Psychiatric and Medical Comorbidity in the Primary Care Geriatric Patient—An Update

Gary J. Kennedy, Jack Castro, Mason Chang, Jaimini Chauhan-James, Manuel Fishman

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

The mental health needs of older primary care patients are now widely recognized if not widely addressed. The range of behavioral health approaches including co-locating psychiatrists and integrating mental health professionals as care managers into primary care sites is extensive and growing. Nonetheless the primary care provider remains the first line of defense against mental disorders, most commonly depression and anxiety that accompany and exacerbate common physical conditions. The excess, potentially avoidable disability that results from comorbidity makes it imperative that early recognition and evidence based intervention occur. Multi-morbidity and polypharmacy make intervention a challenge. Psychotherapy can help overcome comorbidity depression however the most accessible intervention would be an antidepressant FDA approved for both anxiety and depressive disorders. For all these reasons, a focus on physical conditions most commonly associated with mental disorders can foster early recognition before the older patient’s care becomes overwhelmingly complicated.

Original languageEnglish (US)
Article number62
JournalCurrent Psychiatry Reports
Volume18
Issue number7
DOIs
StatePublished - Jul 1 2016

Fingerprint

Geriatrics
Psychiatry
Comorbidity
Primary Health Care
Mental Disorders
Mental Health
Depression
Polypharmacy
Depressive Disorder
Anxiety Disorders
Psychotherapy
Antidepressive Agents
Patient Care
Anxiety
Morbidity
Health

Keywords

  • Anxiety
  • Comorbidity
  • Dementia
  • Depression
  • Geriatric
  • Neurocognitive

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Psychiatric and Medical Comorbidity in the Primary Care Geriatric Patient—An Update. / Kennedy, Gary J.; Castro, Jack; Chang, Mason; Chauhan-James, Jaimini; Fishman, Manuel.

In: Current Psychiatry Reports, Vol. 18, No. 7, 62, 01.07.2016.

Research output: Contribution to journalReview article

Kennedy, Gary J. ; Castro, Jack ; Chang, Mason ; Chauhan-James, Jaimini ; Fishman, Manuel. / Psychiatric and Medical Comorbidity in the Primary Care Geriatric Patient—An Update. In: Current Psychiatry Reports. 2016 ; Vol. 18, No. 7.
@article{b0927de0921b487db96dfa7a26d36d91,
title = "Psychiatric and Medical Comorbidity in the Primary Care Geriatric Patient—An Update",
abstract = "The mental health needs of older primary care patients are now widely recognized if not widely addressed. The range of behavioral health approaches including co-locating psychiatrists and integrating mental health professionals as care managers into primary care sites is extensive and growing. Nonetheless the primary care provider remains the first line of defense against mental disorders, most commonly depression and anxiety that accompany and exacerbate common physical conditions. The excess, potentially avoidable disability that results from comorbidity makes it imperative that early recognition and evidence based intervention occur. Multi-morbidity and polypharmacy make intervention a challenge. Psychotherapy can help overcome comorbidity depression however the most accessible intervention would be an antidepressant FDA approved for both anxiety and depressive disorders. For all these reasons, a focus on physical conditions most commonly associated with mental disorders can foster early recognition before the older patient’s care becomes overwhelmingly complicated.",
keywords = "Anxiety, Comorbidity, Dementia, Depression, Geriatric, Neurocognitive",
author = "Kennedy, {Gary J.} and Jack Castro and Mason Chang and Jaimini Chauhan-James and Manuel Fishman",
year = "2016",
month = "7",
day = "1",
doi = "10.1007/s11920-016-0700-7",
language = "English (US)",
volume = "18",
journal = "Current Psychiatry Reports",
issn = "1523-3812",
publisher = "Current Science, Inc.",
number = "7",

}

TY - JOUR

T1 - Psychiatric and Medical Comorbidity in the Primary Care Geriatric Patient—An Update

AU - Kennedy, Gary J.

AU - Castro, Jack

AU - Chang, Mason

AU - Chauhan-James, Jaimini

AU - Fishman, Manuel

PY - 2016/7/1

Y1 - 2016/7/1

N2 - The mental health needs of older primary care patients are now widely recognized if not widely addressed. The range of behavioral health approaches including co-locating psychiatrists and integrating mental health professionals as care managers into primary care sites is extensive and growing. Nonetheless the primary care provider remains the first line of defense against mental disorders, most commonly depression and anxiety that accompany and exacerbate common physical conditions. The excess, potentially avoidable disability that results from comorbidity makes it imperative that early recognition and evidence based intervention occur. Multi-morbidity and polypharmacy make intervention a challenge. Psychotherapy can help overcome comorbidity depression however the most accessible intervention would be an antidepressant FDA approved for both anxiety and depressive disorders. For all these reasons, a focus on physical conditions most commonly associated with mental disorders can foster early recognition before the older patient’s care becomes overwhelmingly complicated.

AB - The mental health needs of older primary care patients are now widely recognized if not widely addressed. The range of behavioral health approaches including co-locating psychiatrists and integrating mental health professionals as care managers into primary care sites is extensive and growing. Nonetheless the primary care provider remains the first line of defense against mental disorders, most commonly depression and anxiety that accompany and exacerbate common physical conditions. The excess, potentially avoidable disability that results from comorbidity makes it imperative that early recognition and evidence based intervention occur. Multi-morbidity and polypharmacy make intervention a challenge. Psychotherapy can help overcome comorbidity depression however the most accessible intervention would be an antidepressant FDA approved for both anxiety and depressive disorders. For all these reasons, a focus on physical conditions most commonly associated with mental disorders can foster early recognition before the older patient’s care becomes overwhelmingly complicated.

KW - Anxiety

KW - Comorbidity

KW - Dementia

KW - Depression

KW - Geriatric

KW - Neurocognitive

UR - http://www.scopus.com/inward/record.url?scp=84971526164&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84971526164&partnerID=8YFLogxK

U2 - 10.1007/s11920-016-0700-7

DO - 10.1007/s11920-016-0700-7

M3 - Review article

VL - 18

JO - Current Psychiatry Reports

JF - Current Psychiatry Reports

SN - 1523-3812

IS - 7

M1 - 62

ER -