The following are true statements about bipolar disorders in older adults except:
a. "Bipolar disorder often results in 'a leveling out' of symptoms as one ages".
b. "Relapses in bipolar disorder tend to be precipitated by medical problems".
c. "Older adults with bipolar disorder tend to be 'rapid cyclers'."
d. "Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults."
e. "Antidepressant medication can cause an increase in manic behavior.
ANS: D
Depression is the most common psychiatric disorder in older adults. Bipolar disorders tend to level out in later life, and individuals tend to have longer periods of depression. Relapses in older adults are usually precipitated by medical problems. Older adults tend to be "rapid cyclers," cycling from mania to deep depression in a much shorter period of time than they did when they were younger. Depression was a frequent misdiagnosis and those with bipolar disorder were prescribed antidepressant medications, which inadvertently placed them at risk for manic episodes and increased risk of rapid cycling.
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