Depression in Older Patients

Depression can occur in any patients as they age, even without a prior history of depression. Older individuals can present with mood symptoms that can seem to be part of the normal aging process, but it is important to assess for the possibility of a masked depression. Of note, there is an increased risk of […]

Treating Depression in Older Patients PART 2

In last week’s eWeekly article, we discussed the features to be aware of in evaluations of depression in older patients, including the influence of depression and/or cognitive impairment in increasing the risk of the other condition. This eWeekly addresses treatment of depression in older patients and how it might differ from treatment in younger adults. […]

Assessing and Treating Sleep Disturbance in Patients with Dementia (part 2): Treatment

There are non-pharmacological and pharmacological options to treat sleep disturbance in patients with dementia. Non-pharmacological approaches include: light therapy, regular exercise, and behavioral treatment/sleep hygiene. In general, evening bright light treatment is helpful for sleep maintenance problems and morning light exposure is helpful for patients whose sleep is phase-delayed or who are suffering from a […]

Assessing and Treating Sleep Disturbance in Patients with Dementia (part 1): Assessment

Sleep disturbance, including reduced sleep time, fragmented sleep, nighttime wandering, increased sleep latency, and daytime sleepiness and fatigue, are common concerns related to dementia. It is estimated that 1/3 of patients with Alzheimer’s dementia suffer from a sleep disturbance. The goal of this article is to review treatment options for sleep disturbance in patients with […]