Géraud Dautzenberg

TABLE OF CONTENTS

Chapter 1 . General Introduction

7

Why, When, Where, Who, What, How ?

Section A: Unseen needs

43

Chapter 2 . The Care Needs of Older Patients with Bipolar Disorder.

45

Section B: The MoCA validation in different old age settings 63 Chapter 3 . Diagnostic accuracy of the Montreal Cognitive Assessment (MoCA) 65

for cognitive screening in old age psychiatry: determining cut off scores in clinical practice. Avoiding spectrum-bias caused by healthy controls.

Chapter 4 . Clinical value of the Montreal Cognitive Assessment (MoCA) in patients suspected of cognitive impairment in old age psychiatry. Using the MoCA for triaging to a memory clinic.

85

Section C: The MoCA in clinical practice

109

Chapter 5 . The Montreal Cognitive Assessment (MoCA) with a double threshold: improving the MoCA for triaging patients in need of a neuropsychological assessment. Chapter 6 . Severe cognitive impairment associated with a high free, but therapeutic total concentration of valproic acid due to hypoalbuminemia in an older patient with bipolar disorder.

111

137

Chapter 7 . Summary of the main findings and general discusion.

151

Chapter 8. Appendix

195 196 200 202 204 213

Nederlandse samenvatting

Conversie Tabel voor ernst cognitieve stoornissen

List of publications Acknowledgements About the author