Doctor insights on:
Psychological Changes In The Elderly
Had chronic pain since early 20's. I feel mentally older than others, different/not understood. How does pain change a person psychologically?
Great question: Chronic pain can affect the neurological hormones that regulate the transmitters in our brains. It can also influence how we interact with people. There much interaction with pain and our minds. Consider a support group. Also have you heard of mindfulness training? It's a wonderful resource for dealing with chronic pain. ...Read more
Vascular dementia: It is well known that a series of small strokes, called lacunes can eventually add up and cause vascular dementia, similar to alzheimer's. A sudden change may well correlate with a new stroke, perhaps from a larger vessel. Tough to treat, but use a memory enhancing agent plus a drug to prevent strokes. A neurologist who does hospital work would be ideal. ...Read more
Can stress make your memory worse? What can psychologically make your memory worse? My surrounding have changed and my memory is suffering. Is stress?
Deterioration: Vision and hearing deteriorate with age. Bones get weaker. Balance and gait (walking) can worsen. Kidneys might not work as well, the list is extensive! It is important to get regular followup with a doctor especially as you get older. Get your eyes/hearing checked. Make sure you get your immunizations and any age-appropriate cancer screenings. Take calcium and vitamin d to strength bones, etc. ...Read more
Less calories: As we age, we typically become less active, although ideally we'd actually strive to maintain our previous activity level. But for the average joe (sephine), our metabolism slows down. As such we don't need as many calories as we once consumed. On the other hand, we still need to consume plenty of water & fiber. Dash diet & mediterranean diet are both excellent choices regardless of age. ...Read more
Thanks for asking!: Decreased muscle size is what you will be see in physical changes as they age. Each organ has specific signs/symptoms and therefore there may be physical change. ...Read more
Be supportive: Attempt to be supportive and, more importantly, assist the loved one to get some professional help. Most individuals who suffer from some sort of "psychological disorder" return to their old self once the underlying issue is treated. If this is a member of a family, it may be a systemic problem within the family and thus, family therapy would be indicated. ...Read more
Oxidative stress: Pissibly yes. Individuals who suffer with mdd display lower serum/plasmatic total antioxidant potentials and reduced brain gsh levels. Ferh et al 2012 showed substantial data support that mdd seems to be accompanied by elevated levels of oxidative stress and that antidepressant treatments may reduce oxidative stress. Antixidants, b'12, deplin, onega3 calcium and d may help in this recovey. ...Read more
Behavior change is one of the hardest things in medicine. Many reasons.
Patients sometimes have fixed beliefs that are difficult to change.
People get used to doing things a certain way.
Change is just plain scary to some people.
There's a reason why people say "you can't teach an old dog new tricks." but we certainly like to keep trying :-). ...Read more
UH BOY...: Well, there is the good of having him/her close, but there's a lot of factors caring for elderly parents that may drive you to drinking heavily... However remember this, you wouldn't be here if it wasn't for them. And there is good and bad about that too, I'm sure. God only knows the sacrifices they made to try and give you a safe upbringing and a good future...Just love him/her, and listen. ...Read more
A misconception: The concept that everyone ends up with denture teeth when they get older is a misconception. Today, if you brush and floss 2X per day and visit your dentist 2X per year, your teeth will last you forever. A recent study shows that more than 75% of people keep all or some of their teeth. ...Read more
I work in a nursing home, one of the elderly I believe has mrsa, and I change him daily. Should I get tested for MRSA just incase?
No: Likely, you already have it on your skin. Wash your hands frequently and wear gloves. ...Read more
Stress Attenuates,: At least to some degree, many of the benefits of fitness & clean nutrition. Stress causes hormonal surges that affect the way food is absorbed, utilized and metabolized and diverts mental and physical energy away from the rigorous requirements of physical training. Minimizing stress (the "bad" kind) cannot be overstated! Take care & meditate regularly! ...Read more
What's the PHYSIOlogical cause of panic attacks? What hormones/chemical changes in body cause the attacks in conjunction with psychological aspect of it
Some foods can: Contribute to panic attacks. Caffeine and processed sugars can increase the likelihood of panic attacks. The psychological factors tend to be important to understand as well, so start by speaking with a psychologist and also cut back on coffee, tea, chocolate and processed sugars. ...Read more
Elderly grandma takes quetiapine 12.5 mg at night. She has uncontrolled facial movements, early morning waking and increased anxiety. Change meds?
Facial tics: Your grand mother should be re evaluated as her condition may be secondary to medications or may be a new illness. She should be examined by her doctor and medication changed if necessary. ...Read more
Depends: Depends on location of tumor, treatment side effects etc. Check with treating m.D for clarification regarding location. ...Read more
Unlikely: From a strictly science point of view no. I would certainly not worry about this is someone needed or had a heart transplant. However, so much of life is a mystery. There is so much we don't understand and science is still a baby itself when it comes to explaining everything we experience. It would be hard to study your question and I suspect it has never been scientifically looked at. ...Read more
Elderly mother had uit, is confused, has memory loss, behavioral changes, and sleeps most of the time. Came on suddenly. Why didn't med work?
I am experiencing appetite changes (quality: increased appetite), trouble sleeping (quality: difficult to wake) (worsened by: psychological stress), decreased energy level, sudden attacks of crying, fatigue and feeling depressed (quality: feelings of w
I am experiencing appetite changes (quality: reduced appetite), sleep deprivation, paranoid behavior, feeling anxious (worsened by: psychological stress), mood swings and feeling depressed (quality: feelings of despair). The following also describe me
A likely suspect would be a thyroid problem, probably you should get
TSH & thyroid evaluation.
If there is a family history of mood disorder or depression, a psychiatric evaluation with a trial of antidepressant & low dose anti-
psychotic medication might be indicated.
FJP MD ...Read more
I am experiencing rapid heart rate (worsened by: caffeinated drinks (coffee, tea, soda, etc.), psychological stress), appetite changes (quality: reduced appetite), trouble sleeping (worsened by: psychological stress) (quality: difficulty falling asleep
I am experiencing feeling anxious (worsened by: psychological stress), balance problems, behavior problems, difficulty focusing, difficulty concentrating, sleepiness, loss of temper, impulsive or reckless behavior, personality changes, paranoid delusion
Mental health sx's: If you have not had a comprehensive medical evaluation for these symptoms - that is imperative. Medical causes need to be ruled out. These symptoms are serious & of significant concern. Treatment will stem from an accurate diagnosis. Take care and have hope. ...Read more
Yes: I am a huge fan of psychological treatment. I often find people in very intense and stressful personal circumstances expect a magic cure from anti-depressants, but a pill can't cure a bad boss, friendship, maritial problems, etc. The benefit of augmenting any medical treatment with a caring advocate who can help you see clearly through solutions depression itself often clouds can be key! ...Read more