MENTAL DISORDERS. Mental Health VS Psychiatry. Mental Health VS Psychiatry. Community Mental Health in Elderly and Geriatric Psychiatry.

Size: px
Start display at page:

Download "MENTAL DISORDERS. Mental Health VS Psychiatry. Mental Health VS Psychiatry. Community Mental Health in Elderly and Geriatric Psychiatry."

Transcription

1 Mental Health VS Psychiatry Community Mental Health in Elderly and Geriatric Psychiatry THITIPHAN THANEERAT, M.D., M.S. Director of Nakhonsawan Rajanagarindra Psychiatric Hospital Mental Health VS Psychiatry MENTAL DISORDERS 4'Ds Distressing Promotion/Prevention Treatment/Rehabilitation Disturbing Mental Health Community Mental Disorders Health Service System and Community Disable / Dysfunction Diagnosis

2 Hierarchy of Mental Disorders Outlines Organic Mental Disorders Psychotic Disorders Mood Disorders Anxiety Disorders Physical and Psychological Changes in Elderly Common Mental Problems and Psychiatric Disorders in Elderly Rules of Effective Community Mental Health System Miscellaneous Disorders Population Pyramids Stages of Elderly Young Old (60-69 y/o) Middle Old (70-79 y/o) Very Old (80+ y/o) Increasing continuously In 2050 : Very-old group proportion 25% of old population or about 5% of general population Forman, D.E., 1992

3 Physical Degeneration Physical Degeneration Ageing process / Senescence (to grow old) Gradual onset of degenerative processes Depends on 1. Genetic factors 2. Environmental factors Physical Degeneration Elderly: Ability to Perform Daily Life Functions Cellular level Protective factors A. Regular physical examinations B. No caffeine and alcohol C. Occupational satisfaction D. Self value awareness E. Healthy life style Life span expectancy: Female > Male well-old : healthy sick-old

4 Psychosocial Theory: Developmental Tasks; Erik Erikson Developmental Task for Elderly Stages Complete Task Unmet Task Infant Basic trust Mistrust Toddler Autonomy Shame & Doubt Pre-School Initiative Guilt School age Industry Inferiority Teenage Identity Identity confusion Adulthood Intimacy Isolation Middle Life Generativity Stagnation Elderly Ego integrity Despair Integrity VS Despair Keeping balance of body and physical appearance Reviewing one s past experiences Maintaining the activity and relationships Dealing with grief Adaptation for retirement Coping with physical degeneration Managing the attachment & stagnation Prepare for death with dignity Integrity Despair Mental Health Aspects for Elderly Life review : Succession and Mistakes For Peace & Wisdom Integrity : a sense of having lived one's life well Despair : feeling that life is too short Degeneration Retirement & Social Changes Death and Dying Good quality of life Good health Good social contexts Productive involvement Affective status Cognitive status

5 Mental Marks of Old Age Adaptable Caution Depressed mood Fear of crime Mental disorders Reduced mental and cognitive ability DEATH & DYING COMMON REACTIONS TO BAD NEWS DENIAL ANGER BARGAINING DEPRESSION ACCEPTANCE Set in one s way : preference for the routine Common Mental Problems and Psychiatric Disorders in Elderly Geriatric Depression (and Suicide) Dementia Geriatric Depression Thitiphan Thaneerat, M.D., M.S.

6 Geriatric Depression Geriatric Depression Prevalence: % of geriatric population (Female:Male = 2:1) Depression: Normal VS Disorder (4D s) Biological Factors 1. Distressing 2. Disturbing Etiology 3. Disability or Dysfunction 4. Diagnosis (DSM-5) Psychosocial Factors Biological Factors Psychological Factors Genetics Neurotransmitters and Hormones Brain structures Substance-inducing Risk Factors No quality relationship with parents Experiencing of significant loss before the age of 11 Being tortured or neglected Having chronic or serious physical illness Dependent personality or Perfectionism Poor self-value High morality Cognitive Triads Worthlessness : negative thought of self Helplessness: negative thought of world Hopelessness: negative thought of future

7 Social Factors Characteristics of Geriatric Depression Family and Social Context: Poor Distorted Distanced Disappointed Failed Prevalence: Higher proportion than other age group Risk factors: Low socio-economic status Loss of spouse Chronic physical illness Poor social relationship Elderly with depression are often neglected or misdiagnosed due to marked somatic complaints and agism-like symptoms Instruments: Suicidal Risk: Suicide risk in psychiatric patients: 3-12 times of general population Thai Geriatric Depression Scale (Thai-GDS) 0-12 Normal Mild Depression About 2/3 of depressive patients have suicidal ideation, while 10-15% of them committed suicide Committed suicide - Male : Female = 4:1 Suicide relates to inadequate treatment Moderate Depression Severe Depression

8 Geriatric Depression Treatment of Geriatric Depression Suicide risk assessment and suicide precaution Biological Treatment Biological Treatment Antidepressants : proper consideration for elderly Start Low, Go Slow Treatment Psychosocial Treatment Duration: At least 6-9 months for first episode Psychosocial Treatment Individual psychotherapy (CBT, IPT) Group psychotherapy Family Therapy Memory Problems in Elderly Normal Forgetfulness Dementia Thitiphan Thaneerat, M.D., M.S. Mild Cognitive Impairment: MCI Dementia

