Choosing a Mood Stabilizer in Older Adults

Choosing an appropriate mood stabilizer for older adults is crucial in managing bipolar disorder. Lithium is often considered the gold standard, as it effectively reduces manic symptoms and has anti-suicidal effects. Geropsychiatrists worldwide endorse lithium for older adults. A 2017 study revealed that lithium outperformed Valproeic acid in reducing manic symptoms in older adults. Additionally, low-dose lithium may even help prevent dementia. However, dosing must be adjusted in older adults to achieve optimal serum levels and prevent toxicity.