The experienced editors of Practical Strategies in Geriatric Mental
Health: Cases and Approaches recognize that older patients can pose
unique challenges to general practitioners working outside this
specialty, and that the shortage of geriatric mental health
specialists makes the creation of trustworthy, user-friendly
resources more critical than ever. In response, they produced this
book to be accessible not only to physicians and mental health
practitioners, but also to a broader audience of care and service
providers for older adults, such as social workers and nurses. From
the depressed patient who has not responded to one or more trials
of antidepressants and is now losing weight and rarely leaving
home, to the patient with major neurocognitive disorder whose
behavior has become increasingly difficult for caregivers, older
adults frequently present with complex diagnostic and treatment
challenges. Each chapter focuses on a specific symptom or disorder
(e.g., depressive symptoms/syndromes, anxiety, neurocognitive
disorder with behavioral disturbance, grief) and begins with a
"chief complaint," borrowed from common real-world clinical
scenarios. A brief clinical vignette portrays how the chief
complaint is often presented, followed by relevant discussion of
practical approaches to assessment, diagnosis, and treatment. These
cases bring the material to life and illustrate relevant clinical
applications, as well as the nuances of common presentations. *
Chapters are consistent in structure, flowing from the case
illustration to diagnostic and assessment tools to treatment
options, and ending with a return to the case to integrate the
material presented.* Clinical guidelines and assessment tools
suitable for both nonexperts and experts are provided for use in
clinical encounters to assess functioning and treatment
effectiveness.* Easy-to-follow algorithms, brief behavioral
interventions, additional resources (e.g., organizations, websites,
books to recommend to patients and families), and clear, take-home
pearls are also included, making this text a valuable repository of
usable information.* The text acknowledges the reality that the
patient belongs to a family system. Family members, who are often
also caregivers, have questions and fears-and their own medical and
mental health conditions. Accordingly, the authors carefully
consider family input and influence on the clinical situation.
Comorbid medical conditions, the increased likelihood of medication
interactions, and the presence of cognitive changes all can
complicate and confuse the clinical picture. Practical Strategies
in Geriatric Mental Health: Cases and Approaches brings the
geriatric psychiatrist's knowledge base and armamentarium to the
reader, who will find its guidance essential and empowering.
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