Clinical management of older age bipolar disorder

Annemiek Dols; Megan Y.S. Chan; Kenneth Shulman

doi:10.1007/978-3-319-48912-4_4

Clinical management of older age bipolar disorder

Annemiek Dols^*, Megan Y.S. Chan, Kenneth Shulman

^*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceeding › Chapter › Academic › peer-review

1 Citation (Scopus)

Abstract

This chapter reviews the unique aspects of the management of bipolar disorder in older adults including psychosocial and pharmacological treatments. Particular attention is drawn to the increased prevalence of medical comorbidities, cognitive impairment, and the impact of polypharmacy and drug interactions. Research evidence to guide clinical decision-making is very limited, and the chapter discusses the appropriate therapeutic guidelines based on extrapolations from mixed-age studies and case series. Clinical vignettes illustrate some of the delicate issues involved in balancing mood stability with the medical, neurological, and cognitive vulnerabilities of an older population.

Original language	English
Title of host publication	Bipolar Disorder in Older Age Patients
Publisher	Springer International Publishing
Pages	57-81
Number of pages	25
ISBN (Electronic)	9783319489124
ISBN (Print)	9783319489100
DOIs	https://doi.org/10.1007/978-3-319-48912-4_4
Publication status	Published - 1 Jan 2017
Externally published	Yes

Keywords

Bipolar disorder
Management
Mood stabilizers
Older adults
Renal effects
Tremor and lithium

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10.1007/978-3-319-48912-4_4

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abstract = "This chapter reviews the unique aspects of the management of bipolar disorder in older adults including psychosocial and pharmacological treatments. Particular attention is drawn to the increased prevalence of medical comorbidities, cognitive impairment, and the impact of polypharmacy and drug interactions. Research evidence to guide clinical decision-making is very limited, and the chapter discusses the appropriate therapeutic guidelines based on extrapolations from mixed-age studies and case series. Clinical vignettes illustrate some of the delicate issues involved in balancing mood stability with the medical, neurological, and cognitive vulnerabilities of an older population.",

keywords = "Bipolar disorder, Management, Mood stabilizers, Older adults, Renal effects, Tremor and lithium",

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AB - This chapter reviews the unique aspects of the management of bipolar disorder in older adults including psychosocial and pharmacological treatments. Particular attention is drawn to the increased prevalence of medical comorbidities, cognitive impairment, and the impact of polypharmacy and drug interactions. Research evidence to guide clinical decision-making is very limited, and the chapter discusses the appropriate therapeutic guidelines based on extrapolations from mixed-age studies and case series. Clinical vignettes illustrate some of the delicate issues involved in balancing mood stability with the medical, neurological, and cognitive vulnerabilities of an older population.

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KW - Renal effects

KW - Tremor and lithium

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Clinical management of older age bipolar disorder

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Keywords

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