9 Dementia World Situation of Dementia Syndrome of Memory Impairment with/without 1. Aphasia Nowaday 24.3 million people worldwide are affected by dementia, and in 2040, the number is rising to 81.1 million 5% of people with the age of years and 40% of those with the age > 85 years 2. Apraxia 3. Agnosia 4. Disturbance in executive function 15% of demented patients has preventable cause Alzheimer's Disease 10 Warning Signs of Alzheimer s Disease Cortical Atrophy 1 Temporal lobe Parietal lobe Frontal lobe Neuropathologic Hallmarks 2 Amyloid Plaques Extracellular deposits of β-amyloid protein The Alzheimer s Association s 10 Warning Signs 1 1. Memory loss that disrupts dailylife 6. New problems with words in speaking and writing 2. Challenges in planning or solving problems 7. Misplacing things and losing the ability to retrace steps 3. Difficulty completing familiar tasks at home, 8. Decreased or poor judgement at work, or at leisure 4. Confusion with time or place 9. Withdrawal from work or social activities 5. Trouble understanding visual images and spatial relationship 10. Changes in mood and personality Neurofibrillary Tangles Abnormal intraneuronal fibrillar material tau protein 1. Alzheimer s Association Available at: Accessed May 19, Halliday GM, et al. Neurobiol Aging. 2003;24: Ng'walali PM, et al. Leg Med. 2002;4:

10 Symptoms of Dementia Instruments: Activities of Daily Living MMSE Score (Max=30) KEEP APPOINTMENTS TELEPHONE Years OBTAIN MEAL/SNACK TRAVEL ALONE USE HOME APPLIANCES FIND BELONGINGS SELECT E CLOTHES DRESS GROOM MAINTAIN HOBBY DISPOSE LITTER CLEAR TABLE WALK EAT Mild Moderate Severe Progressive decline in cognition is accompanied by increasing loss of functional abilities. 25% 75% Loss of Optimal (Independent) Performance (%) Thai Mental State Examination (TMSE) for Dementia Adapted from Galasko D. Eur J Neurol. 1998;5:S9-S17. Thai Mental State Examination (TMSE) for Dementia Instruments: Thai Mental State Examination (TMSE) for Dementia Montreal Cognitive Assessment (MoCA) for MCI

11 Dementia Screening Test: DST Non-health personnel rating instrument for dementia screening used in both community and health care setting Composed of 3 sub-tests to evaluate cognitive functions 3-object recall Serial calculations Clock-drawing test Presynaptic Postsynaptic Acetyl-choline imbalance in Dementia Choline + acetate E inhibitor E Acetyl CoA Choline Choline acetyltransferase = acetylcholine; E = acetylcholinesterase; CoA = coenzyme A. Wilkinson DG, et al. Drugs Aging. 2004;21: release Treatments of Dementia Biological Treatments Specific Treatments Biological Treatments Anti-Dementia Specific Treatments VS Symptomatic Treatments donepezil, galantamine, rivastigmine, memantine Cholinesterase inhibitor Slowing the progression of dementia symptoms High price, not in Thai-Essential Drug (ED) list Psychosocial Treatments Symptomatic Treatments : BPSD management

12 Psychosocial Treatments Memory Aids Support and compensate the impairments Environment manipulations: clock, calendars, light Avoid unfamiliar situations in severe dementia Fix-schedule of routine activities Psycho-education and skill-training of care-giver How to strengthen Mental Heath of Community for Elderly Healthy Elderly Risky Elderly Sick Elderly Prevention: Primary/Secondary/Tertiary Depression Dementia Other Mental Health Problems Community Based Approach Strong commitment of network Co-operation Community Participation Community Empowerment THANK YOU THITIPHAN THANEERAT, M.D., M.S. Director of Nakhonsawan Rajanagarindra Psychiatric Hospital

Getting Help for Patients with Dementia and their Caregivers. Erica Salamida Associate Director of Programs and Services Alzheimer s Association-NENY

Getting Help for Patients with Dementia and their Caregivers. Erica Salamida Associate Director of Programs and Services Alzheimer s Association-NENY Getting Help for Patients with Dementia and their Caregivers Erica Salamida Associate Director of Programs and Services Alzheimer s Association-NENY In this session you will learn about: Symptoms of dementia,

More information

ALZHEIMER S DISEASE. Mary-Letitia Timiras M.D. Overlook Hospital Summit, New Jersey

ALZHEIMER S DISEASE. Mary-Letitia Timiras M.D. Overlook Hospital Summit, New Jersey ALZHEIMER S DISEASE Mary-Letitia Timiras M.D. Overlook Hospital Summit, New Jersey Topics Covered Demography Clinical manifestations Pathophysiology Diagnosis Treatment Future trends Prevalence and Impact

More information

Michael A. Lobatz MD The Neurology Center Scripps Rehabilitation Center

Michael A. Lobatz MD The Neurology Center Scripps Rehabilitation Center Michael A. Lobatz MD The Neurology Center Scripps Rehabilitation Center Dementia an acquired syndrome consisting of a decline in memory and other cognitive functions Alzheimer s Disease Fronto temporal

More information

4/11/2017. The impact of Alzheimer s disease. Typical changes. The impact of Alzheimer s disease. Problematic changes. Problematic changes

4/11/2017. The impact of Alzheimer s disease. Typical changes. The impact of Alzheimer s disease. Problematic changes. Problematic changes The impact of Alzheimer s disease Ron Petersen, MD, PhD, is Director of the Mayo Alzheimer's Disease Research Center. 2 The impact of Alzheimer s disease Typical changes Typical age-related changes involve:

More information

Alzheimer s Disease. Pathophysiology: Alzheimer s disease (AD) is a progressive dementia affecting cognition, behavior,

Alzheimer s Disease. Pathophysiology: Alzheimer s disease (AD) is a progressive dementia affecting cognition, behavior, 2 Alzheimer s Disease Alzheimer s disease (AD) is a progressive dementia affecting cognition, behavior, and functional status with no known cause or cure. Patients eventually lose cognitive, analytical,

More information

Mental Health: Subjective evaluation of overall quality of life (QOL) Happiness, life satisfaction, morale, trait effect, etc. Quality of Life (QOL)

Mental Health: Subjective evaluation of overall quality of life (QOL) Happiness, life satisfaction, morale, trait effect, etc. Quality of Life (QOL) Mental Health: Subjective evaluation of overall quality of life (QOL) Happiness, life satisfaction, morale, trait effect, etc. Quality of Life (QOL) Multidimensional concept Includes: Physical health Cognitive

