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Old Age Psychiatric Issues

As people age, they may experience mental health disorders due to physical, emotional, and social changes. Geriatric psychiatry focuses on diagnosing and treating mental health conditions in older adults, ensuring they maintain a good quality of life.

Common Psychiatric Issues in Old Age

Depression in the Elderly
  • Persistent sadness, hopelessness, or social withdrawal.
  • Loss of interest in activities they once enjoyed.
  • Sleep disturbances (insomnia or excessive sleep).
  • Fatigue, memory issues, or difficulty concentrating.
Anxiety Disorders
  • Constant worry, fear, or nervousness.
  • Panic attacks, restlessness, or muscle tension.
  • Avoiding social interactions due to fear.
Dementia & Alzheimer’s Disease
  • Memory loss affecting daily life.
  • Difficulty in problem-solving and decision-making.
  • Confusion, disorientation, or personality changes.
Delirium (Acute Confusion State)
  • Sudden onset of confusion or disorganized thinking.
  • Rapid mood swings or hallucinations.
  • Often triggered by infections, medications, or dehydration.
Sleep Disorders (Insomnia & Sleep Apnea)
  • Difficulty falling or staying asleep.
  • Breathing interruptions during sleep (sleep apnea).
  • Daytime drowsiness and fatigue.
Psychotic Disorders (Paranoia & Hallucinations)
  • Seeing or hearing things that aren’t real.
  • Believing others are trying to harm them (delusions).
  • Increased suspicion, leading to isolation.
Substance Abuse & Medication Misuse
  • Overuse or dependency on painkillers, alcohol, or sedatives.
  • Mixing medications improperly, leading to side effects.

Causes & Risk Factors

  • Biological Factors: Brain aging, genetics, and neurological disorders.
  • Social Isolation: Loss of loved ones, loneliness, and lack of social support.
  • Physical Health Issues: Chronic pain, disability, or major illnesses (stroke, heart disease).
  • Medication Side Effects: Drugs for hypertension, sleep, or pain may trigger psychiatric symptoms.
  • Lifestyle Changes: Retirement, financial stress, or reduced mobility.

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