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Although ethics are critical to the practice of all aspects and specialties in medicine—and ethics knowledge and skills are foundational to the comprehensive practices, professionalism, and identities of mental health professionals—the importance of ethics to the wise practice of geriatric mental health can hardly be overstated. Psychiatric and neurocognitive disorders affect the core aspects of being human (e.g., emotions, behaviors, thoughts, memories, insight, judgment). Disturbances in one or more of these aspects of a person’s being can result, in various ways, in tensions among ethical principles. Older adults’ strengths, vulnerabilities, needs, sociocultural characteristics, and relationships all factor into the ethical aspects of their care. Although many of the ethical issues encountered in geriatric psychiatry overlap with those commonly addressed in psychiatry, numerous issues are either unique to or occur more commonly in older adults. The ethical dilemmas and questions that arise in caring for the geriatric population are among the most complex challenges providers will face in their careers.
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