10-10-2018 11:53 PM
My father has dementia, which (I think) is exacerbated by having a personality disorder. Can he be treated for this, or does his dementia prevent this? Has anyone had experience of the two problems.
11-10-2018 10:03 AM
Dementia can complicate the treatment of any medical condition. Even in those without a mental health diagnosis, behaviours and personalities change. I do not know if a PD contributes to the risk of developing what are seen as the more challenging aspects of dementia.
Clear communication in relation to the treatment of any medical condition is necessary - not just psych, do you have medical POA? Medication reviews are often helpful to ensure no untoward interactions between prescribed meds. There is a lot of controversy about the use of antipsychotics in patients with dementia (most carry a black box warning for use in the elderly) and these are the RANZCP guidelines.
Help and support is available through Dementia Australia, their website has some excellent information as well as carer support options.
Is it BPD or another PD your father has? The following is a link to nhmrc guidelines regarding the treatment of BPD.
12-10-2018 08:38 AM
My dad has dementia. Recently with his senior Gerontologist, he diagnosed dad with depression, filled out a script for antidepressant BUT asked me to wait 2 weeks to see if dad improved with extra time outside in the sun, BECAUSE antidepressants can make the dementia worse and affect coordination (falls risk). I say this because a lot of personality disorders are treated with antidepressants.
05-12-2018 10:44 AM
Just checking-in to see how your dad and you are going. How have you gone with being able to diagnose and treat your dad who has dementia for a potential personality disorder?
Hopefully, you've been able to hear others experiences around treating such dual diagnoses!
05-12-2018 02:47 PM
Unfortunately no. My father is in a nursing home; I wrote a long email to the geriatrician servicing the home and assumed he'd be in touch before he saw my father (and me) in an official appointment. A week or so later, the nursing home informed me that the geriatrician had come in to see dad and prescribed an anti-psychotic. I wasn't contacted at all. Needless to say I'm not at all happy with the treatment.
05-12-2018 03:31 PM
Are you your father's enduring guardian?
05-12-2018 04:37 PM
Yes, along with my brother.
05-12-2018 05:26 PM
If you are the guardians, the geriatrician is obliged to liaise with you. Do you know if your brother was contacted? Additionally if any medication is prescribed "off-label" specific informed consent should have been obtained where risks vs benefit are clearly explained (see attached guidelines).
If your brother was not contacted, I would be seeking an urgent appointment with the geriatrician so that the appropriateness of any medication can be discussed with a view to either accepting or declining the treatment.
05-12-2018 05:36 PM
Thank you; I'll contact geriatritian asap.
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