Abstract
Bipolar disorder in older individuals is becoming more relevant to clinicians due to the advent of the aging of the population. Geriatric patients in general are more complex, and the disease process is not simply an extension of the symptomatology observed in the younger cohort. The information derived from study data of younger adults as applied to geriatric psychiatric management is never ideal. Additionally, research and guidelines for evidencebased management and treatment of the elderly bipolar is extremely limited. This chapter presents the most recent data describing the clinical features, diagnosis, comorbidities, and treatment strategies (including lithium and anticonvulsants, antipsychotics, antidepressants, benzodiazepines, and ECT) for this complex bipolar subgroup.