Psychiatry of old age
Psychiatry of old age
OverviewPsychiatric illness similarto that seen in youngeradults-DepressionPsychiatric illnessparticular to zhe elderly-Alzheimer' s disease-Lewy body disease-Vasculardementia-frontal lobe dementia-Subcortical dementia
Overview Psychiatric illness particular to zhe elderly -Alzheimer＇s disease -Lewy body disease -Vascular dementia -frontal lobe dementia -Subcortical dementia Psychiatric illness similar to that seen in younger adults -Depression
Psychiatric illness similar to that seen in younger adultsDepression:Themostcommoncondition.Somatic,symptoms,hypochondriasis,andrthoughts about death are more common in zheelderly.Maiordepressive disorderinzheelderlycanbecomplicated byanunderlying organic brainsyndrome.Thedevelopmentofadepressive illnesscanbezhe first sign of a dementia
Psychiatric illness similar to that seen in younger adults Depression • The most common condition • Somatic,symptoms,hypochondriasis,and rthoughts about death are more common in zhe elderly. • Maior depressive disorder in zhe elderly can be complicated by an underlying organic brain syndrome. • The development of a depressive illness can be zhe first sign of a dementia
Manargement ofdepressionAim :treat zhe depressive disorder and addresszhe precipiating maintain factors.Drugtreatment.Psychosocialtherapy.Othertreatment
Manargement of depression Aim :treat zhe depressive disorder and address zhe precipiating maintain factors • Drug treatment • Psychosocial therapy • Other treatment
Disorders particual to older peopleChronic brain syndromes(dementias)Alzheimer'sDisease1.DiscribedbyAloisAlzheimerin19072.Conception:acquired.comprehensive.andprogressivecognitivedysfunction（认知功能障碍）>1）：Acquired（获得性）-智能正常BeforeAD：normalintelligenceAndnoconsciousnessdisorder（无意识障碍）>Comprehensive（全面性）--comprehensiverecessionofcognition（认知的综合衰退）Progressive（进行性）--ThecourseofADisunreversibility（病程不可逆）Dgenerative一neuronatrophy（神经元菱缩）、Cellderease（细胞减少）
Disorders particual to older people Chronic brain syndromes(dementias) Alzheimer’s Disease 1. Discribed by Alois Alzheimer in 1907 2.Conception：acquired、comprehensive、and progressive cognitive dysfunction（认知功能障碍). ➢1). Acquired（获得性）-智能正常Before AD：normal intelligence And no consciousness disorder（无意识障碍） ➢Comprehensive（全面性）- comprehensive recession of cognition（认知的综合衰退） ➢Progressive（进行性）-The course of AD is unreversibility （病程不可逆） ➢Dgenerative—neuronatrophy（神经元萎缩）、Cell derease （细胞减少）