Across the spectrum of psychopathology in later life, psychotic symptomatology has been the most neglected, and although literature in this area is increasing, this is the first book to address the need for an overarching framework to examine and understand late-life psychotic phenomena. Exploring the practical and ethical issues that arise when managing psychotic elderly patients in the community, as well as the sequelae of stigmatisation and carer stress, this text brings together the latest research findings on schizophrenia as it presents in later life covers the frequent comorbidity of psychotic symptoms with cognitive impairment, mood disturbance and physical illness highlights the diversity of late-life psychotic symptomatology, discussing both aetiological considerations and management strategies
Foreword. Historical Background. Defining Psychotic Disorders in an Ageing Population. LATE-ONSET SCHIZOPHRENIA. Epidemiology of Late Onset Schizophrenia. The Neurobiology of Late Onset Schizophrenia, including neuroimaging, molecular genetics). The Neuropsychology of Late Onset Schizophrenia. MANAGEMENT OF EARLY AND LATE ONSET SCHIZOPHRENIA. Pharmacological Treatment of Early and Late Onset Schizophrenia (including pharmacokinetics). Psychosocial Treatment and Rehabilitation of Elderly with Early or Late Onset Schizophrenia. Community Based Long Term Care for the Elderly with Early or Late Onset Schizophrenia: A Multi-Disciplinary System of Care. Residential Care for the Elderly with Early or Late Onset Schizophrenia. De-stigmatization of the Elderly with Early or Late Onset Schizophrenia. OTHER PSYCHOTIC DISORDERS IN THE ELDERLY. Psychotic Symptoms in Delirium. Psychosis in Affective Disorders - Depression. Psychosis in Affective Disorders - Bipolar Disorder. Psychotic Symptoms in Dementia. Psychotic Symptoms and Severe Stress/Distress. Psychotic Disorders with Alcohol and Substance Abuse in the Elderly. Psychosis in the Elderly - Comorbidity and Disabilities. Iatrogenic Psychotic Disorders. Conclusion - Direction for Future Research and Implication for Practice.
'... a welcome and accessible multi-author book ..., really a series of excellent mini-reviews on psychosis in association with a wide range of neuropsychiatric disorders as well as schizophrenia ... I am confident [this book] will gain deserved recognition as required reading for old age psychiatrists in training.' - Robert Howard, British Journal of Psychiatry (20006) 189:196 'The book provides an invaluable research too for the study of the area of psychosis in the elderly.' - Australian Journal on Ageing 'This book uniquely addresses the need to bring together state of the art knowledge of aetiologies and best management practices for psychosis in later life.' - Medicine Today