More information

Dementia and Alzheimer s disease

Dementia and Alzheimer s disease Since 1960 Medicine Korat โรงพยาบาลมหาราชนครราชส มา Dementia and Alzheimer s disease Concise Reviews PAWUT MEKAWICHAI MD DEPARTMENT of MEDICINE MAHARAT NAKHON RATCHASIMA HOSPITAL 1 Prevalence Increase

More information

Dementia. Aetiology, pathophysiology and the role of neuropsychological testing. Dr Sheng Ling Low Geriatrician

Dementia. Aetiology, pathophysiology and the role of neuropsychological testing. Dr Sheng Ling Low Geriatrician Dementia Aetiology, pathophysiology and the role of neuropsychological testing Dr Sheng Ling Low Geriatrician Topics to cover Why is dementia important What is dementia Differentiate between dementia,

More information

Raj C. Shah, MD Associate Professor in Family Medicine Rush Alzheimer s Disease Center Rush University Medical Center

Raj C. Shah, MD Associate Professor in Family Medicine Rush Alzheimer s Disease Center Rush University Medical Center Raj C. Shah, MD Associate Professor in Family Medicine Rush Alzheimer s Disease Center Rush University Medical Center Raj_C_Shah@rush.edu From Legal Practice to What s Next: The Boomer-Lawyer s Guide to

More information

Introduction to Health Care & Careers. Chapter 30. Answers to Checkpoint and Review Questions

Introduction to Health Care & Careers. Chapter 30. Answers to Checkpoint and Review Questions Introduction to Health Care & Careers Chapter 30 Answers to Checkpoint and Review Questions Checkpoints 1. What are the three functions of testosterone? The three functions of testosterone are to develop

More information

DEMENTIA? 45 Million. What is. WHAT IS DEMENTIA Dementia is a disturbance in a group of mental processes including: 70% Dementia is not a disease

DEMENTIA? 45 Million. What is. WHAT IS DEMENTIA Dementia is a disturbance in a group of mental processes including: 70% Dementia is not a disease What is PRESENTS DEMENTIA? WHAT IS DEMENTIA Dementia is a disturbance in a group of mental processes including: Memory Reasoning Planning Learning Attention Language Perception Behavior AS OF 2013 There

More information

Alzheimer s disease dementia: a neuropsychological approach

Alzheimer s disease dementia: a neuropsychological approach Alzheimer s disease dementia: a neuropsychological approach Dr. Roberta Biundo, PhD Neuropsychology Coordinator at Parkinson s disease and movement disorders unit of San Camillo rehabilitation hospital

More information

WHAT IS DEMENTIA? An acquired syndrome of decline in memory and other cognitive functions sufficient to affect daily life in an alert patient

WHAT IS DEMENTIA? An acquired syndrome of decline in memory and other cognitive functions sufficient to affect daily life in an alert patient DEMENTIA WHAT IS DEMENTIA? An acquired syndrome of decline in memory and other cognitive functions sufficient to affect daily life in an alert patient Progressive and disabling Not an inherent aspect of

More information

Dementia Facts and Resources Dementia Warning Signs Getting a Diagnosis Dementia Communication Tips Dementia Risk Reduction.

Dementia Facts and Resources Dementia Warning Signs Getting a Diagnosis Dementia Communication Tips Dementia Risk Reduction. Dementia Facts and Resources Dementia Warning Signs Getting a Diagnosis Dementia Communication Tips Dementia Risk Reduction Intermission Dementia Stages and Behaviors Caregiving and Self-Care Overview

More information

Objectives. 1) Define Dementia and it s symptoms. 2) Review the diagnostic process

Objectives. 1) Define Dementia and it s symptoms. 2) Review the diagnostic process Objectives 1) Define Dementia and it s symptoms 2) Review the diagnostic process 3) Learn about support services for persons with dementia and their families 2 The impact of Alzheimer s disease Ron Petersen,

More information

10 WARNING SIGNS OF ALZHEIMER S DISEASE EARLY DETECTION MATTERS

10 WARNING SIGNS OF ALZHEIMER S DISEASE EARLY DETECTION MATTERS 10 WARNING SIGNS OF ALZHEIMER S DISEASE EARLY DETECTION MATTERS UNDERSTANDING DEMENTIA Your memory often changes as you grow older. Some people recognize changes in themselves before anyone else notices.

More information

Assessing and Managing the Patient with Cognitive Decline

Assessing and Managing the Patient with Cognitive Decline Assessing and Managing the Patient with Cognitive Decline Center of Excellence For Alzheimer s Disease for State of NY Capital Region Alzheimer s Center of Albany Medical Center Earl A. Zimmerman, MD Professor

More information

10/17/2017. Causes of Dementia Alzheimer's Disease Vascular Dementia Diffuse Lewy Body Disease Alcoholic Dementia Fronto-Temporal Dementia Others

10/17/2017. Causes of Dementia Alzheimer's Disease Vascular Dementia Diffuse Lewy Body Disease Alcoholic Dementia Fronto-Temporal Dementia Others 1 Dementia Dementia comes from the Latin word demens, meaning out of mind. It is the permanent loss of multiple intellectual functions. It is progressive deterioration of mental powers accompanied by changes

More information

TEN early signs of a Dementia

TEN early signs of a Dementia TEN early signs of a Dementia 1. Memory loss on a day-to-day basis Memory loss, especially forgetting things that happened only hours or days ago. forgetting important dates or events repeatedly asking

More information

PROJECTION: Worlds dementia population is expected to triple by 2050

PROJECTION: Worlds dementia population is expected to triple by 2050 DEMENTIA C L I S K C O N S U LTA N T P H Y S I C I A N I N A C U T E M E D I C I N E A N D G E R I AT R I C M E D I C I N E, B A R N E T H O S P I TA L, R O YA L F R E E N H S F O U N D AT I O N T R U

More information

Overview of neurological changes in Alzheimer s disease. Eric Karran

Overview of neurological changes in Alzheimer s disease. Eric Karran Overview of neurological changes in Alzheimer s disease Eric Karran Alzheimer s disease Alois Alzheimer 1864-1915 Auguste D. 1850-1906 Case presented November 26 th 1906 Guildford Talk.ppt 20 th March,

More information

Depression. Content. Depression is common. Depression Facts. Depression kills. Depression attacks young people

Depression. Content. Depression is common. Depression Facts. Depression kills. Depression attacks young people Content Depression Dr. Anna Lam Associate Consultant Department of Psychiatry, Queen Mary Hospital Honorary Clinical Assistant Professor Li Ka Shing Faculty of Medicine, The University of Hong Kong 1.

