Depression and Mood Disorders in Later Life

Overview

Mood Disorders in Later Life examines the spectrum of mood disorders in older adults, focusing on major and nonmajor depressive disorders, bipolar disorder (manic and depressive phases), depression with psychotic features, and vascular depression. In depth discussions of diagnosis and treatment options including psychotherapy, pharmacotherapy, and ECT will help clinicians improve treatment outcomes in their elderly patients.

This Second Edition, an update and expansion of the ...

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Overview

Mood Disorders in Later Life examines the spectrum of mood disorders in older adults, focusing on major and nonmajor depressive disorders, bipolar disorder (manic and depressive phases), depression with psychotic features, and vascular depression. In depth discussions of diagnosis and treatment options including psychotherapy, pharmacotherapy, and ECT will help clinicians improve treatment outcomes in their elderly patients.

This Second Edition, an update and expansion of the 2003 Depression in Later Life, includes many additional topics including discussion of the epidemiology of late life mood disorders, the diagnosis and treatment of late life bipolar disorder, use of non-ECT neurotherapeutic approaches, and the importance of open access to the full range of treatments.

This comprehensive, single-source reference is ideal for all psychiatrists, neurologists, and primary care physicians and advanced practice nurses treating older adults.

Additional topics include:

  • overcoming barriers to treatment
  • cross-cultural issues
  • the neurobiology of late life mood disorders
  • medical comorbidity
  • drug interactions
  • prevention of later life suicide
  • maintenance therapies
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Editorial Reviews

From The Critics
Reviewer: Michael Joel Schrift, D.O., M.A.(University of Illinois at Chicago College of Medicine)
Description: Although there have been advances in the understanding of the neural mechanisms involved in mood regulation, it has been difficult to apply this knowledge at the bedside. This book helps in that effort with an excellent and comprehensive review of mood disorders in the elderly. Written and edited by researchers-clinicians in the field, this second edition review is a superb contribution to geriatric psychiatry.
Purpose: The purpose is to "present a comprehensive and current picture of late-life mood disorders." Indeed, the editors and chapter authors have produced a very informative and up-to-date review of the field.
Audience: The intended audience is psychiatrists and other mental health specialists, as well as primary care clinicians.
Features: The first several chapters review diagnostic and epidemiological issues in geriatric mood disorders. Subsequent chapters address neurobiological issues such as the vascular depression concept and comorbid disorders. The last several chapters review treatment issues with excellent summaries of the latest research on pharmacotherapy of late-life depression, electroconvulsive therapy, psychotherapy, barriers to treatment, and prognosis and maintenance treatment outcomes. Each chapter concludes with relevant and contemporary citations of the scientific literature.
Assessment: "This second edition is a first-rate resource for any healthcare professional who is involved in the care of the elderly. I highly recommend it. "
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Product Details

  • ISBN-13: 9781420053296
  • Publisher: Taylor & Francis
  • Publication date: 12/12/2008
  • Series: Medical Psychiatry Series , #23
  • Edition description: REV
  • Edition number: 2
  • Pages: 368
  • Product dimensions: 6.20 (w) x 9.10 (h) x 1.00 (d)

Meet the Author

JAMES M. ELLISON is Clinical Director of the Geriatric Psychiatry Program and Director of the Memory Disorders Clinic at McLean Hospital, Belmont, and Associate Professor of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA. He received his M.D. from University of California Medical School in San Francisco, California and his M.P.H. from the Harvard School of Public Health, Boston, Massachusetts, USA. Dr. Ellison’s clinical work and research interests focus on mood and cognitive disorders of later life. He is a Distinguished Fellow of the American Psychiatric Association, a Curriculum Committee member of the American Society of Clinical Psychopharmacology, and a member of the American Association for Geriatric Psychiatry. He is a reviewer for several journals and has edited and contributed to books on psychopharmacology, anxiety disorders, neuropsychiatry, and the care of suicidal patients in managed care settings. Dr. Ellison is also the co-editor of Informa Healthcare’s 2003 title, Depression in Later Life: A Multidisciplinary Psychiatric Approach.

