The 3 D's of geriatric psychiatry: depression, delirium, and dementia.

A Caucasian female octogenarian with multiple medical problems was admitted to the inpatient geriatric psychiatry unit with intermittent altered mental status and decline in memory. She had been hospitalized four times in the previous three months. She was admitted on more than 10 medications and received more than 20 different medications in this time period.

Tetrabenazine for the treatment of tardive dyskinesia.

Objective: To evaluate the safety and effectiveness of tetrabenazine for the treatment of tardive dyskinesia.

Data Sources: Literature was accessed through MEDLINE (1966-September 2010) and The Cochrane Library using the terms tetrabenazine, tardive dyskinesia, and movement disorders. In addition, references from publications identified were reviewed.

Polypharmacy in a 75-year-old patient with schizoaffective disorder.

A 75-year-old white female with schizoaffective disorder was admitted to an inpatient psychiatry unit for uncooperativeness in refusing to take scheduled medications. She complained of anticholinergic adverse effects and had abnormal involuntary movements in the oral/buccal region. The patient had been prescribed six psychotropic medications (i.