Why older adults need a specialist review
Older adults often take several medicines, have multiple medical conditions and may present with atypical symptoms. Depression can look like memory loss, apathy or physical complaints; delirium can look like psychosis or dementia; and dementia can cause depression, anxiety or agitation.
A careful review separates these possibilities and avoids attributing treatable symptoms to age alone.
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What the assessment covers
The consultation reviews mood, sleep, appetite, energy, memory, daily function, falls, pain, hearing and vision, alcohol use and social support. A cognitive screen and a medication review are part of the assessment.
Collateral history from a family member or caregiver is valuable, especially when memory or insight is affected. Physical causes such as thyroid disease, vitamin deficiency, infection, medication effects and dehydration are considered.
- Mood, anxiety and sleep assessment
- Cognitive screening and functional review
- Medication review for interactions and side effects
- Caregiver stress and safety at home
Treatment and family support
Treatment may include psychotherapy, carefully selected medication at lower doses, behavioural strategies for dementia-related symptoms, sleep and routine support, and coordination with the treating physician. Antipsychotics are used cautiously and for clear indications.
Family caregivers are given practical guidance on communication, safety, wandering, medication supervision and when to seek urgent care. Delirium with sudden confusion, fever or reduced consciousness is a medical emergency.
Access and booking
Appointments are at Mind Wellness Center, Durbar Marg area, Kathmandu. Call +977-9747736624 or use /book-appointment. Telepsychiatry is available for appropriate follow-up and for patients who cannot attend in person. This is not an emergency service.