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ATI Gerontology Final Exam Review

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Topic: Mental Health Be able to: Describe how factors, such as SES and poor nutrition are associated with the risk for mental health disorders in later life - Describe the reasons why depression may be under diagnos ...

Topic: Mental Health Be able to: Describe how factors, such as SES and poor nutrition are associated with the risk for mental health disorders in later life - Describe the reasons why depression may be under diagnosed in older adults o Most of the time they are seeking mental health services by their primary care physician o Link it to just normal aging o Tricky in terms of depression can be wrongly diagnosed Identify the settings where depression may be more prevalent in later adulthood o Physiological factors: - Neurological issues - Ex: Alzheimer’s; other types of depression - Lesions in the brain - Alzheimer’s first response is depression - Insufficient supplies of neurotransmitters: - Evidence: symptoms respond to meds - Antidepressant drugs restore chemical balance - Strong biological basis o Psychosocial factors: - Stressful events, loss and cognitive styles - Loss of loved one; negative view of the world Describe & distinguish between physiological and social causes of late life depression - Psychosocial symptoms: sadness, lack of interest, inactivity, pessimism, low self-esteem, anxiety, crying, fear, etc. - Physical symptoms: loss of appetite, low energy and sleep disturbance Describe depression treatments, including types of psychotherapy and drug treatments - Psychotherapy is usually effective with older patients - Psychotherapeutic interventions help with older adults - Cognitive therapy: alters maladaptive thoughts - Behavior therapy: changes activities to modify mood - Lack of positive reinforcement - Therapy more effective than medication alone - Just therapy isn’t enough but just meds isn’t enough - You want to make sure its minimal intervention, do not do anything crazy, just enough to help. Focus on the here and the now. Identify gender differences in suicide in later life o Suicide does go up for men above the age of 45 o Most common cause is depression o Treatable o Older adults commit suicide at higher rates than any other age group o Highest rate: men over the age of 85 o Most successful attempts: men

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