Psychiatric Problems of the Aged

ABSTRACT: Depression is the most important of the various psychiatric illnesses (including organic brain syndromes, schizophrenia, neuroses and personality disorders) that may develop in old age. The symptoms and the relationship to suicide are discussed. Therapeutic efforts (chemotherapy, electroshock, psychotherapy) may be directly affected by the physician's attitude. Drugs for the treatment of depression include the tricyclic antidepressants, MAO inhibitors, amphetamines, phenothiazines, minor tranquilizers (chlordiazepoxide, diazepam) and lithium. Contraindications and the dangers of misuse are emphasized. Electroshock is indicated for suicidal or medically endangered patients or for those who do not respond to chemotherapy. The psychiatric skills of the family practitioner are very important in helping the patient to adjust to the crises of old age and in preventing mental illness. 1974 The American Geriatrics Society