In last one decade, several developments have occurred in the area of management of various psychiatric disorders among elderly. Hence, it was decided to update the existing Clinical Practice Guidelines (CPGs) for various psychiatric disorders. These new set of CPGs is an attempt to update the previous guidelines by emphasizing what is new in the field. It is suggested that these guidelines should be read in conjunction with the earlier version of the CPGs as developed and published by the Indian Psychiatric Society in the year 2007.
It is important to note that these guidelines are not specific to any specific treatment setting and these may require minor modifications to address the treatment needs of patients in a specific setting. It is well known that a host of factors influence the management of various psychiatric disorders. Particular consideration needs to be given to clinical parameters like cross-sectional and longitudinal course of symptoms, type and severity of symptoms, presence or absence of medical and psychiatric comorbidity, comorbid substance abuse/dependence and special needs. Socio-cultural factors like, beliefs about the illness and their treatments are particularly important, as are the availability of treatment-resources and social support. Accordingly, the recommendations made as part of these CPGs have to be tailored to suit the needs of individual patients. It is expected that these guidelines will act as a framework to manage an elderly patient rather than management of a disorder. The recommendations given as part of the revised guidelines are based on the available evidence base, expert consensus and the feedback obtained from the membership.
The general goals of treatment should be to decrease the frequency, severity and impact of episodes (exacerbations) and maximize functioning. Specific goals will depend on the specific symptoms, phase of the illness and available resources.