Expert Consultations: Real-World Answers

Bipolar Disorder in Later Life – Interview

Published on January 1, 2021 Expired on April 1, 2024

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Mohan Gautam

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Interview Highlights

When considering bipolar disorder in later life, it is crucial to rule out some other conditions. History, physical exam, laboratory testing, and neuroimaging are thus of utmost importance.
Antipsychotics and mood stabilizers should be used at lower doses to minimize potential side effects and should be titrated more slowly.

Text Version

This edition of Psychopharmacology Institute’s Expert Consultations features Martha Sajatovic, M.D. Dr. Sajatovic is a professor of psychiatry and neurology at Case Western School of Medicine in Cleveland, Ohio. In this interview, we will discuss the clinical aspects of bipolar disorder in later life and how to manage it.

Mohan Gautam, D.O.: In an older person who seems to be acutely manic, which is the initial workup to rule out

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Learning Objectives:

After completing this activity, the learner will be able to:

Differentiate features of late-onset bipolar disorder from early-onset bipolar disorder.
Compare the available pharmacotherapeutic options.
Establish modified titration schedules for this patient group.

Original Release Date: 01/01/2021

Review Date: 03/01/2024

Expiration Date: 04/01/2024

Relevant Financial Disclosures:

The following planners, faculty, and reviewers have the following relevant financial relationships with commercial interests to disclose:

Dr. Sajatovic has disclosed the following relationships:

Nuromate, Otsuka, Alkermes, Janssen, International Society for Bipolar Disorders, Reuter Foundation, Woodruff Foundation, Reinberger Foundation, National Institutes of Health (NIH), Centers for Disease Control and Prevention (CDC): Contracted research
Alkermes, Bracket, Otsuka, Janssen, Neurocrine, Health Analytics, Frontline Medical Communications: consulting services
Springer Press, Johns Hopkins University Press, Oxford Press, UpToDate: publication income
American Physician’s Institute, MCM Education, CMEology, Potomac Center for Medical Education, Global Medical Education, Creative Educational Concepts, Psychopharmacology Institute: Development of CME materials

All of the relevant financial relationships listed for these individuals have been mitigated.

Contact Information: For questions regarding the content or access to this activity, contact us at support@psychopharmacologyinstitute.com

Instructions for Participation and Credit:

Participants must complete the activity online during the valid credit period that is noted above.

Follow these steps to earn CME credit:

View the required educational content provided on this course page.
Answer the quiz for promoting retention of knowledge.
Complete the Post Activity Evaluation for providing the necessary feedback for continuing accreditation purposes and for the development of future activities. NOTE: Completing the Post Activity Evaluation after the quiz is required to receive the earned credit.
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Martha Sajatovic, M.D.