Anna Borisovskaya

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This update on Alzheimer's disease (AD) discusses treatment strategies for cognitive and neuropsychiatric symptoms (such as agitation, psychosis, anxiety, and depression) common in this illness, emphasizing in particular nonpharmacologic strategies such as cognitive interventions, physical exercise, and psychotherapy. We provide an overview of cognitive(More)
Dementia is a progressive neurodegenerative illness that affects a growing number of older adults in our country. We discuss ways to improve the management of persons with dementia within current healthcare models. Specifically, we argue that structured communication at regular intervals is essential for dementia care at all phases of illness. We emphasize(More)
Healthcare for patients with dementia is often reactive, poorly organized and fragmented. We discuss opportunities for improvements in the care of individuals living with dementia at home that can be implemented by physicians in their practices today. In particular, we argue that systematic identification and diagnosis of cognitive impairment and dementia(More)
Somatic symptom disorder (SSD) is a challenging condition to treat with chronic pain, a common and disabling symptom. We present a patient who received electroconvulsive therapy (ECT) for SSD with significant improvement in pain and gastrointestinal symptoms. We also present a brief literature review of similar cases treated with ECT. Preliminary evidence(More)
Although dementias are defined by their cognitive and functional deficits, psychiatric problems are common, contribute to patient distress and caregiver burden, and precipitate institutionalization. Successful treatment involves understanding that physiologic, psychological, and environmental factors can contribute to the development of these symptoms. By(More)
OBJECTIVE We attempted treatment of chronic psychogenic pseudosyncope with serial conscious sedation interviews. METHOD Three conscious sedation interviews were performed. RESULTS The patient's symptoms lessened significantly, and improvement lasted for 3 months; however, gradually, her symptoms returned to prior level of severity. CONCLUSION(More)
AIM We performed a systematic review of evidence regarding treatment of depression in Parkinson's disease (PD) utilizing electroconvulsive therapy. METHODS The search led to the inclusion of 43 articles, mainly case reports or case series, with the largest number of patients totaling 19. RESULTS The analysis included 116 patients with depression and PD;(More)
To the Editor: The behavioral variant of frontotemporal dementia (FTD) may present with depression in addition to changes in behavior and personality. Selective serotonin reuptake inhibitors and trazodone may be useful in the treatment of depression in FTD. Less well researched is the use of electroconvulsive therapy (ECT) for severe or treatment-resistant(More)
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