Medical Consultation

Longevity is one of the characteristics of today's world.

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Our experts in geriatric medicine help the elderly in managing health issues, both physical and emotional, that are common in old age.

Issues related to dementia are addressed by specialists like a Neurologist or a Neuropsychiatrist. The doctor would recommend certain tests such as blood tests, brain scans, and a neurological evaluation to support the affected person's medical history. The doctors will start the treatment after a thorough evaluation.

Samvedna has a multidisciplinary team of experts who provide holistic care to the elderly. Our doctors are available for online consultation on an appointment basis.

FAQs

Geriatric Psychiatry, also known as old age psychiatry or psychogeriatrics, is the multidisciplinary delivery of mental health care to older adults. Many people understand this age group as above 65 or post-retirement. However, geriatric psychiatrists even see adults in their late 40s and 50s who experience psychological difficulties and those with early-onset dementia. The speciality is characterised by its community orientation and multidisciplinary approach to assessment, diagnosis and treatment.

Mental health problems in old age are common. A few examples are depression, anxiety, sleep disorders, loneliness, late-onset schizophrenia, and post-menopausal problems in women ranging from hot flashes to clinical depression. There is a lack of awareness and stigma associated with talking about these problems, which is where a psychiatrist may become the first point of reference to start a dialogue.

The first duty of your psychiatrist is to provide a diagnostic formulation emphasising abilities and deficits. The psychiatrist will then help the patient and family understand the illness and provide pharmacological and therapeutic treatment, as required. Treatment respects the individual patient's wishes, and dignity and autonomy are maintained as long as possible. Psychiatrists work closely with many other specialists, such as psychologists, general physicians and neurologists, and are all involved in the care process. The central role of the psychiatrist is to diagnose the clinical condition, explain the future course of illness and prognosis, and prescribe and monitor medication and the physical health of the patient whilst undergoing treatment.

Psychiatrists can successfully treat many mental illnesses in old age. However, some (particularly the dementias) are chronic and/or progressive, but appropriate intervention can improve quality of life. Early diagnosis is crucial in these cases. For example, vascular dementia may be prevented or slowed by treatments that reduce the risk of stroke.

You should follow up with your psychiatrist regularly. Older people with mental illnesses (particularly depression) may take longer to respond to treatment. Psychiatric illnesses in late life also have a high relapse rate, but they can be prevented through close follow-up and continued treatment. Older people are particularly vulnerable to side effects of drugs, and therefore due consideration must be given to age-related changes in drug handling. Interactions between psychotropic medications and older patients' comorbid physical illnesses (and their treatment) are also common. Your psychiatrist’s role is to consider the patient as a whole and tailor management for each individual as per their priorities. Apart from helping the patient, the psychiatrist and their team’s role is to provide support and knowledge to the family. They also help caregivers with coping skills to reduce stress and caregiving burden and improve the quality of life for all.
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Samvedna Senior Care, G-7 Oriental Villas, Sushant Lok III, Sector 57, Gurgaon

Samvedna Senior Care, C-13 Anand Niketan, New Delhi