Clinical Case Studies in Long-Term Care Psychiatry Navigating Common Mental Health Challenges in Geriatric Care
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 12 “I Am in Hell and I Will Die in Hell”
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Case 12 - “I Am in Hell and I Will Die in Hell”
Treatment-Resistant Depression and Electroconvulsive Therapy
from Section 2 - Mood Disorders
Published online by Cambridge University Press: 31 October 2024
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 12 “I Am in Hell and I Will Die in Hell”
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Summary
Major depressive disorder is a serious and life-threatening condition not uncommon to older adults. Only 60-70% of patients respond to an adequate trial of two different antidepressants. Reasonable strategies to address treatment-resistant depression in older adults include adding an antidepressant in another class or adding one or more of many available augmentation agents. When patients have treatment-resistant depression a clinician may need to consider nonpharmacologic therapies for depression such as electroconvulsive therapy or transcranial magnetic stimulation.
Keywords
- Type
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- Information
- Clinical Case Studies in Long-Term Care PsychiatryNavigating Common Mental Health Challenges in Geriatric Care, pp. 57 - 61Publisher: Cambridge University PressPrint publication year: 2024
References
References
Dominiak, M., Antosik-Wójcińska, A. Z., Wojnar, M., & Mierzejewski, P. (2021). Electroconvulsive therapy and age: Effectiveness, safety and tolerability in the treatment of major depression among patients under and over 65 years of age. Pharmaceuticals, 14 (6) https://doi.org/10.3390/ph14060582CrossRefGoogle ScholarPubMed
Rosenquist, P. B., Miller, B., & Pillai, A. (2014). The antipsychotic effects of ECT: A review of possible mechanisms. The Journal of ECT, 30 (2), 125–131.CrossRefGoogle ScholarPubMed
Rojas, M., Ariza, D., Ortega, Á., Riaño-Garzón, M. E., Chávez-Castillo, M., Pérez, J. L., Cudris-Torres, L., Bautista, M. J., Medina-Ortiz, O., Rojas-Quintero, J., & Bermúdez, V. (2022). Electroconvulsive therapy in psychiatric disorders: A narrative review exploring neuroendocrine–immune therapeutic mechanisms and clinical implications. International Journal of Molecular Sciences, 23 (13). https://doi.org/10.3390/ijms23136918CrossRefGoogle ScholarPubMed
Kelly, M. S., Oliveira-Maia, A. J., Bernstein, M., Stern, A. P., Press, D. Z., Pascual-Leone, A., & Boes, A. D. (2017). Initial response to transcranial magnetic stimulation treatment for depression predicts subsequent response. The Journal of Neuropsychiatry and Clinical Neurosciences, 29 (2), 179. www.ncbi.nlm.nih.gov/pmc/articles/PMC5592731/CrossRefGoogle ScholarPubMed
Mancusi, G., Santovito, M. C., Marrangone, C., Martino, F., Santorelli, M., Miuli, A., Carlo, F. D., Signorelli, M. S., Clerici, M., Pettorruso, M., & Martinotti, G. (2023). Investigating the role of maintenance TMS protocols for major depression: Systematic review and future perspectives for personalized nterventions. Journal of Personalized Medicine, 13 (4). https://doi.org/10.3390/jpm13040697Google Scholar
Further Reading
Bottomley, J. M., LeReun, C., Diamantopoulos, A., Mitchell, S., & Gaynes, B. N. (2020). Vagus nerve stimulation (VNS) therapy in patients with treatment-resistant depression: A systematic review and meta-analysis. Comprehensive Psychiatry, 98, 152156.CrossRefGoogle Scholar
Desai, A., & Grossberg, G. (2018). Psychiatric Consultation in Long-Term Care. A Guide for Healthcare Professionals. 2nd ed. (Cambridge University Press.) pp. 139–142.Google Scholar
van Rooij, S. J., Riva-Posse, P., & McDonald, W. M. (2020). The efficacy and safety of neuromodulation treatments in late-life depression. Current Treatment Options in Psychiatry, 7, 337–348.CrossRefGoogle ScholarPubMed