April 17th 2024
Recent research investigated the benefits and risks of augmentation compared with switching strategies for TRD in older adults.
Consultation/Liaison Psychiatry in Geriatrics: Overcoming Challenges and Finding Solutions
October 30th 2014This article summarizes 5 cases from consultation services at several teaching hospitals. These challenging cases illustrate several points for the consultation/liaison psychiatrist to consider in caring for elderly hospitalized patients.
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The Monoaminergic System and Its Putative Role in Alzheimer Disease
August 14th 2014The SSRIs, although principally targeting serotonin transporter, are complex drugs that might work on other neurotransmitter and receptor systems. It is likely worthwhile to look at the effects of other monoamine and neuropeptide systems on the enzymatic machinery cleaving the amyloid precursor protein.
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Case Report: Drinking, Decisional Capacity, and Death
July 11th 2014Severe alcohol dependence and frequent relapses in this patient prompts his son to produce a durable power of attorney for health care. He demands that the physicians declare his father to lack decision-making capacity. More in this ethics case report.
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Update on Mood Disorders in Later Life
June 17th 2014Mood disorders in older adults are neither inevitable nor particularly resistant to treatment. With attention to the special needs of older patients during evaluation, treatment, and follow up, clinicians can help many patients derive greater enjoyment from their later years.
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Science or Sales? The Evidence and Application of Brain Training Games
June 2nd 2014A discussion of computerized cognitive training programs with the most independent supportive research that demonstrates a previously unrecognized degree of neuroplasticity, or cognitive flexibility, in the brain.
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Preparing for the Graying of the World: Meeting the Needs of Older Adults
February 14th 2014How will economic development influence management of population aging so that the dignity and rights of older persons are respected and protected, particularly those who are vulnerable because of mental illness, social isolation, or physical debility? Insights here.
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The Silver Lining in the Graying of America: Healthy Aging Is the New Norm
October 9th 2013Clearly, old age is associated with unavoidable decline but in some instances can be mitigated by mental and physical exercise and social activity. How is the preservation of function despite illness and decline accomplished? Insights here. . .
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Natural Products Used to Treat Depressed Mood as Monotherapies and Adjuvants to Antidepressants
September 23rd 2013Most persons who use CAM modalities to self-treat a mental health problem take prescription antidepressants concurrently. Combined use can result in serious supplement-drug interactions.
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Depression-Related Disparities Among Older, Low-Acculturated US Latinos
September 11th 2013Older Latinos with depression report higher levels of impairment and are more persistently ill than non-Hispanic white older adults, yet they have lower rates of guideline-concordant treatment. Cognitive and problem-solving psychosocial modalities are emerging as key treatment considerations for older Latinos.
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Mind-Body Interventions for Mood Disorders in Older Adults
September 9th 2013Nonpharmacological interventions-such as mind-body interventions-can improve a partial response to antidepressants via stress reduction, improved physical functioning, increased socialization, and reduced risks of polypharmacy.
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