1. Aging and Psychological Disorders Abnormal Psychology

2. Dementia Multiple Cognitive Deficits Memory and Learning Memory and Learning –Retrograde Amnesia –_____________ Amnesia

3. Verbal Communication Verbal Communication –Aphasia »_____________ Perception Perception –Agnosia Abstract Thinking Abstract Thinking Judgment Judgment

4. Types of Dementia Frontal Temporal Frontal Temporal Alzheimer’s (ALZ) Alzheimer’s (ALZ) Frontal-Subcortical Frontal-Subcortical ______________ ______________

5. Neuron Normal ALZ

6. Brain Normal ALZ Normal ALZ

7. Dementia Prevalence No gender diff No gender diff Age: Age: 1% 65-751% 65-75 __% 75-85__% 75-85 20% 85-9020% 85-90 40% over 9040% over 90

8. Dementia Tx Accurate dx Accurate dx Medication Medication Environment & behavior management Environment & behavior management Support _______________ Support _______________

9. Delirium Disturbed consciousness Disturbed consciousness Change in cognition Change in cognition _________ onset _________ onset Consequence of medical condition Consequence of medical condition

10. What’s the Big Deal? Elderly population growing: 1 in 5 by 2030

11. 15% of elderly have mental health needs 15% of elderly have mental health needs 20% of __________ committed by elderly 20% of __________ committed by elderly 70% of nursing home residents need mental health care 70% of nursing home residents need mental health care Mental health needs increasing

12. Barriers to Treatment ________________ ________________ Finances Finances Few programs for elderly Few programs for elderly Informed consent Informed consent –Difficult with dementia patients –Must get consent from primary guardian –Dr’s consent may be necessary