Manual Psychiatry in the Elderly

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Additionally, geriatric psychiatrists have expertise on how to handle other types of mental illness that can evolve and become more pronounced depending on the patient's age and life circumstances, such as depression or substance abuse. Not only do geriatric psychiatrists specialize in treating the symptoms of the disorder at hand, but they're also often required to address the underlying issues, just as psychologists and counselors do.

For example, anxiety could arise because of memory loss or a new medical diagnosis. Similarly, the loss of family and friends could make depressive symptoms more pronounced and trigger a descent into substance abuse. Geriatric patients often have a set of worries that are unique to their age group, like the state of the world, a fear of mortality, or feelings of grief, that can contribute to their mental state.

Because of the interconnectedness of these issues, it is important that geriatric psychiatrists understand the problems facing senior citizens.

Mental illness in elderly patients is also intertwined with physical health. Because geriatric psychiatrists are medical doctors, they can make assessments about their patients that take into account the person's emotional and medical history. A patient's depression, for instance, could be the result of a cancer diagnosis, or an unnoticed interaction of medications.

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It is a geriatric psychiatrist's job to consider all of these factors when making decisions. With the growing population of older adults in America, the profession of geriatric psychiatry has also continued to grow. This means that geriatric psychiatrists are needed in a large variety of locations. To some extent, geriatric psychiatrists practice in the same places as any other psychiatrist.

These locations include private practices and hospitals where patients can make appointments to receive services, or receive services as part of their stay in the hospital. However, geriatric psychiatrists also practice in facilities that are unique to their specialized fields, such as assisted living facilities , nursing homes, and veterans' homes.


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Because of the high concentration of older adults in these types of facilities, geriatric psychiatrists are often included as a part of the care teams in nursing homes and assisted living centers. In facilities like these, psychiatrists are also often on-call throughout the day and night to serve these unique, residential populations. However, patients do not have to live in one of these specific facilities to receive services from a geriatric psychiatrist.


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  • Patients can visit geriatric psychiatrists in their offices and at hospitals, while some geriatric psychiatrists even make house calls. House calls, in particular, increase comfort for patients that have limited mobility. House calls are also ideal for patients that might be unwilling to receive services elsewhere due to distrust or stigma. Geriatric psychiatrists offer similar treatment options to those presented by a general psychiatrist. Medication, behavior plans, and talk therapy are all options that a geriatric psychiatrist might explore with their clients.

    Before treatment can occur, however, geriatric psychiatrists must go through the process of diagnosing their patient. Due to increasing physical ailments in elderly patients, geriatric psychiatrists often have greater difficult diagnosing and treating patients. Some physical issues present with psychotic or depressive symptoms, while some mental disorders, like depression, can result in physical symptoms like lethargy.

    Geriatric psychiatrists must, then, conduct extensive physical assessments and psychological questionnaires to distinguish the causes of certain symptoms. Although attitudes are changing, some geriatric psychiatrists find that older generations still carry the stigma of receiving psychiatric or psychological care.

    Some clients may be resistant to treatment or in denial that they require it in the first place.

    What You Need To Know About Geriatric Psychiatry

    Being respectful while still working through these barriers is another element of the treatment plan that geriatric psychiatrists may need to consider. Diagnosis and treatment in geriatric psychiatry also must address the interpersonal context of geriatric care. Older adults often have a strong network of support around them, made up of family and other medical practitioners; because of this, geriatric psychiatrists typically work as part of a larger care team.

    The client's family also tends to be more actively involved in treatment that would be typical of a psychiatric patient.

    Geriatric Psychiatry

    Geriatric psychiatrists often collaborate with a patient's family to ensure that treatment can be delivered successfully and to help them grapple with their elderly family member's issues. To collect information that a patient is unable to give them and to get a larger picture of the patient's psychological issues are also reasons that a geriatric psychiatrist might work with a patient's family.

    Seeking mental health care can be difficult, especially for seniors. Between mobility concerns and potential social stigma, many older adults struggle to get the care that they need. Similarly, caretakers of elderly patients can have trouble finding time to receive care themselves. No matter what your situation, receiving mental health care can be expensive, overwhelming, or inaccessible.

    If care from a medical doctor is out of reach, there is still a way to seek professional help for your problems. BetterHelp can set you up with cheap, convenient counseling that can give you the care you need. With over 1,, registered users and licensed counselors, BetterHelp is a service you can trust. By Laurel Ranger.

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