Geriatric bipolar disorder: Maintenance 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 clinical features and treatment of older bipolar patients differ from those 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 maintenance treatment of geriatric bipolar disorder. The epidemiology, pathogenesis, clinical features, assessment, diagnosis, and acute treatment of geriatric bipolar disorder are discussed separately, as are the clinical features, diagnosis, acute treatment, and maintenance treatment of bipolar disorder in mixed-age patients.
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- Geriatric bipolar disorder
- Choosing pharmacotherapy following recovery from mood episodes
- - Evidence of efficacy
- - Following recovery from bipolar major depression
- - Treatment following remission with electroconvulsive therapy
- - Managing intolerable side effects
- - Cognitive impairment
- Adjunctive psychotherapy
- - Adherence
- Monitoring the patient
- Duration and discontinuation
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS