The Carlat Psychiatry Podcast
Bipolar in Older Adults
Jan 22, 2024
Chris Aiken and Kellie Newsome discuss the medical causes of bipolar disorder in older adults, exploring physical causes, differences between mania in dementia and delirium, and treatment options for secondary mania in older adults.
12:20
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Quick takeaways
- In older adults, mania is often associated with physical causes such as medical and neurologic disorders, medication side effects, and substance use, highlighting the importance of conducting a thorough evaluation to identify and address any underlying medical causes in older adults presenting with mania.
- When evaluating a patient with mania, it is crucial to review their medication list as certain medications can trigger manic symptoms, including antidepressants, stimulants, certain blood pressure medications, and some dietary supplements, emphasizing the need for awareness and caution in prescribing for individuals with bipolar disorder.
Deep dives
Bipolar Disorder in Older Adults: Identifying Physical Causes
Mania is a psychiatric condition that typically starts in the teenage years. However, when it occurs in older adults, especially those with no prior history of mood problems, it is important to consider underlying medical conditions as a potential cause. In older adults, mania is often associated with physical causes such as medical and neurologic disorders, medication side effects, and substance use. Cognitive impairment can also indicate secondary mania. This highlights the importance of conducting a thorough evaluation to identify and address any underlying medical causes in older adults presenting with mania.
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