Psychotic disorders in late life: a narrative review
schizophrenia; geriatric; elderly; schizoaffective disorder; psychotic disorders; delusional disorder; late life; late-onset schizophrenia; very late-onset schizophrenia-like psychosis
Psychotic disorders are not uncommon in late life. These disorders often have varied etiologies, different clinical presentations, and are associated with significant morbidity and mortality among the older adult population. Psychotic disorders in late life develop due to the complex interaction between various biological, psychological, social, and environmental factors. Given the significant morbidity and mortality associated with psychotic disorders in late life, a comprehensive work-up should be conducted when they are encountered. The assessment should not only identify the potential etiologies for the psychotic disorders, but also recognize factors that predicts possible outcomes for these disorders. Treatment approaches for psychotic disorders in late life should include a combination of nonpharmacological management strategies with the judicious use of psychotropic medications. When antipsychotic medications are necessary, they should be used cautiously with the goal of optimizing outcomes with regular monitoring of their efficacy and adverse effects.
Tampi Rajesh R; Young Juan; Hoq Rakin; Resnick Kyle; Tampi Deena J
Therapeutic Advances In Psychopharmacology
2019
1905-07
Journal Article
<a href="http://doi.org/10.1177/2045125319882798" target="_blank" rel="noreferrer noopener">10.1177/2045125319882798</a>
PMID: 31662846 PMCID: PMC6796200
The place for electroconvulsive therapy in the management of behavioral and psychological symptoms of dementia
neuropsychiatric symptoms; behavioral and psychological symptoms of dementia (BPSD); disruptive vocalization; electroconvulsive therapy (ECT); physical aggression; postictal confusion
Tampi Rajesh R; Tampi Deena J; Young Juan; Hoq Rakin; Resnick Kyle
Neurodegenerative Disease Management
2019
2019-11-08
Journal Article
<a href="http://doi.org/10.2217/nmt-2019-0018" target="_blank" rel="noreferrer noopener">10.2217/nmt-2019-0018</a>
PMID: 31701804