Geriatric patients are often refractory to pharmacological treatments for mood disorders and dementia. Electroconvulsive therapy (ECT) is clearly effective in late life depression and new research demonstrates that ECT is effective in dementia with severe agitation. Novel treatments such as magnetic stimulation therapy (MST) have the potential to provide benefits comparable to ECT without the risks of cognitive problems and could be particularly beneficial in the elderly. Transcranial magnetic stimulation (TMS) has also has demonstrated efficacy in depression and has few cognitive side effects. TMS has the potential to provide effective treatment for depression without the risks associated with anesthesia and ECT related cognitive problems. Other novel neuromodulation techniques including transcranial direct current stimulation and deep brain stimulation may also have important applications in geriatric psychiatry.
**This content was captured at the 2015 APA Annual Meeting and may reference information from various sources and terminology from previous editions of the DSM.
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- Describe recent advances in the treatment of geriatric unipolar depression
- List approaches that may help overcome some of the challenges in managing care for older people with bipolar disorder
- Desribe the efficacy of novel neuromodulation techniques in geriatric psychiatry
Estimated Time to Complete
Estimated Duration: 0.5 hours
Program Start Date: September 1, 2016
Program End Date: September 1, 2019
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 100% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the date of completion and hours earned.
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
- William M. McDonald, M.D., Emory University Medical School. Grant/Research Support: Neuronetics Inc., Cervel Neurotech, Soterix (tDCS machines) for Stanley Foundation multicenter trial. Other: Emory University holds a patent for an rTMS stimulator used by Neuronetics.
- Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Swathi Krishna, M.D., Morehouse School of Medicine. 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., Deputy Director, International Development and Engagement, American Psychiatric Association. Reports no financial relationships with commercial interests.
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