HELEN H. KYOMEN is Assistant Psychiatrist, McLean Hospital, Belmont, Massachusetts, Clinical Instructor in Psychiatry, Harvard Medical School, Boston, Massachusetts, USA, and Medical Director, MetroWest Medical Center Geropsychiatric Treatment Unit, Natick and Framingham, Massachusetts, USA. Dr. Kyomen received her MD from the University of Southern California, Los Angeles, California, USA and her MS in Epidemiology from the Harvard School of Public Health, Boston, Massachusetts, USA. She is a graduate of the Harvard School of Public Health Program in Clinical Effectiveness and the Harvard Medical School Division on Aging/National Institute on Aging Mentored Clinical Scientist Development Program and serves as Principal Investigator of the ongoing study, “Bio-Psycho-Social-Cultural Aspects of Mood and Behavioral Disturbances in Geropsychiatric Patients: Cross-Sectional and Longitudinal Perspectives.” She has been a recipient of several prestigious awards, including the Merck U.S. Human Health/American Geriatrics Society New Investigator Award and the American Geriatrics Society Presidential Poster Award. She is an ad hoc reviewer for the American Journal of Psychiatry, the American Journal of Geriatric Psychiatry, and the Journal of the American Geriatrics Society.

SUMER VERMA is Director of the Geriatric Psychiatry Fellowship and Educational Programs, McLean Hospital, Belmont, Associate Professor of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA, and Lecturer on Psychiatry at Harvard Medical School, Boston, Massachusetts, USA. He is the Medical Director of the Alzheimers Unit at Briarwood Nursing Facility in Needham Massachusetts, USA. Dr. Verma received his M.B;B.S from Medical College Amritsar, India and M.D.(Gastroenterology) from Punjab University, Chandigarh, India. He has a number of national teaching awards and most recently was recognized by Psychiatric Times as “Teacher of the Year” in 2000. Dr. Verma is also the co-editor of Depression in Later Life: A Multidisciplinary Psychiatric Approach.

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Table of Contents

00 Preface

01 Kennedy, Lawrence, Davidoff, Ellison---Diagnosing Depression in Later Life

02 Lavretsky, Lyness----Geriatric Non-Major Depressive Syndromes

03 Kohn – Epidemiology---Kohn, Gum, King-Kallimanis-The Epidemiology of Major Depression in Geriatric Populations

04 Forester, Jordan---Bipolar Disorder in Later Life

05 Kyomen—Barriers to the Safe and Effective Treatment of Mood Disorders

06 Verma, Silverman---Economic Burden of Late Life Depression: Cost of Illness, Cost of Treatment, and Cost of Control Policies

07 Bharucha-- Late Life Suicide

08 Maletic – Neurobiological Aspects of Late Life Mood Disorders

09 Ujkaj, Davidoff---The Interface between Depression and Dementia

10 Kelly, Alexopoulas---The Vascular Depression Concept and Its Implications

11 Harnett, Pies---Mood Disorders and Medical Illness in the Elderly

12 Ward---Substance Use Disorders and Late Life Depression

13 Colemon, Ahmed---Barriers to Psychiatric Treatment for the Geriatric Patient: Cultural Issues

14 Moutier, Zisook---Bereavement In Later Life

15 Ellison, Siuriogiu, Salzman----Pharmacotherapy of Late Life Depression-Evidence Based Recommendations

16 Seiner, Burke---Electroconvulsive Therapy and Neurotherapeutic Treatments for Late Life Depression: Evidence Based Recommendations

17 Antognini, Liptzin---Psychotherapy for Late Life Mood Disorders

18 Mcgahee, Morris-Smith, Kyomen----Barriers to Treatment

19 Reynolds, Kmiec, Gildengers, Young, Reynolds---Late-Life Depression and Bipolar Disorders, Facts Affecting Long-Term Prognosis and Maintenance Treatment Outcomes

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