Clinical Case Studies in Long-Term Care Psychiatry Navigating Common Mental Health Challenges in Geriatric Care
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Case 38 - “Why Do They Say I Have Dementia?”
ADD in Older Adults
Published online by Cambridge University Press: 31 October 2024
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Summary
Symptoms of adult ADHD can mimic early major neurocognitive disorders in older adults. Deficits uncovered in standard cognitive tests can be due to impaired attention in those older adults with ADHD. Treatment of adult ADHD in older adults is similar to that in younger patients and includes stimulant and non-stimulant medications. Extra caution should be used when prescribing stimulant medications to those with medical or psychiatric comorbidities. About 60% of children or adolescents with ADHD go on to experience adult ADHD. Symptoms of adult ADHD may lessen or be less problematic in older adults. Some older adults may still benefit from treatment.
- Type
- Chapter
- Information
- Clinical Case Studies in Long-Term Care PsychiatryNavigating Common Mental Health Challenges in Geriatric Care, pp. 191 - 196Publisher: Cambridge University PressPrint publication year: 2024
References
References
Callahan, B. L., Bierstone, D., Stuss, D. T., & Black, S. E. (2017). Adult ADHD: Risk factor for dementia or phenotypic mimic? Frontiers in Aging Neuroscience, 9. https://doi.org/10.3389/fnagi.2017.00260CrossRefGoogle ScholarPubMed
Dobrosavljevic, M., Solares, C., Cortese, S., Andershed, H., & Larsson, H. (2020). Prevalence of attention-deficit/hyperactivity disorder in older adults: A systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 118, 282–289. https://doi.org/10.1016/j.neubiorev.2020.07.042CrossRefGoogle ScholarPubMed
Kessi, M., Duan, H., Xiong, J., Chen, B., He, F., Yang, L., Ma, Y., Bamgbade, O. A., Peng, J., & Yin, F. (2022). Attention-deficit/hyperactive disorder updates. Frontiers in Molecular Neuroscience, 15. https://doi.org/10.3389/fnmol.2022.925049CrossRefGoogle ScholarPubMed
Faraone, S. V., Banaschewski, T., Coghill, D., Zheng, Y., Biederman, J., Bellgrove, M. A., Newcorn, J. H., Gignac, M., Al Saud, N. M., Manor, I., Rohde, L. A., Yang, L., Cortese, S., Almagor, D., Stein, M. A., Albatti, T. H., Aljoudi, H. F., Alqahtani, M. J., Asherson, P., & Wang, Y. (2021). The World Federation of ADHD International Consensus Statement: 208 evidence-based conclusions about the disorder. Neuroscience and Biobehavioral Reviews, 128, 789. https://doi.org/10.1016/j.neubiorev.2021.01.022CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders. 5th ed. text rev. (American Psychiatric Association.)Google Scholar
Elliott, J., Johnston, A., Husereau, D., Kelly, S. E., Eagles, C., Charach, A., Hsieh, C., Bai, Z., Hossain, A., Skidmore, B., Tsakonas, E., Chojecki, D., Mamdani, M., & Wells, G. A. (2020). Pharmacologic treatment of attention deficit hyperactivity disorder in adults: A systematic review and network meta-analysis. PLoS ONE, 15 (10). https://doi.org/10.1371/journal.pone.0240584CrossRefGoogle ScholarPubMed
Further Reading
Anbarasan, D., Kitchin, M., & Adler, L. A. (2020). Screening for adult ADHD. Current Psychiatry Reports. 22 (12), 72. doi: 10.1007/s11920-020-01194-9. PMID: 33095375.CrossRefGoogle ScholarPubMed
Antshel, K. M., & Barkley, R. (2020). Attention deficit hyperactivity disorder. Handbook of Clinical Neurology, 174, 37–45. doi: 10.1016/B978-0-444-64148-9.00003-X. PMID: 32977893.CrossRefGoogle ScholarPubMed
Posner, J., Polanczyk, G. V., & Sonuga-Barke, E. (2020). Attention-deficit hyperactivity disorder. Lancet (London, England), 395 (10222), 450.CrossRefGoogle ScholarPubMed
Young, J. L., & Goodman, D. W. (2016). Adult attention-deficit/hyperactivity disorder diagnosis, management, and treatment in the DSM–5 era. Primary Care Companion for CNS Disorders, 18 (6). doi: 10.4088/PCC.16r02000. PMID: 27907271.Google ScholarPubMed