We got her back on it in April and she said she has been feeling a lot better. So, my question s are….
Her symptoms have gotten worse, but mildly worse. And like I said, she got really bad last fall after two family deaths back to back and then improved after getting back on anti anxiety meds. Thank you. So it takes less stress for the person to become noticeably worse in their thinking. However, one of the most common classes of medication used for anxiety is benzodiazepine drugs, such as Xanax and Ativan. Those do help with anxiety but they also impair mental function. Do you know anything about Celexa ever causing those symptoms?
Citalopram brand name celexa is indeed an antidepressant, of the SSRI class selective serotonin receptor inhibitor. SSRIs do have anti-anxiety effects. Citalopram and sertraline are actually a top choice for geriatricians, if we need to treat depression or anxiety in an older person. However, you should know that pretty much all antidepressants — including SSRIs — are associated with an increase in fall risk.
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Psychotherapy works when people stick with it and have a decent therapist. Hi My wife age 62 was asked about 4 months ago to obtain a medical evaluation for problems with her memory at work. There are several things that are making an evaluation of the cause of her symptoms difficult.
She is a computer programmer and seemed overwhelmed. Her employer sent a letter written by a non-medical person that said she was exhibiting signs of early Alzheimers because she sometimes forgot her password and asked a lot of questions. We feel that may have biased the primary care MD and neurologist not to fully investigate other causes.
Just before this happened, she was starting to finally get treatment for untreated, severe generalized anxiety disorder and just started a small dose of Lexapro. The psychiatrist that interviewed her also said that she also had untreated PTSD stemming from witnessing a fatal shooting at close range. She has had symptoms of anxiety for over 30 years.
Sometimes it is better, sometimes it is worse but it has been there as long as I have known her. She also has untreated sleep apnea first diagnosed over 30 years ago as well. She started the assessment for memory loss with the primary care doctor and a referring neurologist. He does not have trouble with grooming, driving, getting lost, knowing the season or date or any of the other symptoms usually associated with Alzheimers.
If she is nervous he searches for words but again but can usually remember things minutes later. She has always had severe test anxiety. She almost did not graduate from college because she was afraid of a required test. So these symptoms have gone on for years. Because we wanted a more thorough evaluation, she is now being evaluated through a university memory clinic. For example, she stumbled over the serial 7s but did it perfectly when we left the clinic. We also have a 22 year old son with schizophrenia that has caused upheaval at home. He is now in a treatment facility but is still a handful to deal with.
The university has ordered a sleep study, PET scan, and blood work. I know that she could have age related dementia which I know is not reversible on top of cognitive difficulties with anxiety, PTSD and untreated sleep apnea which may be reversible.
But before she is labelled as having cognitive deficits due to Alzheimers, do you think she should have these other conditions treated? What would be a suitable length of time to tell whether the memory loss is really from these other factors? Normally such clinics will also perform or refer for in-depth neuropsychological testing. It is really common for people to do cognitively worse when they are anxious, and evaluating people like her can be tricky. I would especially recommend you look into non-drug treatment for anxiety, as many of the anxiety drugs especially benzodiazepines tend to make cognitive function worse.
I would recommend you request and keep copies of all lab results, radiology results, and so forth. This will make it easier to get a second opinion or do your own research. Good luck sorting it out. I especially hope your wife will find ways to alleviate her anxiety and feel ok despite all the health and life challenges she is facing. Thank you so much.
Your response makes sense. I will come back to this posting to let you know the results. Hello, if I may, I need to ask for advice. For about a year now, my mother has been displaying a lot of erratic and uncharacteristic behavior. She accuses people myself included of theft, of controlling her, forcing her to do things, or wanting her dead. Mom is also confused a lot.
Clinical Geriatrics, Death and Dying - 2018 (The Clinical Medicine Series Book 26)
I know that a lot of people do swear, and she has sworn before, but never to this extent, if that makes sense. Mom never set up legal aid, like power of attorney or anything.
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I would speak to her doctor, but she retired a little over two years ago, and that was before all of this began. But, they can also sometimes be caused — or worsened — by other health issues, such as medication side-effects, or electrolyte imbalances. In the article on paranoia, I also cover some of the ways you can try to get help, when the older person is refusing to see a doctor. Otherwise, if things get very bad in terms of how an older person manages their home, family sometimes calls Adult Protective Services.
It is a difficult situation. Try to avoid arguing and reasoning with her and instead try to be reassuring. Another possibility would be to see if you can get a health professional to visit and assess her at home. You would have to see if that type of service is available in your area, and you might have to pay out of pocket for it. Good luck, it is a difficult situation. My father will be turning 83 this year and we have noticed changes including not remembering to take his medication cholesterol, diabetic, aspirin as well as glaucoma eye drops.
Thought we worked on a good system but noticed that he was either not taking at all or maybe more than once in a day. Here is some notes I took with me to the neurologist appt. Phone conversation with Dad when he was in Florida lived part year in Florida mentioning that he had been driving around a lot and had been in Texas and Alabama, but I knew he never left Florida. Was told by close friend in Florida — he tried twice to pack up his Ford F and leave Florida to drive to New Jersey.
Thinking New Jersey was 4 hours away Dad is a retired truck driver. The friend took keys from him after taking ride to Walmart shopping center with him and Dad not knowing how to get back to trailer park. Flew from Florida to New Jersey on May 5th, friend took him to airport and then got a security pass to take him to gate. Arrived in New Jersey and I met him at security desk. He had called my brother on cell phone to tell him he arrived as he thought he was picking him up. Have had the car since Talked to me in the car about coming up through Virginia as they had to take a different path because his boss had spies watching them.
At my house brought in his luggage and about 3 hours later he asked if we needed to bring in luggage. Unpacked his luggage and found that he did bring the Metformin with him but not Lisinopril, baby aspirin or Simvastatin nor Cosopt or Latanprost, or his shaving gear or deodorant but packaged bath towels, curtains, and rags. Had hoped I had him back on schedule when he left the end of February to go to Florida.
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Sunday morning, I saw he took his medication and eye drops but I ran to CVS later that evening and when I came back he told me he took his medication. I spent the rest of the evening with him. He also left me to go to cashier to cash in ticket. Was supposed to come back to me but ended up in an entirely different area but found his other sister-in-law and she called me to say he was with her.
Saw a neurologist and the memory test scoring was a 13 out of Ordered a MRI and blood work. There is advanced chronic small vessel ischemic disease of the white matter. There is advanced atrophy and venticulomegaly.