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Schizophrenia and paranoid disorders in late life 

Schizophrenia and paranoid disorders in late life
Chapter:
Schizophrenia and paranoid disorders in late life
Author(s):

Barton W. Palmer

, Gauri N. Savla

, and Thomas W. Meeks

DOI:
10.1093/med/9780199696758.003.0200
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date: 21 January 2021

Estimates of the point-prevalence of paranoia and other psychotic symptoms among persons age ⋚ 65 years have ranged from approximately 4 per cent to 6 per cent, and may be as high as 10 per cent among those age ⋚ 85 years. Although the majority of these symptoms occur as secondary psychoses in the context of Alzheimer’s disease or related dementias, the population of people with schizophrenia is ageing along with the general ‘greying’ of the industrialized world, and mental health care for older adults with schizophrenia is expected to be an increasingly important public health concern. This chapter covers clinical features, classification systems, diagnosis and differential diagnosis, epidemiology, aetiology, course and prognosis, treatment, and management.

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