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Achieving Long-Term Optimal Outcomes in Geriatric Depression and Anxiety

Published online by Cambridge University Press:  07 November 2014

Benoit H. Mulsant ,
Ellen Whyte ,
Eric J. Lenze ,
Francis Lotrich ,
Jordan F. Karp ,
Bruce G. Pollock  and
Charles F. Reynolds III
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Abstract

Depression and anxiety disorders are very common in the elderly. Data accumulated over the past 2 decades have shown that most older patients can tolerate and respond to acute treatment with serotonergic antidepressants, other psychotropic agents, or manual-based psychotherapy. However, outcomes under usual-care conditions remain poor. This review proposes that clinicians may significantly improve the long-term outcomes of their older patients with depression and anxiety by focusing on four key factors: (1) identification and treatment of comorbid conditions; (2) full remission of acute symptoms; (3) education of patients, families, and professional colleagues about the need for long-term treatment; and (4) prevention and management of medication side-effects.

Type
Academic Supplement
Information
CNS Spectrums , Volume 8 , Issue S3: Anxiety and Depression in the Elderly: Implications for Diagnosis and Treatment , December 2003 , pp. 27 - 34
Copyright
Copyright © Cambridge University Press 2003

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