This book provides a comprehensive but practical understanding of the clinical approach to evaluating and caring for older people with bipolar disorder. Aspects of aging that impact the diagnosis, clinical course, and management of bipolar disorder are explained; in particular, attention is drawn to the implications of comorbidities and medical complexity for the psychiatric care of older individuals with the disorder. On the other hand, similarities to treatment in younger patients are also identified. The coverage includes thorough review of current research in the field. Clinical case vignettes are used throughout to highlight practical points, and each chapter includes “clinical pearls” that summarize key points for the clinician. The book closes by examining anticipated research directions and the future needs of this patient population. Bipolar Disorder in Older Age Patients will be an ideal update for the practicing community or geriatric psychiatrist working with older patients with bipolar disorder.

The Handbook of Mental Health and Aging, Third Edition provides a foundational background for practitioners and researchers to understand mental health care in older adults as presented by leading experts in the field. Wherever possible, chapters integrate research into clinical practice. The book opens with conceptual factors, such as the epidemiology of mental health disorders in aging and cultural factors that impact mental health. The book transitions into neurobiological-based topics such as biomarkers, age-related structural changes in the brain, and current models of accelerated aging in mental health. Clinical topics include dementia, neuropsychology, psychotherapy, psychopharmacology, mood disorders, anxiety, schizophrenia, sleep disorders, and substance abuse. The book closes with current and future trends in geriatric mental health, including the brain functional connectome, repetitive transcranial magnetic stimulation (rTMS), technology-based interventions, and treatment innovations. Identifies factors influencing mental health in older adults Includes biological, sociological, and psychological factors Reviews epidemiology of different mental health disorders Supplies separate chapters on grief, schizophrenia, mood, anxiety, and sleep disorders Discusses biomarkers and genetics of mental health and aging Provides assessment and treatment approaches

Presents a novel, evidence-based psychological intervention to help therapists manage cognitive and functional deficits in bipolar disorder patients.

Bipolar Disorder Bipolar disorder is the most complex psychiatric disorder with different types of mood episodes, subtypes, varied course, and significant comorbidity. Not surprisingly, this complexity poses unique challenges to clinicians for optimal management of those with bipolar disorder. There has been an explosion of research into the causes and treatment of this condition over the past two decades. It is a daunting task for a practising clinician to make sense of this research and to remain up to date with progress in the understanding of the neurobiology and treatment of bipolar disorder. This book synthesizes and translates the vast array of research knowledge into information that is both relevant and meaningful for a clinician. The book provides a comprehensive, yet focused, reference work on bipolar disorder for both trainees and practising psychiatrists. The two editors are leaders in the field who have published extensively on bipolar disorder. They have assembled a team of experts from around the world: in many instances, chapters are co-authored by people from different continents, bringing a truly international perspective to this important topic. The book covers the basic science of the pathology underlying bipolar disorder but addresses the clinical aspects of the disease throughout. The book comprises four sections: Descriptive Aspects–issues ranging from how the concept of bipolar disorder has evolved over the years to new information about neurocognitive impairment, creativity and economic productivity, and to discussion of the deliberations of the DSM-V committee on changes in diagnostic categories and criteria. Biological Aspects–the contribution of genes to this disorder, changes in circadian rhythms, what we know about brain changes and the role of oxidative stress. Management–all the latest information about pharmacological and other somatic treatments plus psychological therapies for the optimal management of this condition. Special Populations–detailed descriptions of bipolar disorder in women, children and the elderly. If you want to provide state-of-the-art care to your bipolar patients, be sure to consult this authoritative reference.

This comprehensive volume is the first to offer guidance to clinicians and researchers treating or studying bipolar disorder in older adults. Growing numbers of elderly people are affected by this serious mental illness. Presenting the most recent information, experts in the fields of bipolar disorder, geriatrics, and mental health services research cover late-life bipolar disorder in four major domains: epidemiology and assessment, treatment, complexity and comorbidity, and specialized care delivery. Revealing the effect of the aging process on the disease, they address diagnosis patterns over the life course, rating scales of assessment, pharmacologic and psychological therapies, adherence to treatment, effects of cultural factors, assessing the quality of care, and legal and ethical issues. An important tool for clinicians, this book will serve as a springboard for further research into this complex disorder. -- Grace Wong

This book contains a comprehensive review of the current research advances in late life mood disorders. This detailed review reflects the new understanding of neurobiology and psychosocial origins of geriatric mood disorders in the first decade of the 21st Century and is provided by the international group of leading experts in the field. The review of the latest developments and "gold standards" of care or methodologies in geriatric mood disorders is complemented by the anticipated future directions of research and translation into clinical practice. Our volume targets a broad audience of clinical researchers and clinicians. The content of the book will increase clinicians' and researcher's competency in recent research findings, and broaden their diagnostic and therapeutic perspectives and power of observation that will prepare them to deal with the challenges of finding appropriate effective treatments for older adults with mood disorders. The discussion of the data is presented in a textbook format and can be used for training of students of geriatric mental health. Individual chapters can be used as references on a particular topic for interested individuals, and obtained online. Clinicians and researchers who are dedicated to the treatment and study of mood disorders in older people might consider this volume an essential part of their library.

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