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Clinical Case Studies in Long-Term Care Psychiatry Bipolar Disorder
Published online by Cambridge University Press: 31 October 2024
Bipolar disorder is a condition that is commonly encountered in the older adult population. Estimates are that up to 4.5% of adults in the US are affected by bipolar disorder. The estimates for older adults are between 0.5 and 1%. Starting a mood stabilizer or second-generation antipsychotic is a good first choice for those who are depressed with a known personal history of bipolar disorder and who are not already on one. It is important for healthcare providers in long-term care settings to recognize early signs of psychiatric destabilization in those with bipolar disorder. Signs of destabilization in older adults can be decreased need for sleep, increased irritability, a general increase in activity, or even the development of psychosis (delusions or hallucinations).
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