Dr. Vincent Wong Choong Wai MBBS, M.Med(Psych) 王 忠 威 心 理 精 神 专 科 医 生...
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Common Mental Health issues among Senior Citizens Dr. Vincent Wong Choong Wai MBBS, M.Med(Psych) 王 王 王 王 王 王 王 王 王 王 王 Consultant Psychiatrist www.brainmindspecialist.com www.brainmindspecialist.com 1
Dr. Vincent Wong Choong Wai MBBS, M.Med(Psych) 王 忠 威 心 理 精 神 专 科 医 生 Consultant Psychiatrist 1
Dr. Vincent Wong Choong Wai MBBS, M.Med(Psych) Consultant
Psychiatrist www.brainmindspecialist.com 1
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You Know You Are Getting Older When... At the breakfast table
you hear snap, crackle, pop and you're not eating cereal. When
happy hour is a nap. When you're on vacation, and your ENERGY runs
out before your money does. Your idea of weight lifting is standing
up. Your address book has mostly names that start with Dr. Counting
the number of daily pills with both hands Getting "lucky" means you
found your car in the parking lot. You finally get your head
together and your body starts falling apart.
www.brainmindspecialist.com2
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30% of cases : middle age and elderly. Public mental health
concerns. www.brainmindspecialist.com4
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Overview What is Aging? Common mental health issues : -
Depression - Anxiety - Dementia - Psychosis - Bitterness Conclusion
DR VINCENT WONG (www.brainmindspecialist.com)5
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Dr. James Dobson Healthy aging
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We do not grow old ; we become old by not growing Dr. Ida
Davidoff 93-year-old marital and family therapist
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Age is nothing but numbers ; and how you think will determine
how you feel Kathryn Zane ( Age : 100 )
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What is Aging? Definition : Ageing is the accumulation of
changes in a person over time. [1] Changes in physical, mental (
mind and emotions ), social, spiritual. However, research shows
that even late in life, potential exists for growth and
development, in spiritual physical, mental, and social
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Final Psychosocial stage ( Erik Erikson ) Stage 8: Integrity vs
Despair and Isolation Age between 65 and over
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Integrity vs Despair Integrity is the sense of satisfaction
that one feels in reflecting on a life productively lived. VS
Despair is when there is the sense that life had little or no
meaning. Presence of insecurities,depression,regrets,bitterness and
fears. www.brainmindspecialist.com12
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Self esteem Older people must continually cope with losses they
attempt to adapt to biological, psychological, social and
economical changes associated with aging. So do we have enough
fixed deposits? www.brainmindspecialist.com13
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Needs and Fixed deposits 1 ) Physical health 2) Mental health (
Resilience and coping ) 3) Close relationship with family and
community. 5) Spiritual : intimate relationship with our Creator
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Self Assessment-5 mins Elderly mental health assessment
Handouts www.brainmindspecialist.com15
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Dr. Vincent Wong, Consultant Psychiatrist17
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Depression Negative view of self Negative view of future
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Symptoms of Depression Behavioural Social withdrawal Desire to
escape Crying without reason SUICIDE Physical Sleep problems Change
of appetite Tiredness Painful symptoms ( Masking Effect ) Emotional
Depressed Loss of interest / motivation Irritable Thoughts Guilt
feelings Loss of self confidence Decreased concentration
Hopelessness www.brainmindspecialist.com19
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Who are at risk of depression? Prior history of depression
*Bereavement ( loss of spouse ) *Living alone Lack of social
supports Burden of caregiving Chronic Medical illness Genetic risk
www.brainmindspecialist.com20
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Brain Scan changes ( comparison between Normal vs Depressed
individuals Dr. Vincent Wong, Consultant Psychiatrist21
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Treatment of depression and suicide prevention 1) Medical
Treatment ( moderate to severe Depression ) 2) Identify the stress
and conflicts 3) Social and Family support 4) Spiritual support 5)
Counselling www.brainmindspecialist.com22
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Common causes Post menopausal Loneliness Medical illness
Underlying anxious personality ***Insomnia Family and marriage
conflicts Lack of social support Fear of death
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Treatment of anxiety disorder 1) Medical Treatment ( moderate
to severe Anxiety ) 2) Identify the stress and conflicts 3) Social
and Family support 4) Spiritual support 5) Counselling
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Age and dementia Rates of dementia rise steeply with age,
doubling every 5 years. - 5% of person age >65 - 20% of those
age > 80 www.brainmindspecialist.com29
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Alzheimers Disease is a degenerative disease - attacks and
destroys brain cells - Impairment in thought, memory & language
AD: Degenerative Brain Disease Normal Brain Section
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Type of dementia Most common is Alzheimers disease Dementia due
to Multiple Stroke episodes Parkinson disease dementia Other causes
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Adapted with permission from Jost BC, Grossberg GT. J Am
Geriatr Soc 1996; 44: 107881. Behavioural and psychological
symptoms www.brainmindspecialist.com33
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Treatment Medical - Medication - Assessment for Vision and
Hearing Environmental - Orientation, music, photos, activities,
socializing - Self empowering activities. Help them regain self
worth Address caregivers burden www.brainmindspecialist.com34
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Alzheimers has corroded her brain nerves. She feels little or
nothing. Her emotions appear deadened. Her response to me is cold
Why does Alzheimer has to take away everything? The black veil of
loneliness is all around me www.brainmindspecialist.com36
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Delusional disorder Suspicious Insecure Fear Irritable
behaviour Aggression www.brainmindspecialist.com38
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Chronic anger and Resentment Suspicious and Distrust Long
standing relationship conflict Emotionally Hurting Unforgiveness
Due to character /Personality issues
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Courtesy of Dr Yau Weng Keong
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You don't stop laughing because you grow old ; You grow old
because you stop laughing. -- Benjamin Franklin
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New England Journal of Medicine Mentally stimulating activities
- - Reading -Playing cards -Board games, -Crossword puzzles
-Learning something new may prevent or minimize memory loss from
aging. www.brainmindspecialist.com44
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Give a neglected child a cookie, read her a story. You may help
change her entire life. So many opportunities to use our talents.
What are we waiting for? Lets get busy today Mazo ( age 91 ) I have
discovered that volunteering is a great healer. In all honesty,
volunteering has given me a great deal more than I have given. Ruth
De Han ( Age 91 : Widow for 15 years, eldest daughter died of
leukemia ) www.brainmindspecialist.com45
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Ps 73 Yet I am always with you; you hold me by my right hand.
24 You guide me with your counsel, and afterward you will take me
into glory. 25 Whom have I in heaven but you? And earth has nothing
I desire besides you. 26 My flesh and my heart may fail, but God is
the strength of my heart and my portion forever.
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Application and Summary Remember A.C.T.I.V.E A: Acknowledge the
Creator DAILY C: Community living T: Think healthy thoughts I:
Inner peace and joy V: Value Relationships and Friendships E: Eat
well and Exercise www.brainmindspecialist.com47
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Thank you Slides can be downloaded from
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