part II: Topical MCQs
- Index
- References
Summary
Chapter 51 covers the topic of old age psychiatry. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the management of elderly patients with psychiatric disorders from first presentation to subsequent complications of the conditions and its treatment. Things covered include the general principles of prescribing in elderly patients with psychiatric disorders, the use of covert administration of medications, the use of medications in patients with neurocognitive disorders and variations in the presentation of depression.
Keywords
Information
- Type
- Chapter
- Information
- Practise PsychiatryA Guide Through Vignettes and MCQs, pp. 418 - 423Publisher: Cambridge University PressPrint publication year: 2025
References
Haw, C, Stubbs, J. Administration of medicines in food and drink: a study of older inpatients with severe mental illness. Int Psychogeriatr. 2010 May;22(3):409–16.10.1017/S1041610209991669CrossRefGoogle ScholarPubMed
Kuehn, BM. FDA warns antipsychotic drugs may be risky for elderly. JAMA. 2005 May 25;293(20):2462.Google ScholarPubMed
Atypical antipsychotics in the elderly. Med Lett Drugs Ther. 2005 Aug 1;47(1214):61–2.Google Scholar
Boland, RJ, Verduin, ML, Ruiz, P, Shah, A, Sadock, BJ, editors. Kaplan & Sadock’s synopsis of psychiatry, 12th edition. Philadelphia: Wolters Kluwer; 2022.Google Scholar
Hoyert, DL, Kochanek, KD, Murphy, SL. Deaths: final data for 1997. Natl Vital Stat Rep. 1999 Jun 30;47(19):1–104.Google ScholarPubMed
Gutsmiedl, K, Krause, M, Bighelli, I, Schneider-Thoma, J, Leucht, S. How well do elderly patients with major depressive disorder respond to antidepressants: a systematic review and single-group meta-analysis. BMC Psychiatry. 2020 Mar 4;20(1):102.10.1186/s12888-020-02514-2CrossRefGoogle ScholarPubMed
Tielkes, CEM, Comijs, HC, Verwijk, E, Stek, ML. The effects of ECT on cognitive functioning in the elderly: a review. Int J Geriatr Psychiatry. 2008 Aug;23(8):789–95.CrossRefGoogle ScholarPubMed
Eaton, WW, Regier, DA, Locke, BZ, Taube, CA. The Epidemiologic Catchment Area Program of the National Institute of Mental Health. Public Health Rep. 1981;96(4):319–25.Google ScholarPubMed
Hung, YC, Chen, YH, Lee, MC, Yeh, CJ. Effect of spousal loss on depression in older adults: impacts of time passing, living arrangement, and spouse’s health status before death. Int J Environ Res Public Health. 2021 Dec 10;18(24):13032.CrossRefGoogle ScholarPubMed
Accessibility standard: Inaccessible, or known limited accessibility
Why this information is here
This section outlines the accessibility features of this content - including support for screen readers, full keyboard navigation and high-contrast display options. This may not be relevant for you.Accessibility Information
The HTML of this chapter is known to have missing or limited accessibility features.
We may be reviewing its accessibility for future improvement, but final compliance is
not yet assured and may be subject to legal exceptions. If you have any questions,
please contact
accessibility@cambridge.org.
Content Navigation
Table of contents navigation
Allows you to navigate directly to chapters, sections, or non‐text items through a linked table of contents, reducing the need for extensive scrolling.
Allows you to navigate directly to chapters, sections, or non‐text items through a linked table of contents, reducing the need for extensive scrolling.
Index navigation
Provides an interactive index, letting you go straight to where a term or subject appears in the text without manual searching.
Provides an interactive index, letting you go straight to where a term or subject appears in the text without manual searching.
Reading Order & Textual Equivalents
Single logical reading order
You will encounter all content (including footnotes, captions, etc.) in a clear, sequential flow, making it easier to follow with assistive tools like screen readers.
You will encounter all content (including footnotes, captions, etc.) in a clear, sequential flow, making it easier to follow with assistive tools like screen readers.
Short alternative textual descriptions
You get concise descriptions (for images, charts, or media clips), ensuring you do not miss crucial information when visual or audio elements are not accessible.
You get concise descriptions (for images, charts, or media clips), ensuring you do not miss crucial information when visual or audio elements are not accessible.
Visual Accessibility
Use of colour is not sole means of conveying information
You will still understand key ideas or prompts without relying solely on colour, which is especially helpful if you have colour vision deficiencies.
You will still understand key ideas or prompts without relying solely on colour, which is especially helpful if you have colour vision deficiencies.
Structural and Technical Features
ARIA roles provided
You gain clarity from ARIA (Accessible Rich Internet Applications) roles and attributes, as they help assistive technologies interpret how each part of the content functions.
You gain clarity from ARIA (Accessible Rich Internet Applications) roles and attributes, as they help assistive technologies interpret how each part of the content functions.