PSY 3171 Lecture Notes - Lecture 16: Neurofibrillary Tangle, Vascular Dementia, Myoclonus

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Prevalence: mental disorders are not actually more common in older people than younger people, with the exception of 2: sleep disorders, dementia, mood, anxiety and psychotic disorders are less common in older than younger adults. Diagnosis: comorbid physical illness, vascular disease, arthritis, neurological disease, polypharmacy can complicate diagnosis of mental disorders in older adults. Describe sleep disorders: prevalence, primary insomnia: 12-50, nocturnal myoclonus: 25-60, apnea: 25-33, treatment, drugs. Exposure to metals (aluminum, mercury: treatment, drug therapies to control symptoms and slow progression focus on secondary symptoms (anxiety, agitation, depression) Behaviour modification, caregiver counselling, changes to physical environment (improve. Describe vascular dementia safety: cerebrovascular damane (second most common cause of dementia) Increases with age (more common in men: diagnosis, neuroimaging for infarctions, etiology, vascular events will cause a stepwise progression stroke, diabetes, obesity and smoking are risk factors, treatment, managing risk factors with lifestyle changes and medication.

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