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Disorders Continued

by Chris Crownhart last modified 2004-08-09 06:10 PM

Delirium
An onset of delirium can be dramatic and frightening to the family. There is a sudden change. A person can be just fine one day and "off the wall" the next. Delirium can result from illness (e.g. a urinary tract infection) or medications and often is reversible.




Adjustment Disorder
Some people are able to adapt to change relatively easily; others find it more difficult. Some life changes are relatively routine, others can be devastating. Adjusting to a new living situation, living alone, getting about without a car. dealing with a diagnosis of a serious illness are some examples of situations where a person may need extra encouragement and support. Symptoms of anxiety or depression and even certain behavior changes can suggest an adjustment reaction to a major life change.




Anxiety
As changes and/or losses occur, some people will become anxious; some depressed; some a little of both. Some symptoms that may appear are agitation, apprehensiveness, somatic complaints, a feeling that something bad is going to happen. If these symptoms persist and interfere with daily activities, the individual may be suffering from a panic disorder, characterized by disabling panic attacks. The American Psychological Association has an information page on panic disorders.




Substance Abuse
Substance abuse refers to the inappropriate use of chemical substances including alcohol, illegal drugs and prescription medications. A person may have a history of abuse that continues into later life, or the abuse may occur as a result of more current circumstances. Among an older population, inadvertent misuse of medications or combinations of medications is a common factor in substance abuse. It is helpful to remember that with aging metabolic rates change and medication dosages need to be adjusted to account for this. A dosage that worked fine 10 years ago may not be appropriate today. A regime of multiple medications, combined with over the counter remedies, can be confusing and may also lead to inappropriate self-medication.

It is also worth noting that the incidence of alcohol abuse rises significantly among widowers over the age of 75.

 

 

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