Psychosis in older adults often goes unrecognized and untreated, despite high prevalence. Understanding its unique features in this population improves outcomes.
Why Psychosis in Older Adults Goes Unrecognized
Several factors lead to underdiagnosis of psychosis in seniors:
- Older adults are less likely to report psychological symptoms
- Psychosis symptoms may be attributed to 'normal aging'
- Physical health conditions can mask or mimic psychosis
- Stigma around mental health remains stronger in older generations
Unique Risk Factors for Psychosis in Seniors
- Loss of spouse, friends, and peers
- Retirement and loss of professional identity
- Physical health decline and chronic pain
- Social isolation and reduced mobility
- Cognitive changes affecting coping capacity
Effective Treatment for Psychosis in Older Adults
Evidence-based treatments for psychosis are effective for older adults, though may need adaptation. Therapy, medication (with appropriate monitoring), and social connection all play important roles.