More information

Your aging brain. Contact your local chapter to learn more. Find a chapter near you at or visit alz.org/findus.

Your aging brain. Contact your local chapter to learn more. Find a chapter near you at or visit alz.org/findus. Your aging brain. Being told that additional tests are needed because your inability to remember things or problems with talking or thinking can trigger fear, denial and other worries. You are not alone.

More information

DEMENTIA and BPSD in PARKINSON'S DISEASE. DR. T. JOHNSON. NOVEMBER 2017.

DEMENTIA and BPSD in PARKINSON'S DISEASE. DR. T. JOHNSON. NOVEMBER 2017. DEMENTIA and BPSD in PARKINSON'S DISEASE. DR. T. JOHNSON. NOVEMBER 2017. Introduction. Parkinson's disease (PD) has been considered largely as a motor disorder. It has been increasingly recognized that

More information

We Will Discuss. Dementia and Alzheimer s Disease Basics. Dementia. Developmental Disabilities and Dementia: A Behavior Management Guide

We Will Discuss. Dementia and Alzheimer s Disease Basics. Dementia. Developmental Disabilities and Dementia: A Behavior Management Guide 10/18/2013 1 Dayna Thompson M.S., LMHC Alzheimer s Educator Developmental Disabilities and Dementia: A Behavior Management Guide Alzheimer s Resource Service IU Health Bloomington-Community Health 812-353-9299

More information

Mental Health Counseling for mood, aging, and coping with life transitions and chronic illness.

Mental Health Counseling for mood, aging, and coping with life transitions and chronic illness. Mental Health Counseling for mood, aging, and coping with life transitions and chronic illness. Silver Linings for Seniors Silver Linings for Seniors, Inc. offers on-site confidential Mental Health Counseling

More information

Chapter 15: Late Life and Psychological Disorders

Chapter 15: Late Life and Psychological Disorders \ Chapter 15: Late Life and Psychological Disorders 1. Ageism refers to a. the physical deterioration that accompanies old age. b. the intellectual deterioration that frequently occurs as a person ages.

More information

7/3/2013 ABNORMAL PSYCHOLOGY SEVENTH EDITION CHAPTER FOURTEEN CHAPTER OUTLINE. Dementia, Delirium, and Amnestic Disorders. Oltmanns and Emery

7/3/2013 ABNORMAL PSYCHOLOGY SEVENTH EDITION CHAPTER FOURTEEN CHAPTER OUTLINE. Dementia, Delirium, and Amnestic Disorders. Oltmanns and Emery ABNORMAL PSYCHOLOGY SEVENTH EDITION Oltmanns and Emery PowerPoint Presentations Prepared by: Ashlea R. Smith, Ph.D. This multimedia and its contents are protected under copyright law. The following are

More information

Overview. Case #1 4/20/2012. Neuropsychological assessment of older adults: what, when and why?

Overview. Case #1 4/20/2012. Neuropsychological assessment of older adults: what, when and why? Neuropsychological assessment of older adults: what, when and why? Benjamin Mast, Ph.D. Associate Professor & Vice Chair, Psychological & Brain Sciences Associate Clinical Professor, Family & Geriatric

More information

Dementia is not normal aging!

Dementia is not normal aging! The Future of Alzheimer s Disease Treatment Adam L. Boxer, MD, PhD Director, Alzheimer s Disease Clinical Trials Program Memory and Aging Center Assistant Professor of Neurology University of California,

More information

Dementia and cognitive decline

Dementia and cognitive decline Dementia and cognitive decline Expert Briefing Su Ray and Dr Susan Davidson Research Department Together, we can help everyone to love later life 01 Brain basics Normal ageing, cognitive impairment and

More information

Human Growth and Development

Human Growth and Development Human Growth and Development Life Stages: Health care workers need to be aware of the various stages and needs of the individual to provide quality health care Infancy: Early childhood: Late childhood:

More information

If you have dementia, you may have some or all of the following symptoms.

If you have dementia, you may have some or all of the following symptoms. About Dementia Dementia may be caused by a number of illnesses that affect the brain. Dementia typically leads to memory loss, inability to do everyday things, difficulty in communication, confusion, frustration,

More information

Understanding Dementia

Understanding Dementia Understanding Dementia Dr. Dallas Seitz MD FRCPC Assistant Professor, Department of Psychiatry, Queen s University, Kingston, Ontario, Canada What s Next Information about Dementia, Elder Care and Supports

More information

Alzheimer's Disease. Dementia

Alzheimer's Disease. Dementia Alzheimer's Disease Victor W. Henderson, MD, MS Departments of Health Research & Policy (Epidemiology) and of Neurology & Neurological Sciences Stanford University Director, Stanford Alzheimer s Disease

More information

Objectives. My Patient: The story 10/6/2017

Objectives. My Patient: The story 10/6/2017 Objectives Our Grey Matter Matters: A Case in Point Vivien Brown MDCM, CCFP,FCFP, NCMP Assistant Professor, University of Toronto Vice President, Medical Affairs, Medisys Healthy Group Past President,

