Benzodiazepines Continue to be Prescribed Without Psychotherapy to Older Adults

From Mad In America, 02/24/17

"A new study, published in the Journal of the American Geriatric Society, finds that older adults continue to be prescribed benzodiazepines without being offered psychotherapy. This practice persists despite decades of research warning of safety concerns with these drugs and demonstrating the effectiveness of alternative treatments."

I have a few "geriatric" clients in my practice. When they get off the benzos which is difficult because of the withdrawal which exaggerates the symptoms, such as anxiety, for which they were prescribed to begin with, they usually report that they feel better. I usually suggest they only take them if absolutely needed, and don't take them on a regular basis to avoid the development of physical tolerance.

Listening to older people's complaints takes time, time the primary care physician is not reimbursed for in our mercenary system of health care. There are many barriers and obstacles to the PCP referral to mental health professionals, but when done and psychotherapy is engaged in, benefits are worth in the cost in most cases.

The last letter

From the New York Times on 09/07/16:

Over the last 15 years, as a geriatrics and palliative care doctor, I have had candid conversations with countless patients near the end of their lives. The most common emotion they express is regret: regret that they never took the time to mend broken friendships and relationships; regret that they never told their friends and family how much they care; regret that they are going to be remembered by their children as hypercritical mothers or exacting, authoritarian fathers.

And that’s why I came up with a project to encourage people to write a last letter to their loved ones. It can be done when someone is ill, but it’s really worth doing when one is still healthy, before it’s too late.

 


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