Psychiatrists have an important role in the prevention, diagnosis and management of dementia. The psychiatric patient population is at high risk for the development of neurocognitive disorders. Individuals with bipolar disorder and schizophrenia present with cognitive dysfunction throughout the life span, and are at increased risk of cognitive decline as they age. Depression is also a known risk factor for dementia. This presentation aims to provide an evidence-based approach to the assessment of neurocognitive disorders in older adults in a general psychiatric practice and to the management of mild dementia. The use of appropriate tools for neuropsychological and functional assessment can help guide diagnosis and management strategies. There are many potentially reversible causes of cognitive impairment, including medications, medical illness and substance misuse, which can be considered and investigated. Most psychotropic medications, including antipsychotics, benzodiazepines, anticonvulsants, lithium, and antidepressants with anticholinergic properties, have significant effects on cognitive function. Dose adjustment or switching of these medications in older adults may help to optimize cognitive function. From the perspective of psychiatric management of mild dementia, the value of certain psychotherapies and the use of cholinesterase inhibitors will be explored.
**This content was captured at the 2015 APA Annual Meeting
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- Describe the relationships between severe and persistent mental illness and dementia
- List the impact of psychotropic medications on the cognitive functioning of older adults
- Describe preventative and treatment interventions for dementia in psychiatric practice
Estimated Time to Complete
Estimated Duration: 0.5 hours
Program Start: April 1, 2016
Program End: April 1, 2022
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The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
- Andrea Iaboni, D.Phil., M.D., University of Toronto, Toronto Rehabilitation Institute. Reports no financial relationships with commercial interests.
- Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests
- Jon Fanning, M.S., C.A.E., Chief of Membership and RFM-ECP, American Psychiatric Association. Reports no financial relationships with commercial interests
- Stephanie Auditore, J.D., Director of Member Product Developmpent, Engagement & Portfolio Management, American Psychiatric Association. Reports no financial relationships with commercial interests
- Ricardo A. Juarez, M.S., Associate Director, Office of International Affairs, American Psychiatric Association. Reports no financial relationships with commercial interests
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