Epidemiology, etiology, and treatment of geriatric mania.
Few prospective studies have focused on elderly patients with mania, despite the rapidly aging population and the difficulties encountered in treating older patients with manic symptoms. Retrospective studies generally have found that the number of new cases of mania and the prevalence of mania in the population decrease with age, although there is evidence to contradict this widely held belief. The diagnosis of mania in the elderly is confounded by the overlap of manic symptoms with other syndromes that occur with aging, including dementia, delirium, and medical illnesses. The treatment of mania is more difficult in the elderly, and new treatments such as the atypical antipsychotics and the anticonvulsants take on a more important role in treatment regimens for older patients.
McDonald
W M
WM
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Fuqua Center for Late-Life Depression, Atlanta, GA 30329-5102, USA. wmcdona@emory.edu
D000368:Aged; D000927:Anticonvulsants / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology; D003704:Dementia / Q000175:diagnosis; D003937:Diagnosis, Differential; D004565:Electroconvulsive Therapy; D006801:Humans; D015995:Prevalence; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology
D000927:Anticonvulsants; D014150:Antipsychotic Agents