More information

Diagnosis and Treatment of Alzhiemer s Disease

Diagnosis and Treatment of Alzhiemer s Disease Diagnosis and Treatment of Alzhiemer s Disease Roy Yaari, MD, MAS Director, Memory Disorders Clinic, Banner Alzheimer s Institute 602-839-6900 Outline Introduction Alzheimer s disease (AD)Guidelines -revised

More information

Dementia ALI ABBAS ASGHAR-ALI, MD STAFF PSYCHIATRIST MICHAEL E. DEBAKEY VA MEDICAL CENTER ASSOCIATE PROFESSOR BAYLOR COLLEGE OF MEDICINE

Dementia ALI ABBAS ASGHAR-ALI, MD STAFF PSYCHIATRIST MICHAEL E. DEBAKEY VA MEDICAL CENTER ASSOCIATE PROFESSOR BAYLOR COLLEGE OF MEDICINE Dementia ALI ABBAS ASGHAR-ALI, MD STAFF PSYCHIATRIST MICHAEL E. DEBAKEY VA MEDICAL CENTER ASSOCIATE PROFESSOR BAYLOR COLLEGE OF MEDICINE Objectives At the conclusion of the session, participants will be

More information

The Person: Dementia Basics

The Person: Dementia Basics The Person: Dementia Basics Objectives 1. Discuss how expected age related changes in the brain might affect an individual's cognition and functioning 2. Discuss how changes in the brain due to Alzheimer

More information

Cal MediConnect Dementia Awareness CMC Annual Training

Cal MediConnect Dementia Awareness CMC Annual Training Cal MediConnect 2017 Dementia Awareness 2017 CMC Annual Training Definition Overview of Dementia Training Diagnosis of Dementia Signs and Symptoms Risk Factors Stages of Dementia Types of Dementia: Reversible/Irreversible

More information

Common Forms of Dementia Handout Package

Common Forms of Dementia Handout Package Common Forms of Dementia Handout Package Common Forms of Dementia 1 Learning Objectives As a result of working through this module, you should be better able to: 1. Describe clinical features of 4 major

More information

More Than Just Moody Blaise Aguirre, MD Child and Adolescent Psychiatrist McLean Hospital Assistant Professor of Psychiatry Harvard Medical School

More Than Just Moody Blaise Aguirre, MD Child and Adolescent Psychiatrist McLean Hospital Assistant Professor of Psychiatry Harvard Medical School More Than Just Moody Blaise Aguirre, MD Child and Adolescent Psychiatrist McLean Hospital Assistant Professor of Psychiatry Harvard Medical School Keep in Mind In the U.S., approximately 10-15% of children/adolescents

More information

Depression among Older Adults. Prevalence & Intervention Strategies

Depression among Older Adults. Prevalence & Intervention Strategies Depression among Older Adults Prevalence & Intervention Strategies Definition Depression is a complex syndrome complex characterized by mood disturbance plus variety of cognitive, psychological, and vegetative

More information

Depression in the Eldery Handout Package

Depression in the Eldery Handout Package Depression in the Eldery Handout Package Depression in the Elderly 1 Learning Objectives Upon completion of this module, you should be able to: 1. State the prevalence and describe the consequences of

More information

The Basics of Alzheimer s Disease

The Basics of Alzheimer s Disease 2017 Memory Loss Conference The Basics of Alzheimer s Disease Tom Ala, MD Center for Alzheimer s Disease and Related Disorders Southern Illinois University School of Medicine Springfield, Illinois SIU

More information

#CHAIR2015. Miami, Florida. September 24 26, JW Marriott Miami. Sponsored by

#CHAIR2015. Miami, Florida. September 24 26, JW Marriott Miami. Sponsored by #CHAIR2015 September 24 26, 2015 JW Marriott Miami Miami, Florida Sponsored by Case Challenge Workshop Alzheimer s Disease Anand Kumar, MD University of Illinois at Chicago, College of Medicine Chicago,

More information

DEMENTIA, THE BRAIN AND HOW IT WORKS AND WHY YOU MATTER

DEMENTIA, THE BRAIN AND HOW IT WORKS AND WHY YOU MATTER OVERCOMING THE CHALLENGES OF MANAGING CHRONIC DISEASES IN PERSONS WITH DEMENTIA DEMENTIA, THE BRAIN AND HOW IT WORKS AND WHY YOU MATTER LEARNING OBJECTIVES Be familiar with the diagnostic criteria for

More information

Alzheimer s Disease without Dementia

Alzheimer s Disease without Dementia Alzheimer s Disease without Dementia Dr Emer MacSweeney CEO & Consultant Neuroradiologist Re:Cognition Health London Osteopathic Society 13 September 2016 Early diagnosis of Alzheimer s Disease How and

More information

Caring Sheet #11: Alzheimer s Disease:

Caring Sheet #11: Alzheimer s Disease: CARING SHEETS: Caring Sheet #11: Alzheimer s Disease: A Summary of Information and Intervention Suggestions with an Emphasis on Cognition By Shelly E. Weaverdyck, PhD Introduction This caring sheet focuses

More information

Comparative Health Care Analysis of Depression in the Elderly

Comparative Health Care Analysis of Depression in the Elderly Comparative Health Care Analysis of Depression in the Elderly Julie Breazeale & Norma Bono Oregon Health & Science University Klamath Falls April 29 th, 2016 Depression Overview www.thedigitalfa.com According

More information

Dr Georgina Train Consultant Psychiatrist EMDASS service and Continuing Care.

Dr Georgina Train Consultant Psychiatrist EMDASS service and Continuing Care. Dr Georgina Train Consultant Psychiatrist EMDASS service and Continuing Care. Consultant Psychiatrist of both General adult and Old Age Psychiatry. Work with Memory Service and a Continuing Care ward.

