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This sqadia.com medical video lecture is comprehensive elaboration of geriatric psychiatry. In this V-learning lecture, Dr. Hina Khan begins by explaining the concept of anxiety, anxiety disorders, and their associated symptoms. Then, moves to elaborate the geriatric anxiety. Moreover, light is shed on sleep disorders and sleep disorders treatment. Conclusively, information is given about geriatric assessment.
Anxiety is when you worry or fear too much about something that you do not feel comfortable and cannot function at work, in school, and in relationships. Anxiety is associated with cognitive, behavioral, and physiological symptoms. Panic disorders, general anxiety disorders, obsessive compulsive disorder are some of the anxiety disorders. Substance induced anxiety disorders, also discussed in this section, is more likely to happen with age.
At first medical practitioner talks about anxiety disorders due to medical conditions. After that, prevalence in the elderly is discussed. Clinical evaluation of working up anxiety is pursued later on which includes laboratory testing, history, physical exam, mental status exam. Interventions for anxious patients are routine exercise, rote activity, and brief, regular appointments with a trusted staff.
Normal sleep pattern begins after sleep onset. Sleep usually progresses through NREM stages 1 to 4 within 45 to 60 min. Then, Dr. Hina Khan talks about changes in sleep with age and tells that deep sleep (Stages 3 and 4) decreases from ~25% down to 3% of total sleep time. Following this, circadian rhythm disturbances are pursued. At last, light is shed on impact of disrupted sleep which include difficulty staying awake during the day, impaired attention.
Sleep Disorders Treatment
Evaluation of sleep history and medical history is the prime emphasis in sleep disorders treatment. Both environmental factors and health factors are responsible for sleep hygiene. Non-pharmacological management is based on cognitive therapy. Alongside, Dr. Hina Khan also talks about FDA approved and Non-FDA approved pharmacological treatments.
In the beginning of this section information about mental state examination is delivered. Then geriatric depression scale comes under consideration in which the doctor asks some question from the patient regarding past week feelings like are you basically satisfied with your life? do you often get bored? After that, pharmacological considerations are discussed.