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Older adults with bipolar disorder are some of the least understood of all psychiatry patients. Because the condition can shorten a person’s lifespan by as much as two decades, many patients simply don’t survive into their 60s, 70s and beyond to help inform research and clinical decision-making about what the ideal care for them should be. As a result, doctors and researchers who study the condition consider an “older adult” with bipolar disorder to be age 50 or older. “Folks lose one to two decades of life, so if you just focus on what we traditionally think of as seniors, age 65 or older, you're really not addressing the issue,” says UH psychiatrist Martha Sajatovic, MD, Director of the Neurological and Behavioral Outcomes Center and Willard W. Brown Chair in Neurological Outcomes. Even with this expanded definition of “older adult,” data on bipolar disorder is relatively scarce, Dr. Sajatovic says. “There’s not very much attention to what we need to do to support and treat people with bipolar disorder who are older,” she adds. “Many of them aren’t around, unfortunately. An additional and important burden to people living with bipolar disorder is stigma — negative societal attitudes and behaviors that are directed towards people with a mental health condition. Because they fear stigma or discrimination, people don't want to talk about it or seek help for their bipolar disorder. The other unfortunate thing that happens is when people get older, there can be a tendency to believe anything that happens in the brain is due to dementia or other kinds of conditions rather than bipolar disorder.” Some research to date has shown that bipolar disorder is indeed different in older adults, Dr. Sajatovic says. However, with more people now living longer, she says, much more study is needed. To that end, Dr. Sajatovic has helped lead an international coalition to invigorate the study of bipolar disorder in older adults. The Global Aging & Geriatric Experiments in Bipolar Disorder Database (GAGE‐BD) project is an integrated database, combining data from studies of older adults with bipolar disorder conducted by different sites from around the world. Funded by a grant from the International Society for Bipolar Disorders (ISBD), the project includes Dr. Sajatovic and contributors from University of California at San Diego, Lady Davis Institute of McGill University in Montreal, Canada, and University Medical Centre Utrecht in the Netherlands. For more information about this research, please visit https://lnkd.in/gtM6azsw   #bipolardisorder #mentalhealth #patientsfirst

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