Preceded by Clinical manual of geriatric psychopharmacology / Sandra A. Jacobson, Ronald W. Pies, Ira R. Katz. 2007.

Here, three experienced pharmacologists offer a true "how to" guide to clinical geriatric prescribing, drawing upon their own first-hand clinical experience and reading of the literature in geriatric psychopharmacology. This concise handbook is replete with valuable advice for day-to-day clinical practice.

In the 7 years since the first edition of Clinical Manual of Geriatric Psychopharmacology was published, dozens of new drugs have been released, and older medications have been marketed in different formulations. In addition, research on pharmacokinetics, pharmacodynamics and mechanism of action, potential interactions, and other critical topics has proceeded apace, rendering much of the information in existing guides obsolete. This new volume is both comprehensive and completely up to date, offering information unavailable elsewhere. New drugs covered include asenapine, paliperidone, iloperidone, lurasidone, desvenlafaxine, vilazodone, long-acting trazodone, milnacipran, armodafinil, extended-release valproate, rotigotine transdermal, tetrabenazine, dextromethorphan, long-acting gabapentin, and transdermal buprenorphine. Each chapter has a standardized format, with topics including pharmacokinetics, pharmacodynamics and mechanism of action, drug interactions, clinical use (which addresses choice of drug, alternative formulations/routes, pre-treatment evaluation, dose and dose titration, PRN use, monitoring treatment, drug levels, managing treatment resistance, switching drugs, duration of treatment, discontinuation, and overdose), adverse effects, and treatment of selected syndromes and disorders. Dozens of tables, boxes, and figures organize and present complex material, such as practice guidelines, in a straightforward manner that is easy to understand and apply, and the concise, bulleted text facilitates reading and comprehension in the clinical setting. "Specific Drug Summaries" -- one-page summaries of prescribing information for individual drugs -- provide fast access to critical information in a simple format. Designed for residents, fellows, and all clinicians in psychiatry and medicine who diagnose and treat psychiatric and neuropsychiatric conditions affecting geriatric patients, this clinical reference can be used across all treatment settings (inpatient, outpatient, day hospital, consultation, and nursing home). Meticulously referenced and grounded in the latest research, Clinical Manual of Geriatric Psychopharmacology, Second Edition, is the definitive guide to psychotropic use in elderly patients. Clinicians can rely confidently on its up-to-date coverage and authoritative counsel.

Because limited training in geriatric psychiatry has tended to give insufficient attention to mental health care for the elderly, clinicians often need help when assessing and treating problems specific to older clients. Clinical Manual of Geriatric Psychiatry provides a single-volume reference that covers the full range of such problems, from depression to dementia. It shows that psychiatrists working with older people must sometimes be willing to play a generalist's role, combining routine medical management with psychiatric interventions or helping with social or situational problems. Drs. Spar and La Rue review the effects of aging on cognitive performance, including clinical presentations of memory loss and medication-induced symptoms of mental disorder. They offer practical guidance to help the clinician not only diagnose and treat these conditions but also address such issues as evaluating competency for informed consent. Enhanced by numerous charts and tables for easy reference, the book boasts a broad range of coverage: • Guidelines to differential diagnosis of depression -- laboratory tests, psychological tests, and symptom rating scales -- along with insights on new directions in psychotherapy, including intervention within primary care. • Assessment of both selective serotonin reuptake inhibitors and non-SSRIs as first-line agents for depression, citing advantages and disadvantages of specific drugs, plus advice on switching or combining antidepressants.• Discussion of the effective use of electroconvulsive therapy -- particularly the use of brief-pulse, bilateral electrode placement -- as well as experimental therapies such as repetitive transcranial magnetic stimulation and vagal nerve stimulation. • Guidance in cognitive mental status examinations and brief screening tools for dementia and Alzheimer's disease, focusing on the Mini-Mental State Exam and summarizing advanced and experimental diagnostics such as single photon emission computed tomography and positron emission tomography. • Appraisal of psychosocial therapies for patients with Alzheimer's Disease, such as behavior modification and reminiscence therapy, plus use of cholinesterase inhibitors for treatment of cognitive deficits.• Review of approaches to anxiety disorders, including differential diagnosis of phobias, generalized anxiety disorder, obsessive-compulsive disorder, and panic disorder, with a focus on psychosocial-behavior therapy and medications of choice. With life expectancies increasing, people over 85 already constitute one of the fastest growing demographics -- and the number of older people with mental disorders is rising as well. Clinical Manual of Geriatric Psychiatry explains how working effectively with older adults requires a blending of specialized knowledge with a flexible approach to the patient -- and shows how to bring that about in daily practice.

Thoroughly updated for its Fourth Edition, this volume is the most authoritative clinical reference on the pharmacologic treatment of psychiatric disorders in elderly patients. This edition provides complete information on new psychotropic drugs, new uses for established drugs, and clinically relevant advances in the neurosciences. Four new chapters cover genes, pharmacokinetics, and their impact on prescribing; new cognitive-enhancing strategies and drugs; late-life depression and physical illness; and depression and cardiac disease in late life. The book offers detailed guidelines—including drug names, dosages, and prescribing recommendations—for pharmacologic treatment of specific disorders. Chapters include clinical vignettes and tables presenting current clinical trial data. Appendices provide succinct information on prescribing and drug interactions.