More information

homeinstead.com Each Home Instead Senior Care franchise office is independently owned and operated Home Instead, Inc.

homeinstead.com Each Home Instead Senior Care franchise office is independently owned and operated Home Instead, Inc. Each Home Instead Senior Care franchise office is independently owned and operated. 2010 Home Instead, Inc. homeinstead.com Many of us may joke about having old timers disease, but when cognitive impairment

More information

By Dr. Phillip D. Sherwood CSR Executive Director

By Dr. Phillip D. Sherwood CSR Executive Director By Dr. Phillip D. Sherwood CSR Executive Director 1 THIS PRESENTATION IS BASED ON MATERIALS DEVELOPED AND PRESENTED BY: DR. LOREN FRANK ASSOCIATE PROFESSOR UC SAN FRANCISCO 2 There are no classes or training

More information

Seniors Helping Seniors September 7 & 12, 2016 Amy Abrams, MSW/MPH Education & Outreach Manager Alzheimer s San Diego

Seniors Helping Seniors September 7 & 12, 2016 Amy Abrams, MSW/MPH Education & Outreach Manager Alzheimer s San Diego Dementia Skills for In-Home Care Providers Seniors Helping Seniors September 7 & 12, 2016 Amy Abrams, MSW/MPH Education & Outreach Manager Alzheimer s San Diego Objectives Familiarity with the most common

More information

DISCLOSURES. Objectives. THE EPIDEMIC of 21 st Century. Clinical Assessment of Cognition: New & Emerging Tools for Diagnosing Dementia NONE TO REPORT

DISCLOSURES. Objectives. THE EPIDEMIC of 21 st Century. Clinical Assessment of Cognition: New & Emerging Tools for Diagnosing Dementia NONE TO REPORT Clinical Assessment of Cognition: New & Emerging Tools for Diagnosing Dementia DISCLOSURES NONE TO REPORT Freddi Segal Gidan, PA, PhD USC Keck School of Medicine Rancho/USC California Alzheimers Disease

More information

Introduction to Dementia: Complications

Introduction to Dementia: Complications Introduction to Dementia: Complications Created in March 2005 Duration: about 15 minutes Axel Juan, MD The Geriatrics Institute axel.juan@med.va.gov 305-575-3388 Credits Principal medical contributor:

More information

Subject Index A abuse 18, 38 active ageing 16, 17, 19, 44 activity of daily living 17 ADI (Alzheimer s Disease International) 45 advance care-planning

Subject Index A abuse 18, 38 active ageing 16, 17, 19, 44 activity of daily living 17 ADI (Alzheimer s Disease International) 45 advance care-planning Subject Index A abuse 18, 38 active ageing 16, 17, 19, 44 activity of daily living 17 ADI (Alzheimer s Disease International) 45 advance care-planning 118, 120 African medicine 92 ageing active ageing

More information

Aging and Mental Health Current Challenges in Long Term Care

Aging and Mental Health Current Challenges in Long Term Care Aging and Mental Health Current Challenges in Long Term Care Stephanie Saur & Christina Pacheco Acute Care Behavioural Consultants Alzheimer Society Peel What is Mental Health? Mental health includes our

More information

Session outline. Introduction to depression Assessment of depression Management of depression Follow-up Review

Session outline. Introduction to depression Assessment of depression Management of depression Follow-up Review Depression 1 Session outline Introduction to depression Assessment of depression Management of depression Follow-up Review 2 Activity 1: Person s story followed by group discussion Present the first person

More information

Dementia in Independent Senior Housing: Concerns, Barriers and Solutions

Dementia in Independent Senior Housing: Concerns, Barriers and Solutions Dementia in Independent Senior Housing: Concerns, Barriers and Solutions LeadingAge NY April 13, 2016 Kelly Papa, MSN, RN Masonicare Corporate Director of Learning The Big Question How can we create systems

More information

GERIATRIC MENTAL HEALTH AND MEDICATION TREATMENT

GERIATRIC MENTAL HEALTH AND MEDICATION TREATMENT Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences GERIATRIC MENTAL HEALTH AND MEDICATION TREATMENT RUTH KOHEN ASSOCIATE PROFESSOR UW DEPARTMENT OF PSYCHIATRY 5-4-2017

More information

Dr. Adeniyi Mofoluwake and Stacy Kramer

Dr. Adeniyi Mofoluwake and Stacy Kramer Dr. Adeniyi Mofoluwake and Stacy Kramer Definition of Alzheimer s Disease Alzheimer's disease is a neurological disorder in which insidious onset of the death of brain cells causes memory loss and cognitive

More information

OLD AGE PSYCHIATRY. Dementia definition TYPES OF DEMENTIA. Other causes. Psychiatric disorders of the elderly. Dementia.

OLD AGE PSYCHIATRY. Dementia definition TYPES OF DEMENTIA. Other causes. Psychiatric disorders of the elderly. Dementia. Psychiatric disorders of the elderly OLD AGE PSYCHIATRY Dementia Depression Delusional disorder/late onset schizophrenia Delirium Dementia definition LOCALISATION OF CEREBRAL FUNCTION Impairment of multiple

More information

Session outline. Introduction to dementia Assessment of dementia Management of dementia Follow-up Review

Session outline. Introduction to dementia Assessment of dementia Management of dementia Follow-up Review Dementia 1 Session outline Introduction to dementia Assessment of dementia Management of dementia Follow-up Review 2 Activity 1: Person s story Present a person s story of what it feels like to live with

More information

SECTION 1: as each other, or as me. THE BRAIN AND DEMENTIA. C. Boden *

SECTION 1: as each other, or as me. THE BRAIN AND DEMENTIA. C. Boden * I read all the available books by other [people with] Alzheimer s disease but they never had quite the same problems as each other, or as me. I t s not like other diseases, where there is a standard set

More information

Depressive and Bipolar Disorders

Depressive and Bipolar Disorders Depressive and Bipolar Disorders Symptoms Associated with Depressive and Bipolar Disorders Characteristics of mood symptoms Affects a person s well being, school, work, or social functioning Continues

