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Home » Topics » Geriatric Psychiatry

Geriatric Psychiatry
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CME Post-Test, Medical Contributors to Psychiatric Disorders, CGPR, July/August/September 2026

July 1, 2026
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

By successfully completing the test you will be awarded a certificate for 2 CME credits.


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Research Update

When Antidepressants Stop Working in Older Adults

July 1, 2026
Carlat Staff
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Carlat Staff

The evidence base for treatment-resistant depression was largely built on younger adults. This meta-analysis asks what works in patients 55 and older. One intervention stands out, especially when suicidality is in the picture.


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Learning Objectives, Medical Contributors to Psychiatric Disorders, CGPR, July/August/September 2026

July 1, 2026
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

After reading these articles, you should be able to…


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Clinical Update

Nootropics and Cognitive Health in Older Adults

July 1, 2026
Julia Cromwell, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Julia Cromwell, MD. Medical director, geriatric and adult inpatient psychiatrist, Mass General Brigham Salem Hospital, Salem, MA.

Dr. Cromwell has no financial relationships with companies related to this material.

Older adults are increasingly turning to supplements and substances marketed for memory and cognition, and they’re asking their psychiatrists about them. Here’s what the evidence supports, and how to have that conversation without dismissing or overpromising.


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Expert Q&A

Recognizing and Managing Prion Disease

July 1, 2026
Alice B. Uflacker, MD.
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Alice B. Uflacker, MD. Outpatient psychiatrist (geriatric psychiatry) and TMS psychiatrist (neurotherapeutics program), McLean Hospital, Belmont, MA; instructor, Harvard Medical School, Boston, MA.

Dr. Uflacker has no financial relationships with companies related to this material.

Prion disease is uncommon but not rare, and psychiatrists are often the first clinicians to see it. Dr. Alice Uflacker explains how to recognize rapidly progressive cognitive and behavioral decline, when to refer, and how modern tools like MRI and RT-QuIC have transformed diagnosis. Palliative planning and family counseling are also addressed.


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Expert Q&A

Food as Medicine in Older Adults

July 1, 2026
Rani Polak, MD, Chef, MBA
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Rani Polak, MD, Chef, MBA. Culinary Healthcare Education Fundamentals (CHEF) Coaching Program, Sheba Center of Lifestyle Medicine, Tel Aviv, Israel; Wellcoaches; Assistant Professor of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA.

Dr. Polak has no financial relationships with companies related to this material.

Nutrition is already part of psychiatric pathophysiology, although it just rarely makes it into the visit. Dr. Rani Polak, a physician-chef and lifestyle medicine specialist, explains how psychiatrists can ask about diet, what nutritional deficiencies to screen for, and how cooking itself can restore structure, agency, and connection in older adults.


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Clinical Update

Effectively Translating Knowledge into Practice

July 1, 2026
Kathryn Kieran, MSN, PMHNP-BC
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Kathryn Kieran, MSN, PMHNP-BC. Instructor in psychiatric nursing, MGH Institute of Health Professions, Charlestown, MA.

Ms. Kieran has no financial relationships with companies related to this material.

Choosing the right treatment is only half the job. This article focuses on how to build care plans older adults can follow using teach-back, simplified written instructions, caregiver engagement, and trusted digital resources. Practical strategies address underuse of effective treatments, misuse from unclear plans, and overuse driven by complexity rather than clinical need.


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Research Update

Physical Activity and Mental Health: How Much Is Enough?

July 1, 2026
Carlat Staff
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Carlat Staff

How much exercise does it take to protect against depression and anxiety in older adults? A large accelerometer-based study puts a number on it, and finds the biggest gains happen at the very bottom of the activity spectrum.


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Research Update

Vigorous Exercise Cuts Dementia Risk

July 1, 2026
Carlat Staff
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Carlat Staff

What if the key to protecting the aging brain isn’t how long patients exercise, but how hard? A comprehensive review suggests cardiorespiratory fitness — not step counts — is the variable that matters most for dementia prevention.


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Research Update

A Simple Blood Test Matches a $5,000 Scan for Alzheimer’s

July 1, 2026
Carlat Staff
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Tau-PET is the gold standard for detecting preclinical Alzheimer’s pathology, but it costs thousands and isn’t widely available. What if a $200 blood test could do the same job?


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