Tuesday, 19 August 2003: 07:00-08:30 | |||
S107 Modeling Effective Treatment of Psychoses: A Focus on Avoiding Movement Disorders | |||
| Modeling Effective Treatment of Psychoses: A Focus on Avoiding Movement Disorders The diagnostic evaluation and treatment of psychoses in the elderly requires several considerations. Psychoses in the elderly may be caused by a variety of common and uncommon underlying disease states. The elderly patient is often afflicted with other comorbid physical illnesses, sensory deficits, and polypharmacy that complicate the diagnosis and treatment of a psychosis. Therefore, the primary consideration in evaluating an elderly patient is to eliminate medically reversible etiologies. Non-pharmacologic approaches to the management of behavioral disturbances associated with psychosis will be discussed. In addition, emphasis will be placed on the need for pharmacologic treatment, specifically with antipsychotics. The pharmacology and mechanisms of antipsychotics in the elderly are different from younger patients, and hence, the elderly are particularly vulnerable to such side effects as sedation, movement disorders, cardiovascular, and metabolic effects. The program will include data that suggest that some atypical antipsychotics have a more favorable risk and benefit profile than conventional antipsychotics for the treatment of psychoses in the elderly. Given the complicated profile of psychoses in the elderly, the optimization of treatment strategies requires careful and integrated consideration of the underlying pathologies, pharmacology of chosen therapeutics, and the associated risks and benefits of treatment. | |||
| Chair: | Richard Trosch | ||
| S107-001 Caring for the Whole Elderly Patient Stephen Bartels | |||
| S107-002 Pharmacology of Antipsychotics in the Elderly: A Focus on Atypicals Dilip Jeste | |||
| S107-003 Neurologic Risks and Benefits of Atypical Antipsychotics Richard Trosch | |||
| S107-004 Optimizing Treatment Strategies in the Elderly Ira Katz | |||
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