Clinical Case Studies in Long-Term Care Psychiatry: Navigating Common Mental Health Challenges in Geriatric Care

The mental healthcare of older adults can lead to age specific challenges, however, many healthcare settings have limited access to expert geriatric psychiatric consultation. This compelling book provides a comprehensive compilation of real-life cases involving the psychiatric care of older adults in the long-term care setting. Providing practical guidance for healthcare professionals who work regularly with older adults, the chapters cover key topics such as neurocognitive disorders, mood disorders, anxiety disorders, psychotic disorders, end-of-life mental health care, and sexuality issues in older adults. Offering all the information necessary for the diagnosis and formulation of treatment plans for a wide variety of psychiatric presentations, the book covers pharmacologic and non-pharmacologic options for each disorder to assist healthcare professionals in providing well-rounded care. For all those involved in the prevention, assessment, diagnosis, and management of neuropsychiatric disorders in long-term care populations. Provides a case-based approach to all the common problems and diagnoses in geriatric psychiatry, featuring real-life examples of cases to ensure that the information presented is memorable, relatable and usable to clinicians in the field Each case study builds upon the understanding and knowledge of assessment and the effective management of neuropsychiatric disorders in long-term care populations, enabling readers to become more confident in providing evidence-based care to their older patients with psychiatric issues Offering valuable practical guidance to those who frequently practice in the long-term care setting, the authors incorporate practical, strengths-based individualized psychosocial spiritual and environmental approaches to improve mental health and quality of life of long-term care residents Preface Part I. Neurocognitive Disorders: 1. 'I've fallen...and I can't get up': Sundowner syndrome 2. 'I think I hit my head': major neurocognitive disorder secondary to alcohol use disorder 3. 'It's like she's a different person': neuropsychiatric complications of TBI 4. 'I am tired all the time': dementia with Lewy Bodies 5. 'I am okay': frontotemporal dementia 6. 'Leave me alone': agitation in MNCD 7. 'I am fine': apathy syndrome 8. 'Those children are cute': cholinesterase inhibitors and memantine 9. 'Those terrible men have left': agitation in MNCD 10. 'I saw the heavenly gates': end of life care in MNCD 11. 'Leave me alone': pain control in MNCD Part II. Mood Disorders: 12. 'I am in hell and I will die in hell': treatment resistant depression and electroconvulsive therapy 13. 'My mom looks like a zombie!': antipsychotic-related movement disorders 14. 'My soul is in England': treatment of depression and anxiety at end-of-life 15. 'I feel terrible': SSRIs and treatment resistant depression 16. 'I don't care': SSRIs/SNRIs and bleeding risk 17. 'I feel very lonely': depression/Psychogenomic testing 18. 'I don't feel right': bipolar disorder 19. 'I am feeling great': secondary mania 20. 'I am staying here illegally': major depressive disorder with psychosis Part III. Psychotic Disorders: 21. 'That priest is a gossip': schizophrenia and long-acting injectable antipsychotics 22. 'He just won't get up': catatonia 23. 'My body is being taken over by a fungus!': delusional disorder 24. 'This is humiliating': clozapine 25. 'I want to go home': delirium 26. 'I am a worrier': schizoaffective disorder and antipsychotics 27. 'Get out of my house': medication induced delirium Part IV. Anxiety and Related Disorders: 28. 'My whole life is in there!': hoarding disorder 29. 'My vision has been worsening in the last two weeks': generalized anxiety disorder 30. 'I am not addicted to Valium': panic disorder 31. 'Of course, I worry about him': generalized anxiety disorder in the setting of MNCD 32. 'Bombs are falling! Run, run!': PTSD Part V. Substance Abuse Disorders: 33. 'I used to do a bit of everything': substance use disorders Part VI. Personality Disorders: 34. 'No one here is on my level': narcissistic personality disorder 35. 'I cannot wait to get out of this miserable place': borderline personality disorder Part VII. Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-term Care: 36. 'Can I have a hug?': sexually inappropriate behavior 37. 'Everyone is just so good to me!': pseudobulbar affect 38. 'Why do they say I have dementia?': ADD in older adults 39. 'I hate that guy... I can't get any sleep!': sleep-wake cycle disorders 40. 'Just one kiss': sexuality in long-term care 41. 'I don't feel well': anticholinergic medications, incontinence and overactive bladder 42. 'I like food': binge eating disorder 43. 'I like the way she laughs': sexuality in long-term care 44. 'This is so hard': caring for the caregiver Index.