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Several other mood stabilizers are effective for the treatment of bipolar disorder. Each carries different advantages and disadvantages and risks for side effects. To date, there have been no randomized, double-blind, placebo-controlled trials looking at the use of anticonvulsants or mood stabilizers in older patients who have BAD. These medications are discussed further in Table 2. Atypical antipsychotics If psychosis is present with any of the mood disorders, one should consider the use of an atypical antipsychotic along with the appropriate class of medication for that particular mood disorder.

The epidemiology of falls and syncope. Clin Geriatr Med 2002;18:141–58. 3). 06 for recurrent falls [12]. In addition to having a strong association with falls, leg weakness is common in older persons. As a group, healthy older people score 20% to 40% lower on strength tests than do young adults [13], and the prevalence of detectable leg weakness ranges from 57% among residents of an intermediate-care facility [14] to more than 80% among residents of a skilled nursing facility [15]. Weakness often stems from deconditioning that is due to limited physical activity or prolonged bed rest together with chronic debilitating medical conditions, such as heart failure, stroke, or pulmonary disease.

36] Dobson KS. A meta analysis of the efficacy of cognitive behavioral therapy in depression. J Consult Clin Psychol 1989;57(3):414–9. [37] Lam DH, Watkins ER, Hayward P, et al. A randomized controlled study of cognitive therapy for relapse prevention for bipolar affective disorder: outcome of the first year. Arch Gen Psychiatry 2003;60(2):145–52. [38] Scott J, Garland A, Moorhead S. A pilot study of cognitive therapy in bipolar disorders. Psychol Med 2001;31(3):459–67. [39] Hollon SD, Thase ME, Markowitz JC.

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