3.7 Behavioral and Psychological Symptoms of Dementia (BPSD) / Neuropsychiatric Symptoms of Dementia (NPS)
Dr. George Grossberg, Henry and Amelia Nasrallah Endowed Professor of Psychiatry & Behavioral Neuroscience at Saint Louis University School of Medicine, past president of the American Association for Geriatric Psychiatry, and past president of the International Psychogeriatric Association, orients us to behavioral disturbances in patients with neurocognitive disorders. We walk through common behavioral disturbances in patients with dementia, including apathy, depression, psychosis, and agitation. We discuss management strategies including nonpharmacological and pharmacological interventions. Dr. Grossberg shares his expertise on difficult clinical management decisions when working with this population, and centers us around the importance of knowing the patient as well as the disease.Selected References:Progress in Pharmacologic Management of Neuropsychiatric Syndromes in Neurodegenerative Disorders: A Review (Cummings 2024)Neuropsychiatric Symptoms of Dementia and their nonpharmacological and pharmacological management (Tampi 2022)Management of BPSD Algorithm (Chen with Osser 2021)Atypical Antipsychotics for Aggression and Psychosis in Alzheimer's disease (Ballard 2006) Efficacy and Adverse Effects of Atypical Antipsychotics for Dementia (Schneider 2006)Sequential Drug Treatment Algorithm for Agitation and Aggression in Alzheimer's and Mixed Dementia (Davies 2018)Support our partners:Simplepractice.com/bootcampBeat The Boards (enter referral code BOOTCAMP at checkout)
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59:15
3.6 Catatonia: Management
Dr. Mark Oldham, Associate Professor of Psychiatry at the University of Rochester Medical Center, President of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, returns to discuss management of catatonia. We delve into management guidelines that everyone working with catatonia should know. We then have a candid discussion about common clinical challenges in treating catatonia, and describe unique cases of catatonia that require adjusting our approach.Selected references:British Association for Psychopharmacology GuidelinesRochester Catatonia Assessment ResourcesNEJM Review on CatatoniaNature Review on CatatoniaSchizophrenia Research Volume on CatatoniaDescribing the Features of Catatonia (Oldham)Support our partners:Simplepractice.com/bootcampBeat The Boards (enter referral code BOOTCAMP at checkout)
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51:55
3.5 Catatonia: Clinical Features and Diagnosis
Dr. Mark Oldham, Associate Professor of Psychiatry at the University of Rochester Medical Center, President of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, introduces us to catatonia. We discuss the clinical features of catatonia and compare and contrast catatonia's description in the DSM with the Busch-Francis Catatonia Rating Scale. We describe and discuss various signs and symptoms of catatonia in detail.Selected references:British Association for Psychopharmacology GuidelinesRochester Catatonia Assessment ResourcesNEJM Review on CatatoniaNature Review on CatatoniaSchizophrenia Research Volume on CatatoniaDescribing the Features of Catatonia (Oldham)Support our partners:Simplepractice.com/bootcampBeat The Boards (enter referral code BOOTCAMP at checkout)
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52:47
3.4 Delirium: Pathophysiology and Management
Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, further explores delirium. This episode covers the pathophysiology of delirium including predisposing and precipitating factors, neurocircuitry, and neurotransmitters. We then discuss conceptual frameworks for management of delirium, the importance of identifying and addressing the underlying cause, and strategies for managing specific neuropsychiatric disturbances in delirium.References can be found on the episode website.Support our partners:Simplepractice.com/bootcampBeat The Boards (enter referral code BOOTCAMP at checkout)
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1:01:39
3.3 Delirium: Clinical Features and Diagnosis
Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, introduces us to delirium. This episode covers the epidemiology, clinical features, and diagnosis of delirium.References can be found on the episode website.Support our partners:Simplepractice.com/bootcampBeat The Boards (enter referral code BOOTCAMP at checkout)
A developing psychiatrist interviews world leaders in psychiatric education to bring you their clinical expertise. We cover need-to-know topics for anyone interested in learning the nuts and bolts of psychiatry.
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