The 3Ds of Geriatric Psychiatry - Delirium, Dementia, Depression, Pauline Wu, DO | UCLAMDChat

UCLA expert Pauline Wu, DO, Health Sciences assistant clinical professor in Department of Psychiatry and Biobehavioral Sciences, discusses the 3Ds of geriatric psychiatry. The 3Ds are the most common diagnoses seen in older adult mental health care and the symptoms can often overlap. Learn key differences between delirium, dementia, and depression and what treatment is available for each diagnosis.

[pinyoable]

Basic. it would be nice to mix with some examples that are not in the books and it comes from experience

[samhay]

I've thought my mum had dementia for years due to her paranoia and some childish behaviours. She keeps passing that test where they ask you different things or get you to do different things. Therefore they say she doesn't have it. My mum now has extreme hypooactive Delirum and it's so sad. I'm spending every day at the nursing home now. Thanks for your information it's helped

[momlikesmemore]

Thank you, very helpful for me as a non medical person.

[frankmcchrystal]

Really good find Susan! Thanks so much Professor Wu. Go Bruins.

[veronicalee]

Good presentation and easy to understand
My mum is 97 years old staying home with my sister. She has early dementia otherwise healthy except her legs are getting weak. All these we can managed day to day.
But she often hit herself on the chest and shouting ‘ I want to die’ or die is better or give me poison or throw me in the river etc these words depresses everyone who take turns to care for her. We just couldn’t figure out what causes her to shout those words. Otherwise she is very easy to take care.
What can we the caregiver do when mother is screaming and hitting herself with dying words

[wbiro]

Good basic info... i came here to evaluate my "Philosophical Deficiency" syndrome hypothesis, where I would say all non-phisiological mental issues are due to philosophical deficiency (messed-up mentalities), where the treatment is an adequate overall life-guiding philosophy (which humans have never had until now), which is the Philosophy of Broader Survival, which would be the treatment, i.e. permanently straightening-out clueless mentalities, which are the mental illness.


Delirium: if the delirium is caused by depression (which causes atrophy - a cause not listed in your video), then the philosophy applies. For the other physiological causes, a healthy mental philosophy can work around such ailments, but it is better (even physically critical) to have them treated.


Dementia: A healthy philosophy will not be the treatment of choice for dementia, although it can be a preventive measure - a healthy philosophy will mean more physical and mental activity, which may preclude the onset. It will, at the very least, be another treatment option available.


Depression: This is solved, 100%, by the Philosophy of Broader Survival. Only fools would resist it, and then the mental issue is no longer depression, but folly.

[lisaharrison]

What about delirium so bad that the person is in a constant state of fear thinking there falling even when there bedridden no matter how much comfort you try they are in a trauma fear mode that there falling

[patriciasweeney]

My husband is 90 and has been diagnosed with dementia. He is very health otherwise. When he nods off he sees people the say things to him and touch him he wakes up quickly. He is very week and has confusions. He has cognitive problems. Writing, taking. Understanding.

[stevejaubert]

I have been told when given presentations to speak from experience. One has to remember with cognitive deficits the provide's reality is in most cases not the patient's actuality. Care needs to be considered in a critical thinking approach so videos like this are good but unfortunately limited beyond didactic input. Most providers I meet get caught up in the numbers of practice. It bodes well though if time is taken to just hang around facilities and open your mind for learning not just as a provider but as a person. Maybe if you can keep a journal/notebook and consider if you were the patient with chronic illness - walk a mile in their shoes.

[kungfuable]

If pain is causing the delerium, would an opioid still compound the problem?

[figsworld]

What happens when the patient is denial

[patriciasweeney]

My husband is only on guard meds nothing else

[lindaleelaw]

Git solutions. Seeing yourself start to lose memory and no one wants to help.
A lot of talk, a lot of talk and Medicare.
Teuth is, that seniors expect to be entertained instead of getting out.