More information

Alzheimer s Disease - Dementia

Alzheimer s Disease - Dementia - Dementia Neurocognitive disorder with dysfunction or loss of " Memory " Orientation " Attention " Language " Judgment " Reasoning Other characteristics that can manifest " Personality changes " Behavioral

More information

Evaluation and Treatment of Dementia

Evaluation and Treatment of Dementia Evaluation and Treatment of Dementia Jeffrey M. Burns, MD Edward H. Hashinger Professor of Neurology Co-Director, KU Alzheimer s Disease Center Director, Clinical and Translational Science Unit Disclosures

More information

Managing Depression and Loss in Older Adults

Managing Depression and Loss in Older Adults Managing Depression and Loss in Older Adults Lesley Wiesenfeld, MD, MHCM, FRCPC Geriatric Psychiatry Consultation Liaison Service Deputy Psychiatrist in Chief, Mount Sinai Hospital Assistant Professor

More information

Forgetfulness: Knowing When to Ask for Help

Forgetfulness: Knowing When to Ask for Help National Institute on Aging AgePage Forgetfulness: Knowing When to Ask for Help Maria has been a teacher for 35 years. Teaching fills her life and gives her a sense of accomplishment, but recently she

More information

Understanding Behaviors

Understanding Behaviors Understanding Behaviors Linda K. Shumaker, R.N.-BC, MA Pennsylvania Behavioral Health and Aging Coalition Causes of Behavioral Problems in Older Adults Psychiatric illness Regressive symptoms of psychiatric

More information

SECTION 1. Children and Adolescents with Depressive Disorder: Summary of Findings. from the Literature and Clinical Consultation in Ontario

SECTION 1. Children and Adolescents with Depressive Disorder: Summary of Findings. from the Literature and Clinical Consultation in Ontario SECTION 1 Children and Adolescents with Depressive Disorder: Summary of Findings from the Literature and Clinical Consultation in Ontario Children's Mental Health Ontario Children and Adolescents with

More information

Mild Cognitive Impairment (MCI)

Mild Cognitive Impairment (MCI) October 19, 2018 Mild Cognitive Impairment (MCI) Yonas E. Geda, MD, MSc Professor of Neurology and Psychiatry Consultant, Departments of Psychiatry & Psychology, and Neurology Mayo Clinic College of Medicine

More information

GENI Jeopardy: Geriatric Mental Health. Part of the brain responsible for executive functioning

GENI Jeopardy: Geriatric Mental Health. Part of the brain responsible for executive functioning GENI Jeopardy: Geriatric Mental Health Part of the brain responsible for executive functioning Dementia: It is not just forgetfulness GENI February 20, 2008 Marcia Carr - CNS Dementia Dementia means brain

More information

Dementia Chronic Brain Failure The forgotten cardiovascular disease Clare Hawley 2015

Dementia Chronic Brain Failure The forgotten cardiovascular disease Clare Hawley 2015 Dementia Chronic Brain Failure The forgotten cardiovascular disease Clare Hawley 2015 MB ChB, MRCGP, PG Dip Cardiol, PG Cert Med Ed Associate Specialist Cardiology Chesterfield Royal Hospital GPwSI Refractory

More information

Imaging of Alzheimer s Disease: State of the Art

Imaging of Alzheimer s Disease: State of the Art July 2015 Imaging of Alzheimer s Disease: State of the Art Neir Eshel, Harvard Medical School Year IV Outline Our patient Definition of dementia Alzheimer s disease Epidemiology Diagnosis Stages of progression

More information

Palliative Approach to the Person with Advanced Dementia

Palliative Approach to the Person with Advanced Dementia Mid North Coast Rural Palliative Care Project Link Nurse Education 2004 Palliative Approach to the Person with Advanced Dementia Anne Sneesby CNC - ACAT To care for the dying is a very human opportunity

More information

Prof. Tewfik K. Daradkeh

Prof. Tewfik K. Daradkeh Child Developmental Theories Prof. Tewfik K. Daradkeh 1 Learning Theory- Skinner Children are inherently neither good/bad People are passively shaped by environmental forces Development is gradual and

More information

3/6/2019 DIAGNOSIS OF DEMENTIA IN THE OUTPATIENT SETTING FINANCIAL DISCLOSURES LEARNING OBJECTIVES

3/6/2019 DIAGNOSIS OF DEMENTIA IN THE OUTPATIENT SETTING FINANCIAL DISCLOSURES LEARNING OBJECTIVES DIAGNOSIS OF DEMENTIA IN THE OUTPATIENT SETTING MILTA LITTLE, DO, CMD DUKE UNIVERSITY SCHOOL OF MEDICINE FINANCIAL DISCLOSURES Dr. Little has no relevant financial disclosures to report Dr. Little will

More information

Understanding Dementia-Related Changes in Communication and Behavior

Understanding Dementia-Related Changes in Communication and Behavior Understanding Dementia-Related Changes in Communication and Behavior Objectives for this workshop To better understand Dementia (Alzheimer s disease) To learn the principles and practical techniques in

More information

Mental Health Disorders Civil Commitment UNC School of Government

Mental Health Disorders Civil Commitment UNC School of Government Mental Health Disorders 2017 Civil Commitment UNC School of Government Edward Poa, MD, FAPA Chief of Inpatient Services, The Menninger Clinic Associate Professor, Baylor College of Medicine NC statutes

More information

Know the 10 Signs: Early Detection Matters

Know the 10 Signs: Early Detection Matters Know the 10 Signs: Early Detection Matters 1 Importance of Early Detection If we could have had a correct diagnosis even two years earlier, it would have given us more time to plan, to do the things that

More information

Alzheimer s disease. The facts in brief

Alzheimer s disease. The facts in brief Alzheimer s disease Dementia is an umbrella term used to describe various conditions which damage brain cells and lead to a loss of brain function over time. Dementia causes a progressive decline in a

More information

The ABCs of Dementia Diagnosis

The ABCs of Dementia Diagnosis The ABCs of Dementia Diagnosis Dr. Robin Heinrichs, Ph.D., ABPP Board Certified Clinical Neuropsychologist Associate Professor, Psychiatry & Behavioral Sciences Director of Neuropsychology Training What

More information

Cognitive Screening in Risk Assessment. Geoffrey Tremont, Ph.D. Rhode Island Hospital & Alpert Medical School of Brown University.

