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The onset of a dementing illness does not erase sexuality, but may alter sexual behaviour and expression in many patients. This can be very distressing to both the patient and their partner.

This article looks at the use of cognitive behavioural therapy (CBT) for depression administered using a specifically adapted manual by a primary care physician (PCP) facilitator with non-physician co-facilitators.

Stroke is a serious complication of atrial fibrillation, affecting not only the patient but people around them as well. The use of warfarin reduces ischemic stroke but should not be taken lightly.

This article provide an insight into how new radiological techniques can be used to investigate for colon cancer in the older patient.

Motor neuron disease is a devastating condition characterised by degeneration of motor nerves. Quality of life for patients requires preventing unnecessary delay in diagnosis and early referral to an appropriate multidisciplinary team.

Acute disturbed behaviour may be a presentation of delirium but it might also be misunderstood by clinical staff, and individuals with specific problems.

The Bournewood proposals were issued by the Department of Health to clarify issues surrounding the compliant incapacitant patient where they are being, or risk being, deprived of their liberty.

Debates continue on the issue of how to avoid emergency hospital admissions. This article examines the current models of admission avoidance and the evidence base for such services.

Frequently mistaken for more common conditions, myasthenia gravis is an autoimmune disease of neuromuscular function. These two case reports chart the difficulty in diagnosis and the treatment options.

This is a case report of a patient with Parkinson's disease whose electrocardiogram led to the misdiagnosis of torsade de pointes.

Thiazide-type diuretics and CCBs are recommended as first-line therapy for hypertension in elderly patients, based on the assumption they tend to have low renin essential hypertension and proven efficacy.

Shingles is an acute, painful condition where erythematous vesicles erupt in one or more parts of the body. Infection is often followed by persistent debilitating pain known as postherpetic neuralgia (PHN), which is the most common complication. 

Many women experience devastating symptoms of the menopause to the extent their quality of life is reduced and daily tasks start to become a burden. This article reviews management options.

Cardiac resynchronisation using a biventricular pacemaker has been proven in clinical trials to improve symptoms and life expectancy. Although these devices are relatively expensive, this treatment is cost effective.

Spirituality and religious practice can affect mental health. Doctors have a duty to respect patients' spiritual and religious beliefs and practices, and encourage them where appropriate.