Clinical Manual of Geriatric Psychiatry contains the most current information on psychiatric diagnoses seen in older patients, from delirium and dementia to schizophrenia and sleep disorders. The authors cover the psychiatric interview of older adults, psychopharmacology, psychotherapy, and clinical psychiatry in the nursing home.

What do clinicians need to know to safely and effectively prescribe psychotropic medications to elderly patients? Clinicians can now turn to this definitive handbook for answers. Here, three experienced pharmacologists offer a true "how to" guide to prescribing medications in the geriatric population, drawing on their own clinical experience and reading of the literature in geriatric psychopharmacology. This concise handbook is replete with valuable advice (e.g., drug dosing, titration) for day-to-day clinical practice. Each chapter covers a major psychotropic class, detailing the pharmacology, clinical use, side effects, and treatment of selected syndromes and disorders, plus a unique quick-reference summary of prescribing data on selected drugs. Concluding chapters detail the treatment of substance-related disorders, movement disorders, and dementias and other cognitive syndromes in the elderly-in-depth discussions that are simply not available elsewhere. Written for residents, fellows, and clinicians in psychiatry and medicine who diagnose and treat psychiatric and neuropsychiatric conditions that can affect geriatric patients, this clinical reference can be used across all treatment settings for the elderly (e.g., inpatient, outpatient, day hospital, consultation, and nursing homes). Geriatric and general psychiatrists, geriatric medical specialists, internists and family practitioners, medical students and residents, and case managers and social workers-all will come to rely on this handy guide for the critical information needed to provide optimal care for our fast-growing population of elderly patients.

Thoroughly updated for its Fourth Edition, this volume is the most authoritative clinical reference on the pharmacological treatment of psychiatric disorders in elderly patients.This edition provides complete information on new psychotropic drugs, new uses for established drugs, and clinically relevant advances in the neurosciences. Also, four new chapters cover genes, pharmacokinetics, and their impact on prescribing; new cognition enhancing strategies and drugs; late life depression and physical illness; and also depression and cardiac disease in late life.The book offers detailed guidelines including drug names, dosages, and prescribing recommendations for pharmacological treatment of specific disorders. Chapters include clinical vignettes and tables presenting current clinical trial data. Appendices provide succinct information on prescribing and drug interactions. succinct information on prescribing and drug interactions Chapters include clinical vignettes to reinforce relevance of information in daily practice NEW TO THIS EDITION: Four new chapters cover genes, pharmacokinetics, and their impact on prescribing; new cognitive-enhancing strategies and drugs; late-life depression and physical illness; and depression and cardiac disease in late life. Complete information on new psychotropic drugs, new uses for established drugs, and clinically relevant advances in the neurosciences

Clinical Manual of Geriatric Psychiatry provides the most current information on psychiatric diagnoses seen in older patients in a concise format. Each chapter is broken into easily understandable, increasingly focused sections, and contains an extensive array of tables, references, and suggested readings. Chapters include clinically relevant information and evidence-based treatments for a wide range of topics and disorders: The psychiatric interview of older adults, including history, family assessment, mental status examination, rating scales and standardized interviews, and effective communication techniques. Psychopharmacology, including information on antidepressants, psychostimulants, antipsychotic medications, mood stabilizers, anxiolytics and sedative-hypnotics, and cognitive enhancers. Diagnosis and treatment of delirium, dementia, mood disorders, schizophrenia, anxiety disorders, sleep disorders, and substance use disorders, including coverage of definition, epidemiology, clinical features, risk factors, diagnosis and differential diagnosis, prevention and management, and treatment guidelines. Individual and group psychotherapy strategies, including individual and group-based cognitive-behavioral therapies, interpersonal psychotherapies, relaxation training, cognitive stimulation therapy, and behavioral therapies. Clinical psychiatry in the nursing home, with a focus on cognitive disorders and behavioral disturbances, depression, treatment progress in this setting, and relevant federal regulations. Written by experts in geriatric psychiatry, this clinical manual provides a much-needed "field guide" for the care of nursing home patients and older adults. Busy clinicians, as well as researchers, residents, fellows, clinical psychologists, and social workers, will find this compact volume to be of the utmost value, as will anyone seeking to update their knowledge of geriatric psychiatry.

This text covers basic principles and practice of on-call psychiatric care in the geriatric patient in various medical settings. It compiles the most likely complaints and provides assessment and management tools for each situation. Written and edited by expert geriatric psychiatrists, emergency psychiatrists, consultation/liaison psychiatrists, geriatricians, and other multidisciplinary specialists, this is the first handbook devoted to on-call geriatric psychiatry. Chapters contain an important summary of key points for managing clinical situations, case studies, and reflective questions. This text brings together relevant principles of on-call geriatric psychiatry provided in clinical settings such as emergency, acute and subacute inpatient, outpatient, residential, correctional, and consultation/liaison. It includes clinical topics such as psychopharmacology, psychotherapy, substance abuse, and includes coverage of medical ethics and the law, utilization of contemporary technology, and administrative and public health policy. On-Call Geriatric Psychiatry is the first practical guide to knit together evidence-based medicine and geriatric psychiatric principles and practice guidelines and is a valuable resource for trainees, psychiatrists, geriatricians, emergency departments, nursing home physicians, and other health professionals working with older adult patients.