Sections
Bipolar Disorder in Late Life: Introduction | Diagnosis | Epidemiology and Clinical Presentation | Neuroimaging | Differential Diagnosis | Treatment | Key Points | References | Suggested Readings
Excerpt
Bipolar disorder can be a severe, relapsing
mental illness, and it shares characteristics with both major depressive
disorder and schizophrenia. Like depressive disorders, bipolar disorder
features recurrent episodes of altered mood that interfere with
cognition and functioning. Like schizophrenia, it is a chronic disorder that
often contains psychotic episodes and similar pathological findings.
However, in contrast to late-life depression and schizophrenia,
information about late-life bipolar disorder is relatively scarce
(Bauer et al. 2002; Charney et al. 2003; Depp et al. 2005; Unutzer and Bruce 2002). Even basic
facts, such as how age may affect the development or expression
of bipolar disorder, where older adults with bipolar disorder live or
access their health care, or how late-life bipolar disorder may
affect social support, have been relatively lightly studied. Further,
answers to elementary questions regarding such issues as the prevalence
of late-life bipolar disorder and the best treatment practices are
unclear (Charney et al. 2003; Unutzer and Bruce 2002).