New-Onset Paranoia in an Elderly Woman With Bipolar Disorder: Differential Diagnosis, Evaluation, and Treatment

Shreedhar Paudel; Chirag M Vyas; Celeste Peay; Emily Sorg; Inas Abuali; Theodore A Stern

doi:10.4088/PCC.21f03141

New-Onset Paranoia in an Elderly Woman With Bipolar Disorder: Differential Diagnosis, Evaluation, and Treatment

Prim Care Companion CNS Disord. 2022 Jul 5;24(4):21f03141. doi: 10.4088/PCC.21f03141.

Authors

Shreedhar Paudel^{1

2}, Chirag M Vyas¹, Celeste Peay¹, Emily Sorg¹, Inas Abuali³, Theodore A Stern¹

Affiliations

¹ Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
² Corresponding author: Shreedhar Paudel, MD, MPH, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114 (spaudel2@mgh.harvard.edu).
³ Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

PMID: 35830736
DOI: 10.4088/PCC.21f03141

Abstract

The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.

MeSH terms

Aged
Bipolar Disorder* / complications
Bipolar Disorder* / diagnosis
Bipolar Disorder* / therapy
Diagnosis, Differential
Female
Hospitals, General
Humans
Mental Disorders* / therapy
Paranoid Disorders / complications
Paranoid Disorders / diagnosis
Paranoid Disorders / therapy
Psychiatry*
Referral and Consultation