Geriatric Psychiatry Flashcards
what are the different rating scales for geriatric psychiatry?
Depressional Scales
General Assessment Scales
What are the common psychogeriatric syndromes?
Functional: Depression & Delusional disorder
Organic: Dementia & Delirium
What is the most common psychiatric syndrome in the elderly?
depression
what are the variability of presentations of depression?
Masked or somatic deperssion = physical pain rather than emotional symptoms
Pseudodementia or the dementia syndrome of depression
What is the different betw True dementia & Pseudodementia?
True dementia = intellectual performance is global & impairment is consistently poor
Pseudodementia = deficit in attention and concentration a re variable
what are the difficulties in recognition seen in depression?
social stigma
neg perceptions of aging
social circumstances
comorbid physical illness
concomitant medications
variable presentations
what are variable presentations seen in depression?
psychotic depression
masked depression
pseudodementia
mixed anxiety-depression
atypical depressions
how do you diff depression from dementia?
- having mood symptoms
- sudden onset
- saying dont know in cognitive testing
- difficulties with effortful cognitive talsks
remembering items with cutes and asking for help - speech and word-finding difficulties suggestive of dementia rather than depression
what are the consequences of failure in recognition?
social isolation
reduced quality of life
burden to family, society, economy
INC morbidity & mortality
suicide rate
what are the differential diagnoses of depression?
normal bereavment
depressive personality
dysthyrmia
Adjustment disorder
what are the different psychotic disorders that can occur in geriatric px?
Schizophrenia
Monosymptomatic delusional disorder
Late-onset schizophrenia aka Paraphrenia
what is the most salient feature of delirium?
dysfunction in attention span or concentration
