Old age and ideation disorders

Occasionally, without concomitant cognitive involution or depressive mood conditions, a pathological thought develops in the elderly’s mind, of which he is victim since his critical abilities are impaired.

Most of the time, it is a persecutory conviction (to be robbed, ridiculed, to be on the receiving end of pranks, slander and envy).

The prescription of medicines is greatly opposed by the patient’s denial of a diagnosis of ideation disorder, therefore refusing to comply with therapy.

On the other hand ‘major sedatives’, useful in these cases (neuroleptics), may induce various physical reactions which may further alarm an already suspicious patient.

In this case too, it is of paramount importance that the therapist be able to select appropriate medicines at the most tolerated dosage, in order to gain and maintain as best possible the patient’s trust.