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52 Possible Causes for Psychosis in Older Patients

  • Vitamin B12 Deficiency

    […] with psychotic versus nonpsychotic depression. 34 Some reports and studies have recognized the association of psychosis and cobalamin deficiency, specifically in older adults[doi.org] […] cobalamin deficiency have shown a response to treatment with vitamin B 12 , strengthening the association. 10 , 12 , 50 Another study found lower levels of vitamin B 12 in patients[doi.org] […] cobalamin deficiency have shown a response to treatment with vitamin B 12, strengthening the association. 10, 12, 50 Another study found lower levels of vitamin B 12 in patients[doi.org]

  • Alcohol Abuse

    , or have cardiovascular disease, and is not recommended for patients with severe pulmonary disease, chronic renal failure, or diabetes, or those older than 60 years.[aafp.org] […] for a severe alcohol–disulfiram interaction, disulfiram is contraindicated in patients who are receiving or have recently received metronidazole or ingested alcohol, have psychosis[aafp.org]

  • Delirium

    patients with dementia-related psychosis Quetiapine (Seroquel) 25 mg twice daily orally Risperidone (Risperdal) 0.5 mg twice daily orally Benzodiazepine Lorazepam (Ativan[aafp.org] […] with withdrawal syndrome, hepatic insufficiency, neurolpetic malignant syndrome, or Parkinson disease Associated with increased mortality rate in older patients with dementia-related[aafp.org] psychosis Atypical antipsychotics* Olanzapine (Zyprexa) 2.5 mg once daily orally (maximum dosing of 20 mg in a 24-hour period) Extrapyramidal effects, prolonged corrected[aafp.org]

  • Alzheimer Disease

    More studies are urgently needed to find better solutions to help older patients with dementia who have agitation, aggression, and psychosis.[dx.doi.org] These symptoms can include agitation, aggression, and psychosis, and are often devastating for the older patient and his or her family and caregiver.[dx.doi.org] Almost all older dementia patients will experience, along with the cognitive and functional decline typical of the illness, some neuropsychiatric symptoms.[dx.doi.org]

  • Anxiety Disorder

    […] in patients with dementia, but these medications need to be used cautiously in older patients because of increased medication sensitivity, sedation, fluctuation in blood[web.archive.org] […] recommended for the treatment of late-life anxiety. 39 The atypical antipsychotics are sometimes prescribed for behavior problems that may be associated with anxiety or psychosis[web.archive.org]

  • Alcohol Withdrawal

    Wilber, Altered Mental Status in Older Patients in the Emergency Department, Clinics in Geriatric Medicine, 29, 1, (101), (2013). Eduard E. Vasilevskis, Jin H.[dx.doi.org] It is further indicated that abrupt cessation of benzodiazepines taken in “therapeutic” doses for several years in some instances can give rise to a withdrawal psychosis.[dx.doi.org]

  • Temporal Lobe Epilepsy

    Epilepsy Behav. 2009 Aug;15(4):417-24. doi: 10.1016/j.yebeh.2009.06.006. Epub 2009 Jul 29. Abstract Norman Geschwind catalyzed academic interest in the study of interictal behavioral changes in temporal lobe epilepsy. His contributions to this area comprise a series of 11 articles, chapters, editorials, and commentaries[…][ncbi.nlm.nih.gov]

  • Dementia

    Patients with Dementia [Cochrane for Clinicians] 01/15/2014 Dementia [Clinical Evidence Handbook] 01/01/2012 Antidepressants for Agitation and Psychosis in Patients with[aafp.org] […] in patients with dementia, but these medications need to be used cautiously in older patients because of increased medication sensitivity, sedation, fluctuation in blood[web.archive.org] Nondrug Interventions and Antipsychotic Use 08/01/2016 Exercise to Improve Functioning in Patients with Dementia [FPIN's Help Desk Answers] 09/01/2014 Exercise Programs for Older[aafp.org]

  • Hyperthyroidism

    Table 1 Psychiatric symptoms seen with hyperthyroidism Anxiety Apathy (more often seen in older patients) Cognitive impairment Delirium Depression Emotional lability Fatigue[currentpsychiatry.com] Hypomania or mania Impaired concentration Insomnia Irritability Mood swings Psychomotor agitation Psychosis Causes of hyperthyroidism Approximately 20 causes of thyrotoxicosis[currentpsychiatry.com]

  • Young-Onset Parkinson Disease

    Psychosis was the most common comorbidity whereas several comorbidities associated with older PD patients were not common. authors Louis, Elan D.[vivo.med.cornell.edu]

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