TY - JOUR
KW - Aged
KW - Anxiety
KW - Cognition
KW - Comorbidity
KW - Dementia
KW - Depression
KW - Early Medical Intervention
KW - Geriatric
KW - Geriatric Assessment/methods
KW - Health Status Disparities
KW - Humans
KW - Mental Disorders/therapy
KW - Neurocognitive
KW - Primary Health Care/methods
AU - G. J. Kennedy
AU - J. Castro
AU - M. Chang
AU - J. Chauhan-James
AU - M. Fishman
A1 - 
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.
BT - Current psychiatry reports
C5 - Healthcare Disparities
CP - 7
CY - United States
DO - 10.1007/s11920-016-0700-7
IS - 7
JF - Current psychiatry reports
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.
PP - United States
PY - 2016
SN - 1535-1645; 1523-3812
SP - 62
T1 - Psychiatric and Medical Comorbidity in the Primary Care Geriatric Patient-An Update
T2 - Current psychiatry reports
TI - Psychiatric and Medical Comorbidity in the Primary Care Geriatric Patient-An Update
U1 - Healthcare Disparities
U2 - 27222136
U3 - 10.1007/s11920-016-0700-7
VL - 18
VO - 1535-1645; 1523-3812
Y1 - 2016
ER -