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The Evolution of Mania in the Elderly: A Case Study

Published online by Cambridge University Press:  23 March 2020

I. Martine. Perez
Affiliation:
Residencia Psicogeriatrica Virgen del Valle, Psiquiatría, Murcia, Spain
F. García Sánchez
Affiliation:
Hospital Universitario de Elda, Anestesiología, Elda, Spain
A.L. Gonzalez Gáldamez
Affiliation:
Hospital Universitario Santa Lucia, Psiquiatria, Murcia, Spain
A. Belmar Simo
Affiliation:
Hospital Universitario Santa Lucía, Psiquiatria, Murcia, Spain
M.D. Piqueras Acevedo
Affiliation:
Hospital Universitario Santa Lucia, Psiquiatria, Murcia, Spain
C.J. Garcia Briñol
Affiliation:
Hospital Universitario Santa Lucía, Psiquiatria, Murcia, Spain
B. Perez Molina
Affiliation:
CSM Yecla, Psiquiatria, Murcia, Spain
I. Bello Pombo
Affiliation:
Hospital Universitario Santa Lucia, Psicologia, Murcia, Spain
A. Lopez Eugenio
Affiliation:
CAP Ramonete, Atención Primaria, Murcia, Spain

Abstract

Introduction

Bipolar disorder in elderly patients may present as an evolution of the disease initiated in younger stages or as an entity newly emerging. In addition, mania in the elderly, has characteristics that make it different from the adult. These disorders can be correlated with underlying vascular or degenerative disorders [1].

Methods

Review of the relevant literature by searching PUBMED, limited to studies of greater scientific hierarchy.

Results

The existence of changes in the manic phase motivated by the influence of vascular disease, as well as the importance of the changes experienced in therapy at the rate of underlying organic disease described. The useful pharmacotherapeutic approach in this case is discussed.

Conclusion

The most recent research points in the direction of a more organic for mania late age-related substrate. The diverse etiology requires differential diagnosis for addressing the underlying causes [1]. The clinic does not dim with age, but increases the tendency to develop rapid cycling as age progresses. It is also more frequent occurrence of paranoid and aggressive traits, especially in situations of confrontation, along with increased dysphoria [2]. The therapeutic management by neuroleptics require very careful attention, because of the vulnerability of this group to develop adverse effects. Mood stabilizers use has been demonstrated as effective as in young [2].

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Old age psychiatry
Copyright
Copyright © European Psychiatric Association 2017

References

Agüera, L., Cervilla, J., Martín, M.Psiquiatría geriátrica.2eEdicion. Trastorno Bipolar 2006;19:436443Google Scholar
Agüera, L., Sánchez, M., Martín, M., Olivera, J., Azpiazu, P., Mateos, R.Guía Esencial de Psicogeriatría. Trastornos afectivos. 2015Google Scholar
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