The diagnosis of Anxiety Disorders in older adults is made all the more difficult because the stigma of mental illness makes it hard for elders to talk about them.
And it’s not helped along by the fact that, until recently, Anxiety Disorders in older adults was little-studied and were treated with dismissal and veiled ageism. However, research is accelerating in the treatment of older adults, and there are some very effective therapies becoming available.
Still, diagnosis of Anxiety Disorders in older adults is difficult at best, because it takes a great deal of sensitivity and experience to ask the right questions. Family and friends are very important in the diagnosis, since they can see the changes in moods, behavior, and habits that a physician cannot see.
This post is the second in a two-part series on the Anxiety Disorders in older adults. Yesterday’s post addressed how many older adults have Anxiety Disorder, how it is strongly linked with depression, and the risk factors. This post covers the following topics:
- Why are Anxiety Disorders so hard to diagnose in older adults?
- Overview of treatment of Anxiety Disorders in older adults
- Medications for Anxiety Disorders in older adults
- Therapy for Anxiety Disorders in older adults
- Asking the right questions to diagnose Anxiety
- Worried about an aging parent or loved one?
[Read the entire article...]
Tagged as:
Anxiety Disorder,
Elderly,
Elders,
GAD - General Anxiety Disorder,
OCD - Obsessive-Compulsive Disorder,
Older Adults,
Panic Disorder
Anxiety Disorders in older adults is a huge problem that has been ignored, causing a great deal of unnecessary suffering.
Research on older adults’ Anxiety Disorders lags behind that of other mental conditions, such as depression and Alzheimer’s. Until a few years ago, Anxiety Disorders were believed to decline with age. But now experts are beginning to recognize that Anxiety is as common in the old as in the young, although how and when it appears is distinctly different in older adults.
Sadly, because of the lack of information on Anxiety Disorders in older adults, especially in how to diagnose them, many go undiagnosed and untreated. James Maddux and Barbara Winstead state: 1
[I]n comparison to other diagnoses (e.g. depression) less is known about the etiology [causes], including clinical characteristics, course, treatment, and prognosis of anxiety disorders in late life. … Because anxiety disorders are difficult to diagnose in older adults, they are often undiagnosed.
Yet, late-life Anxiety Disorders are what Keri-Leigh Cassidy and Neil Rector call a “sleeping geriatric giant.” Anxiety Disorders are twice as prevalent as dementia among older adults, and 4 to 8 times more prevalent than major depressive disorders, causing significant impact on the quality of life, morbidity, and mortality of older adults.2
The annual U.S. health care costs due to late-life Anxiety Disorders in 1990 was estimated to be $42.3 billion. The numbers are surely higher now, and likely to go higher yet as the Baby Boomer generation grows older.3
This post is the first in a two-part series on the Anxiety Disorders in older adults. Tomorrow’s post addresses the diagnosis and treatment of Anxiety Disorders, and gives some tips on how to tell if your parent or loved one is suffering from them. This post covers the following topics:
- How prevalent are Anxiety Disorders in older adults?
- What are the most common Anxiety Disorders in older adults?
- Anxiety Disorders in older adults are strongly linked with depression
- What are the risk factors for Anxiety Disorders in older adults?
[Read the entire article...]
Tagged as:
Agoraphobia,
Anxiety Disorder,
Elderly,
Elders,
GAD - General Anxiety Disorder,
OCD - Obsessive-Compulsive Disorder,
Panic Disorder,
SAD - Social Phobia,
Specific Phobias
by Mike Nichols on August 28, 2008 · 1 comment
Anxiety is the most common mental disorder experienced by older adults.
Anxiety Disorders affect over 18 percent of people over the age of 60. As many as 7 percent of this age group have Generalized Anxiety Disorder (GAD), a disorder characterized by uncontrollable worries about everyday things.
Despite its prevalence, Anxiety Disorders remain one of the most undiagnosed and undertreated conditions in this age group. This is due to the failure of the current model of the primary care physician as gatekeeper model.
Eric J. Lenze, M.D., assistant professor of psychiatry, University of Pittsburgh School of Medicine, says,
Studies have shown that generalized anxiety disorder is more common in the elderly … than depression, which affects about 3 percent of seniors. Surprisingly, there is little research that has been done on this disorder in the elderly.
Due to the lack of evidence, doctors often think that this disorder is rare in the elderly or that it is a normal part of aging, so they don’t diagnose or treat anxiety in their older patients, when, in fact, anxiety is quite common in the elderly and can have a serious impact on quality of life.
[Read the entire article...]
Tagged as:
Agoraphobia,
Anxiety Disorder,
Elderly,
Elders,
GAD - General Anxiety Disorder,
OCD - Obsessive-Compulsive Disorder,
Panic Attacks,
Panic Disorder,
primary care physician,
Psychiatrist,
Psychologist,
PTSD - Post Traumatic Stress Disorder,
SAD - Social Phobia,
Specific Phobias
