Seminars in Old Age Psychiatry

Written by: Faculty of the Psychiatry of Old Age at The Royal College of Psychiatrists

The Royal College of Psychiatrists and the Faculty of the Psychiatry of Old Age are offering this free online textbook. It is part of a series of texts for junior doctors to utilize during their training and in preparation for the MRCPsych examination.

Rob Butler and Brice Pitt are the editors and also the authors of several of the chapters. Each chapter can be individually viewed and/or downloaded. This text is from 1998 and may not include the latest information on the subject on the psychiatry of old age.

Table of Contents

Chapter 1: Assessment
Location of assessment
History
Mental State
Physical examination
Investigations
Formulation
Rating instruments
Chapter 2: Epidemiology
Demographic trends
Epidemiological terms
Sources of information
Types of study
States in epidemiological studies
Quality control
Chapter 3: Delirium
Historical context
Classification
Epidemiology
Clinical features
Natural history
Aetiology
Mechanisms of delirium
Differential diagnosis
Diagnosis
Management
Prognosis
Chapter 4: Alzheimer’s disease
Epidemiology
Clinical features
Differential diagnosis
Diagnostic criteria
Assessment
Prognosis
Aetiology
Neuropathology
Neurochemistry
Chapter 5: Vascular and other dementias
Vascular dementia
Rare causes of vascular dementia
Non-Alzheimer degenerative dementias
Treatable dementias
Chapter 6: Management of dementia
Historical context
Structured approach
Treatable causes of dementia
Concurrent illness
Troublesome behaviours
Medication
Psychological interventions
Social interventions
Carers
Primary health care
Multi-disciplinary team
Care Programme Approach
Problem-orientated approach
Chapter 7: Depression
Classification
Epidemiology
Clinical presentation
Assessment
Differential diagnosis
Aetiology
Management
Prognosis
Chapter 8: Mania
Classification
Epidemiology
Aetiology
Age of onset and clinical course
Clinical presentation
Management
Prognosis
Chapter 9: Anxiety disorders and other neuroses
Classification
Epidemiology
Aetiology
Specific neurotic disorders
Management
Chapter 10: Late paraphrenia
Historical context
Psychiatric signs and symptoms
Classification
Prevalence and incidence
Risk factors
Divisions
Management
Chapter 11: Personality disorders and alcohol
dependence
Personality disorder
Ageing and behaviour
Prevalence
Association with other diagnoses
Management of personality disorder
Outcome
Sexuality
Alcohol dependence
Epidemiology
Aetiology
Medical complications
Presentation
Management of alcohol dependence
Other drug dependence
Chapter 12: Imaging
Structural imaging
Functional imaging
Dementia
Affective disorders
Paraphrenia
Chapter 13: Services
Development of services
Range of services available
Links with other services
Chapter 14: Liaison
Epidemiology
Psychiatric disorders
Screening
Attitudes
Liaison practice
Relationship between geriatric physicians and old age psychiatrists
Chapter 15: Residential and nursing homes
Demographics
Historical context
Characteristics of residents
Characteristics of homes
Chapter 16: Pharmacological treatments
Pharmacokinetics
Pharmacodynamics
Dementia
Delirium
Depressive illness
Mania
Schizophrenia
Sleep disorders
Chapter 17: Psychological treatments
Practical applications
Psychotherapy
Group therapy
Family therapy
Marital therapy
Cognitive and behavioural therapies
Anxiety management
Grief counselling
Therapies for dementia
Carers and stress
Chapter 18: Carers
Extent of carer stress
Causes of carer stress
Effects of carer stress
Ways of reducing carer stress
Elder abuse
Chapter 19: Law
General principles
Legal rights of the mentally ill
Financial affairs
Compulsory admission
Consent to medical treatment
Chapter 20: Research
Basic principles
Types of study
Ethical principles
Stages in a research project
Specific problems and challenges
Future areas for research
Chapter 21: Patient management problems
Assessment
Epidemiology
Delirium
Alzheimer’s disease
Vascular dementia
Management of dementia
Depression
Mania
Anxiety disorder
Late paraphrenia
Alcohol dependence
Personality disorder
Imaging
Services
Liaison
Residential and nursing homes
Pharmacological treatments
Psychological treatments
Carers
Law
Research
   

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Seminars in Old Age Psychiatry


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