Rennes 1 University
old-age psychiatry
I performed my MD and PhD on apathy in neuropsychiatric disorders from Parkinson's Disease, depression, schizophrenia and now old-age depression. Me and my colleagues used cerebral imaging such as Positrion Emission Tomographie and Magnetic Resonance Imaging, but also actimetry and emotion induction. Our aim is to develop a framework tool to best characterize apathy in routine care. Still on teh research side, I also spent 2 years in London at the Institute of Psychiatry, Psychology and Neuroscience and worked methods to associates the growth of a behavioural construct and brain development. On the clinical side, I have been working in general psychiatry as a lecturer between 2010 and 2013 and since 2015 I coordinate the old-age psychiatry department at the Centre Hospitalier Guillaume Regnier in Rennes, France. It is composed of a streamline for care including therapeutic day hospitals, two mobile teams to assess and to treat patients at home (including nursing homes), 15 full time beds to treat most severe patients (essentially with psychotic chracteristics and melancholia). We recently developped day hospitals to assess old-age individuals with psychiatric disorders. We also perform telemedecine in routine care across 10 nursing homes. We are currently about 40 people in the department and a strong will to increase this number. On a more personal side, I face other challenges within my 3 kids family and like to listen to complex electronic music when working !

Moderator of 1 Session

Session Type
EPA Course
Date
Sat, 04.06.2022
Session Time
13:30 - 15:30
Room
Hall C
Session Description
Organised by the EPA Section on Old Age Psychiatry. Apathy is a symptom that can be encountered in various psychiatric (affective disorder, psychosis), neurological (neuro-cognitive disorder such as Alzheimer disease, frontotemporal dementia or Parkinson’s disease) and also general affections (for example stroke, cancers, hypothyroidism). It is frequent and associated with both poor health outcomes and the caregiver burden. It is not described in the international classification of mental disorders, yet a growing body of literature strengthen apathy as a strong component of neuropsychiatric disorders. It is currently understood as a trans-nosographic and multi-dimensional concept including reduced goal-oriented behaviors, cognitions and social-interactions. It has relied for a long-time on motivation, which, although difficult to define and to quantify, remains a psychological construct of interest. During this course, we will address i) the diagnosis pathway starting with apathy in light of the clinical context and of the concurrent symptoms ii) a clear strategy to lead a clinical examination of apathy (including the caregiver burden assessment associated with apathy) iii) the different screening tools and more advanced scales to quantify apathy iv) the most robust data related to the pathophysiological mechanisms underlying apathy and v) the possible psychopharmacological and psychotherapeutics available at hand. To this, we will provide clinical vignettes and enhance experience sharing using small groups discussion interactions. Role play will be performed so that participants can integrate the basics apathy clinical examination. Participants will be able to provide questions throughout the course and regular tests will be carried out to ensure appropriate understandings of the topic.
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Fully Live, Ticketed

Presenter of 1 Presentation

Apathy: Unravelling a Complex Disorder of Complex Behaviors

Session Type
EPA Course
Date
Sat, 04.06.2022
Session Time
13:30 - 15:30
Room
Hall C
Session Icon
Fully Live, Ticketed
Lecture Time
13:30 - 15:30