Cognitive Screening in Risk Assessment. Geoffrey Tremont, Ph.D. Rhode Island Hospital & Alpert Medical School of Brown University. Cognitive Screening in Risk Assessment Geoffrey Tremont, Ph.D. Rhode Island Hospital & Alpert Medical School of Brown University Outline of Talk Definition of Dementia and MCI Incidence and Prevalence

More information

The Possibilities of Life Review in Palliative Care. Ian Trueman M.Sc, B.Sc. (Hons), RGN, DN Health Lecturer University of Nottingham

The Possibilities of Life Review in Palliative Care. Ian Trueman M.Sc, B.Sc. (Hons), RGN, DN Health Lecturer University of Nottingham The Possibilities of Life Review in Palliative Care Ian Trueman M.Sc, B.Sc. (Hons), RGN, DN Health Lecturer University of Nottingham Aim & Objectives This presentation aims to outline the possible use

More information

Understanding. Alzheimer s Disease. Lora, diagnosed in 2004, with her daughter, Jill.

Understanding. Alzheimer s Disease. Lora, diagnosed in 2004, with her daughter, Jill. Understanding Alzheimer s Disease Lora, diagnosed in 2004, with her daughter, Jill. What Is Alzheimer s Disease? Alzheimer s disease is a neurologic disorder that affects the brain. It causes dementia.

More information

Decreasing the risk of falls by identifying and treating depression in the elderly. Oyinkan Akinmade, PT

Decreasing the risk of falls by identifying and treating depression in the elderly. Oyinkan Akinmade, PT Decreasing the risk of falls by identifying and treating depression in the elderly Oyinkan Akinmade, PT Role of Care Partners Pay attention to all aspects of your Seniors Allow seniors be as independent

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE. Health Technology Appraisal

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE. Health Technology Appraisal NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Health Technology Appraisal Donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer's disease (Review of TA 111) Appraisal

More information

ALZHEIMER S ASSOCIATION

ALZHEIMER S ASSOCIATION ALZHEIMER S ASSOCIATION Our mission: To eliminate Alzheimer s disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through

More information

Alzheimer's disease (AD), also known as Senile Dementia of the Alzheimer Type (SDAT) or simply Alzheimer s is the most common form of dementia.

Alzheimer's disease (AD), also known as Senile Dementia of the Alzheimer Type (SDAT) or simply Alzheimer s is the most common form of dementia. CHAPTER 3 Alzheimer's disease (AD), also known as Senile Dementia of the Alzheimer Type (SDAT) or simply Alzheimer s is the most common form of dementia. This incurable, degenerative, terminal disease

More information

Alzheimer Disease and Related Dementias. Alzheimer Society of Manitoba Dr. David Strang

Alzheimer Disease and Related Dementias. Alzheimer Society of Manitoba Dr. David Strang Alzheimer Disease and Related Dementias Alzheimer Society of Manitoba Dr. David Strang What is Dementia? Dementia is a syndrome symptoms include loss of memory, judgment and reasoning, and changes in mood

More information

Crisis intervention. Detection and psychotherapy of suicidal intentions

Crisis intervention. Detection and psychotherapy of suicidal intentions Crisis intervention. Detection and psychotherapy of suicidal intentions Lajos Simon 2016. Historical roots 1. Emergency psychiatry as a part of emergency medicine 2. Prevention of hospitalisation Crisis

More information

Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention

Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention V Codes & Adjustment Disorders Cornelia Pinnell, Ph.D. Argosy University/Phoenix Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention

More information

3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose

3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose A module within the 8 hour Responding to Crisis Course Our purpose 1 What is mental Illness Definition of Mental Illness A syndrome characterized by clinically significant disturbance in an individual

More information

Dementia Training Session for Carers. By Dr Rahul Tomar Consultant Psychiatrist

Dementia Training Session for Carers. By Dr Rahul Tomar Consultant Psychiatrist Dementia Training Session for Carers By Dr Rahul Tomar Consultant Psychiatrist Dementia in the UK: Facts & Figures National Dementia strategy launched in 2009 800,000 people living with dementia (2012)

More information

What if it s not Alzheimer s? Update on Lewy body dementia and frontotemporal dementia

What if it s not Alzheimer s? Update on Lewy body dementia and frontotemporal dementia What if it s not Alzheimer s? Update on Lewy body dementia and frontotemporal dementia Dementia: broad term for any acquired brain condition impairing mental function such that ADLs are impaired. Includes:

More information

depression and anxiety in later life clinical challenges and creative research

depression and anxiety in later life clinical challenges and creative research 2 nd Annual MARC Symposium Critical Themes in Ageing Melbourne, 10 th August 2018 depression and anxiety in later life clinical challenges and creative research Nicola T Lautenschlager, MD, FRANZCP Professor

More information

Know the 10 Signs: Early Detection Matters

Know the 10 Signs: Early Detection Matters Importance of Early Detection Know the 10 Signs: Early Detection Matters If we could have had a correct diagnosis even two years earlier, it would have given us more time to plan, to do the things that

More information

When the Diagnosis Is Dementia- What You Can Do? Howard Gruetzner, M.Ed., LPC Educational and Family Care Specialist North Central Texas Chapter

When the Diagnosis Is Dementia- What You Can Do? Howard Gruetzner, M.Ed., LPC Educational and Family Care Specialist North Central Texas Chapter When the Diagnosis Is Dementia- What You Can Do? Howard Gruetzner, M.Ed., LPC Educational and Family Care Specialist North Central Texas Chapter Visibility of Disease Only 19 percent of people with Alzheimer

More information