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Anxiety and Anxiety Disorders in Later Life

  • Nages Nagaratnam
  • Kujan Nagaratnam
  • Gary Cheuk
Reference work entry

Abstract

Late-life anxiety disorders have been underestimated for several reasons, for example, older persons tend to emphasise their physical complaints and less likely to report psychiatric symptoms. Panic attacks that begin in late life necessitate a search for a depressive disorder, physical illness or drugs that contribute to their presence. Of the anxiety disorders, phobia and general anxiety disorder (GAD) are the two most common in older people. This review summarises the main group of anxiety disorders and their management.

Keywords

Late-life anxiety disorders Phobia General anxiety disorder Obsessive-compulsive disorder Post-traumatic stress disorder 

References

  1. 1.
    Flint AJ, Gagnon N. Diagnosis and management of panic disorder in older patients. Drugs Aging. 2003;20:881–91.CrossRefPubMedGoogle Scholar
  2. 2.
    Banazak DA. Anxiety disorders in elderly patients. Fam Pract. 1997;305:280–7.Google Scholar
  3. 3.
    Rodda J, Boyce N,Walker Z. The old age psychiatry handbook: A practical guide. Chichester; West.Google Scholar
  4. 4.
    Flint AJ. Epidemiology and comorbidity of anxiety disorders in the elderly. Am J Psychiatry. 1994;15(15):640–9.Google Scholar
  5. 5.
    Flint AJ. Generalised Anxiety Disorder in elderly patients: epidemiology, diagnosis and treatment options. Drugs Aging. 2005;22(2):101–14.CrossRefPubMedGoogle Scholar
  6. 6.
    American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed., text revision, 2000.Washington, DC.Google Scholar
  7. 7.
    Raj BD, Corvea MH, Dogon EM. The clinical characteristics of panic disorder in the elderly: a retrospective study. J Clin Psychiatry. 1993;54:150–155.PubMedGoogle Scholar
  8. 8.
    Jacob RG, Lilienfeld SO, Furman JMR, Durrant JD, Turner SM. Panic disorder with vestibular dysfunction: further clinical observation and description of space and motion photic stimuli. J Anxiety Disord. 1989;3:117–130.CrossRefGoogle Scholar
  9. 9.
    Yardley L. Overview of psychologic effects of chronic dizziness and balance disorders. Otolaryngol Clin North Am. 2000;33:603–616.CrossRefPubMedGoogle Scholar
  10. 10.
    Brandt T, Huppert D, Dieterich M. Phobic postural vertigo: a follow up. J Neurol. 1994;241:191–195.CrossRefPubMedGoogle Scholar
  11. 11.
    Flint AJ. Management of anxiety in late life. J Geriatr Psychiatric Neurol. 1998;11(4):194–200.CrossRefGoogle Scholar
  12. 12.
    teanmentalhealth,org/learn/mental-diorders/obsessive-compulsive-disorders-ocd/accessed 15 September2016.Google Scholar
  13. 13.
    Austin L, Lydiard R, Fossey M, Zealberg J, Laraia M, Ballenger J. Panic and phobic disorders in patients with obsessive-compulsive disorder. J Clin Psychiatry. 1990;51:456–8.PubMedGoogle Scholar
  14. 14.
    Sadavoy J, LeClair JK. Treatment of anxiety disorders in late life. Can J Psychiatry. 1997 42 Suppl1. 28S-34.Google Scholar
  15. 15.
    Bellafiore D. The aftermath of trauma. Post Traumatic Stress Disorder. DRB Alternatives Inc. www.drbalternative.com/articlesgc5.html accessed 16 July 2016
  16. 16.
    Van Ameringen M, Allgulander C, Bandelow B, Griest JH, Hollander E, Montgomery SA, et al. WCA recommendations for the long-term treatment of social phobia. CNS Spectr 2003;8(8Suppl1):40–52.CrossRefPubMedGoogle Scholar
  17. 17.
    Rickels K, Rynn M. Overview and clinical presentation of generalized anxiety disorder. Psychiatr Clin North Am 2001;24:1–17.CrossRefPubMedGoogle Scholar
  18. 18.
    Cowley DS, Roy-Byrne PP. Hyperventilation and panic disorders. Am J Med. 1987;83(5):929–37.CrossRefPubMedGoogle Scholar
  19. 19.
    Hunt CJ, Andrews G, Sumich HJ. The management of mental disorders. Handbook for the Anxiety Stress-related and Somatoform Disorders vol 4. World Health Organisation. Sydney.Google Scholar
  20. 20.
    Tiller JWG. Depression and anxiety. MJA. 2012;suppl4:28–31.Google Scholar
  21. 21.
    Barlow D. Anxiety and its disorder: the nature and treatment of anxiety and panic. Guilgord Press. New York. 1988.Google Scholar
  22. 22.
    Flint AJ. Anxiety disorders in late-life. Can Fam Physician. 1999;45:2672–2679.PubMedPubMedCentralGoogle Scholar
  23. 23.
    Kaplan H, Saddock B, Grebb J. Synopsis of Psychiatry ed 7. Baltimore, Wilkins and Williams, 1994.Google Scholar
  24. 24.
    Davidson J, Roth S, Newman E. Treatment of post-traumatic stress disorder with fluoxetine. J Trauma Stress 1991;4:419–23.CrossRefGoogle Scholar
  25. 25.
    Silver J, Sandberg D, Hales P. New approaches in the pharmacotherapy of post traumatic stress disorder. J Clin Psychiatry. 1995;51(10Suppl):33S–38S.Google Scholar
  26. 26.
    Anxiety Centre. Anxiety Disorder statistics. http://www.anxietycentre.com/anxiety-statistics-information.shtml. Accessed on 16 January 2017.
  27. 27.
    Anxiety Treatment Center of Austin. The impact of anxiety. http://www.anxietyaustin.com/anxiety/-the-impact-of-anxiety/ accessed on 16 January 2017.
  28. 28.
    Highet NJ, Thompson M. The impact of living with anxiety-carer’ perspective. http://www.beyondblue.org.au/about-us/research-projects/research-projects/the-impact-of-living-with-anxiety-carers-perspectives. Accessed on 16 January 017.

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Nages Nagaratnam
    • 1
  • Kujan Nagaratnam
    • 1
  • Gary Cheuk
    • 2
  1. 1.The University of SydneyWestmead Clinical SchoolWestmeadAustralia
  2. 2.Rehabilitation and Aged Care ServiceBlacktown-Mt Druitt HospitalMount DruittAustralia

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