
Contents
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History of a specialty History of a specialty
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Overview of mental disorder among older people in different settings Overview of mental disorder among older people in different settings
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Tips on assessing an older person with psychiatric disorder: 1 Tips on assessing an older person with psychiatric disorder: 1
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General General
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Take time Take time
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Collateral history Collateral history
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Reduce distractions Reduce distractions
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Repetition Repetition
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Mental state examination Mental state examination
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Appearance and behaviour Appearance and behaviour
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Speech Speech
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Affect Affect
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Thoughts Thoughts
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Perceptions Perceptions
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Cognition Cognition
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Tips on assessing an older person with psychiatric disorder: 2, Physical examination Tips on assessing an older person with psychiatric disorder: 2, Physical examination
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System System
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General examination General examination
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Systemic disease Systemic disease
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Skin/nails Skin/nails
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Cardiovascular Cardiovascular
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Respiratory Respiratory
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Abdomen Abdomen
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Central nervous system Central nervous system
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Musculo-skeletal Musculo-skeletal
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Demographics of ageing Demographics of ageing
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The developing world The developing world
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North America North America
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Europe Europe
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United Kingdom United Kingdom
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The ageing world The ageing world
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Mental health in an ageing world Mental health in an ageing world
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Challenges in the developed world Challenges in the developed world
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Challenges in the developing world Challenges in the developing world
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Epidemiology of mental disorders in old age Epidemiology of mental disorders in old age
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Dementia Dementia
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Depression Depression
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Anxiety disorders Anxiety disorders
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Drug abuse Drug abuse
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Psychosis Psychosis
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Normal ageing Normal ageing
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Biological theories of ageing Biological theories of ageing
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Deliberate biological programming Deliberate biological programming
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The ageing clock The ageing clock
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Accumulation theories Accumulation theories
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Psychological theories of ageing Psychological theories of ageing
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Cognitive theories Cognitive theories
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Personality theories Personality theories
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Further reading Further reading
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Cite
Extract
History of a specialty
Old age psychiatry is a relatively young discipline which grew out of the appreciation (before it became a popular mantra) of the numbers of older people, the distinctive and rich psychopathology of their illnesses and the need to provide bespoke services. Clinical pioneers in the UK such as Felix Post, Tom Arie, Gary Blessed, Klaus Bergmann and David Jolley complemented academics such as Martin Roth, David Kay, Raymond Levy, John Copeland, Elaine Murphy and Robin Jacoby in forming a drive towards the creation of a unique set of circumstances which, coupled with political will in the late 1980s, formed the specialty of old age psychiatry. Advances in the understanding of the dementias and the basic biology of AD (by Bernard Tomlinson and Elaine Perry), gave a scientific boost to the major organic disorders which, until then, had been the focus of service descriptions and clinical characterizations
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