Geriatric bipolar disorder: Acute treatment
- Martha Sajatovic, MD
Martha Sajatovic, MD
- Director of Geriatric Psychiatry
- Professor of Psychiatry
- Case Western Reserve University School of Medicine
- Peijun Chen, MD, MPH, PhD
Peijun Chen, MD, MPH, PhD
- Associate Professor of Psychiatry
- Case Western Reserve University School of Medicine
- Staff Geriatric Psychiatrist, Louis Stokes Cleveland VA Medical Center
- Section Editors
- Paul Keck, MD
Paul Keck, MD
- Section Editor — Bipolar Disorders
- Professor of Psychiatry
- University of Cincinnati College of Medicine
- Kenneth E Schmader, MD
Kenneth E Schmader, MD
- Editor in Chief — Geriatric Medicine
- Section Editor — Geriatrics
- Chief, Division of Geriatrics
- Duke University
- Director, Geriatric Research Education and Clinical Center
- Durham VA Medical Centers
The treatment of older bipolar patients differs from the treatment of younger patients . Up to 25 percent of all bipolar patients are elderly , and the absolute number of geriatric bipolar patients is expected to increase as the world’s population ages over the next several decades [3,4].
This topic reviews the acute treatment and prognosis of geriatric bipolar disorder. The epidemiology, pathogenesis, clinical features, assessment, diagnosis, general principles of treatment, and maintenance treatment of geriatric bipolar disorder are discussed separately, as are the epidemiology, clinical features, diagnosis, acute treatment, and maintenance treatment of bipolar disorder in mixed-age patients.
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- DEFINITION OF GERIATRIC BIPOLAR DISORDER
- General principles
- Mania and hypomania
- - First-line medications
- - Second-line medications
- - Refractory patients
- Bipolar major depression
- - First-line treatment
- - Treatment resistance
- - Refractory major depression
- RECOVERY FROM MOOD EPISODES (PROGNOSIS)
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS