Cognitive Health i i l h Alice Medalia PhD Alice Medalia, PhD - - PowerPoint PPT Presentation

cognitive health i i l h
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Cognitive Health i i l h Alice Medalia PhD Alice Medalia, PhD - - PowerPoint PPT Presentation

Cognitive Health i i l h Alice Medalia PhD Alice Medalia, PhD Clinical Director of Cognitive Health Services New York Office of Mental Health New York Office of Mental Health Professor of Medical Psychology y gy Columbia University


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i i l h Cognitive Health

Alice Medalia PhD Alice Medalia, PhD

Clinical Director of Cognitive Health Services New York Office of Mental Health New York Office of Mental Health Professor of Medical Psychology y gy Columbia University Medical Center

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What is Cognitive Health? What is Cognitive Health?

Across ethnic and racial groups people Across ethnic and racial groups people describe cognitive health as :

  • staying sharp

staying sharp

  • being right in the mind
  • having a positive mental outlook
  • having a positive mental outlook
  • being alert

h i d

  • having a good memory
  • being socially involved
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SLIDE 3

Good Functioning Requires g q

Cognitive Health Cognitive Health Emotional Emotional Physical Physical Health Health Health Health

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Cognitive Impairment in Depression Cognitive Impairment in Depression Cognitive Impairment in Depression Cognitive Impairment in Depression

After 8 weeks of After 8 weeks of antidepressant treatment, cognition

Intact

remains impaired relative to healthy t l ft

Impaired

controls, even after symptoms of depression improve 95% depression improve.

Shilyansky et al, Lancet Psychiatry 2016

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SLIDE 5

What were you doing in the last 8 k ? weeks?

Imagine having impaired attention and memory Imagine having impaired attention and memory

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SLIDE 6

What Does Cognitive Impairment Look Like?

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SLIDE 7

Functional Disability in Functional Disability in y Mood Disorders Mood Disorders

Underperformance is common in these areas:

  • Academics
  • Occupational achievement
  • Interpersonal relationships

Interpersonal relationships

  • Independent living
  • Community participation

Community participation

  • Medication management
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SLIDE 8

Dispelling a Myth Dispelling a Myth Dispelling a Myth Dispelling a Myth

Diagnostic symptoms account for surprisingly little variance in everyday functional behaviors little variance in everyday functional behaviors and contribute poorly to the prediction of the breadth and persistence of functional impairment breadth and persistence of functional impairment experienced by individuals with mood disorders. COGNITION PREDICTS WORK & SOCIAL FUNCTIONING

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Cognition can be Improved Cognition can be Improved

Excitement to study and provide treatments for Excitement to study and provide treatments for cognition

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Tools to Address Cognitive Health Tools to Address Cognitive Health

  • Cognition is embedded in the vocabulary
  • f recovery
  • Medications and behavioral treatments

address cognitive symptoms add ess cog e sy p o s

  • Thinking well is valued, assessed and

addressed by all stakeholders addressed by all stakeholders