2004 issue 4

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Volume 13, issue 4

Case report

Psychotic disorders in lonely and elderly people – problems with choosing appropriate therapeutic techniques and interventions into the patient s world

KATARZYNA MAJCHRZAK1
1. „Przystań”, Stowarzyszenie Działające na Rzecz Osób Chorych Psychicznie i ich Rodzin w Katowicach
Postępy Psychiatrii i Neurologii, 2004, 13 (4), 405-409
Keywords: mental illness, psychogeriatry, community psychiatry

Abstract

Aim. Numbers of lonely and abandoned elderly patients suffering from psychotic disturbances are on the subject of community psychiatry. The literature on the treatment and rehabilitation options in these patients is relatively poor suggesting that this subject is of no interest. The aim of the present study was to discuss a treatment dilemma in elderly and lonely patients.

Case report. A 70 year old woman with delusions illustrates a typical situation of elderly and lonely people dealing with everyday problems related to mental illness and the treatment options of this disease. Both somatic and mental state of the presented woman was good enough to get in touch with her in the place of residence. There were no reasons to act against her will.

Comment. Both psychiatric and psychological aid to the elderly ought to cover as many variables as possible. Environmental, social, cultural and related to the age factors should be taken into account. Thus, the effective pharmacological treatment of some psychopathological symptoms is not the only therapeutic option that can be offered to the elderly.

Address for correspondence:
Katarzyna Majchrzak,
Stowarzyszenie na Rzecz Osób Chorych Psychicznie i Ich Rodzin, Katowice,
email: katmajchrzak@poczta.onet.pl