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Sections

Acute Confusion | Memory Loss | Insomnia | Anxiety | Suspiciousness and Agitation | Depression | Substance Use | Conclusion | References

Excerpt

In comparison with those who work with younger adult and middle-age patients, psychiatrists who work with older adults face an added degree of complexity when they engage in the diagnosis and treatment of problems. Most older patients with psychiatric disorders do not fit easily into the diagnostic categories of DSM-5 (American Psychiatric Association 2013) because they typically experience multiple symptoms that affect both physical and psychiatric functioning. Therefore, a focus on patient functioning is critical. In this chapter, we follow a syndromal approach by identifying seven psychiatric syndromes that are most prevalent among older individuals—acute confusion, memory loss, insomnia, anxiety, suspiciousness and agitation, depression, and substance use—and describing these syndromes within the context of managing the resultant impairment. Because the psychiatric disorders that contribute to these syndromes are described in greater detail elsewhere in this volume (i.e., Chapters 9 through 27), we focus on the aspects of the syndromes that are unique to late life and on the management of these syndromes in older adults.

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