Ask the consultant: old age psychiatry

What you need to knowFirst line antidepressant treatment in older people should be dictated by matching the side effect profile of a particular antidepressant with the patientDrugs with significant anticholinergic properties (eg, quetiapine) should be avoided in older people because they may increase confusionAround one third of patients with a diagnosis of mild cognitive impairment will “convert” to dementia over three yearsBMJ LearningTo obtain accredited continuous professional development points, complete the full BMJ Learning module at https://new-learning.bmj.com/course/10060156. The module contains four additional questions submitted by users of BMJ Learning, related to agitation secondary to delirium, tools for diagnosing depression, low mood versus depression, and suicidal ideationTest yourselfA 72 year old woman with a history of angina is admitted to hospital following a fall at home where she tripped over a step with her walking frame. She has bruising over her left side, but no evidence of fractures. Her family informs…
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