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Home » Topics » Geriatric Psychiatry

Geriatric Psychiatry
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Expert Q&A

Managing Treatment-Resistant Anxiety Disorders in Older Adults

January 1, 2025
Carmen Andreescu, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CGPR_1&2 2025_JanFebMar_QA2_Carmen Andreescu_photo.jpgCarmen Andreescu, MD

Professor of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA. 

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

Managing treatment-resistant anxiety in older adults requires a tailored approach. Dr. Andreescu explores the latest evidence on effective interventions for treatment-resistant anxiety, from medication strategies to lifestyle changes. Learn how chronic anxiety impacts aging, why standard treatments may fail, and how to optimize care for better long-term outcomes.


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Clinical Update

Breaking the Silence: Addressing the Hidden Crisis of Elder Abuse

January 1, 2025
Rehan Aziz, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Rehan Aziz, MD. Program director, geriatric psychiatry fellowship program, Jersey Shore University Medical Center, Neptune, NJ; associate professor of psychiatry and neurology at Hackensack Meridian School of Medicine, Nutley, NJ.

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

Dr. Aziz sheds light on the hidden crisis of elder abuse, exploring its physical, emotional, and financial forms. Learn how to recognize warning signs, support vulnerable adults, and take action to break the cycle of neglect and mistreatment in older adults.


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Clinical Guidance

Suicide Risk in the Older Adult

November 26, 2024
Daniel Carlat, MD

Dr. Carlat has no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information

  • Suicidal thoughts in older adults (OAs) require urgent attention due to high suicide mortality.



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    Research Update

    Rapid Initiation of Extended-Release Buprenorphine

    October 1, 2024
    Aniruddha Deka, MD
    From The Carlat Addiction Treatment Report
    Issue Links: Editorial Information | PDF of Issue

    Aniruddha Deka, MD. Dr. Deka has no financial relationships with companies related to this material.

    Long-acting buprenorphine is a promising new treatment for opioid use disorder, but it usually requires a seven-day stabilization period before initiation. Here, researchers develop and evaluate a novel protocol for initiating long-acting injectable buprenorphine in a single day. The trial is small, but results are promising.


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    CME Post-Test, Health Equity, CGPR, October/November/December 2024

    October 1, 2024
    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 credit.


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    News of Note

    News of Note: Donanemab Gains FDA Approval for Early Alzheimer’s Treatment

    October 1, 2024
    Stephanie Collier, MD and Talia Puzantian, PharmD, BCPP
    From The Carlat Geriatric Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Stephanie Collier, MD and Talia Puzantian, PharmD. Dr. Collier and Dr. Puzantian have no financial relationships with companies related to this material.

    The FDA recently approved donanemab for early Alzheimer’s, offering new hope by slowing cognitive decline.


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    Research Update

    High-Dose Aspirin and Age Are the Only Convincing Depression Risk Factors in Late Life

    October 1, 2024
    Kathryn Kieran, MSN, PMHNP-BC
    From The Carlat Geriatric Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Kathryn Kieran, MSN, PMHNP-BC. Ms. Kieran has no financial relationships with companies related to this material.

    This umbrella review looked at modifiable risk factors for late life depression—and only two stood out. 


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    Research Update

    Moderate Alcohol Use and ­Cognitive Decline

    October 1, 2024
    Kathryn Martin, MD, MPH
    From The Carlat Geriatric Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Kathryn Kieran, MSN, PMHNP-BC. Ms. Kieran has no financial relationships with companies related to this material.

    For years, moderate drinking was seen as harmless or even beneficial. This study challenges that, revealing how even modest alcohol consumption can raise brain iron levels and impair cognitive function.
     


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    Clinical Update

    Considerations in Prescribing Lithium in Older Adults

    October 1, 2024
    Shireen Wissa, PharmD and Talia Puzantian, PharmD, BCPP
    From The Carlat Geriatric Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    Shireen Wissa, PharmD Candidate 2025. Keck Graduate Institute School of Pharmacy, Claremont, CA.

    Talia Puzantian, PharmD, BCPP. Keck Graduate Institute School of Pharmacy, ­Claremont, CA.

    Ms. Wissa and Dr. Puzantian have no financial relationships with companies related to this material.

    Smart dosing and vigilant monitoring can turn the often-feared lithium into a safe, effective solution for older adults.


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    Expert Q&A

    Reevaluating Diagnosis Criteria for Minoritized Populations

    October 1, 2024
    Carmen G. Black, MD, MHS
    From The Carlat Geriatric Psychiatry Report
    Issue Links: Editorial Information | PDF of Issue

    QA2_Carmen Black_headshot.jpgCarmen G. Black, MD, MHS

    Vice Chair of Education, Institute of Living at Hartford Hospital; Adjunct Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, CT. 

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

    Dr. Black discusses reevaluating diagnostic criteria for minoritized populations, emphasizing how structural racism in medicine contributes to misdiagnoses and disparities in mental health care. She explores approaches for clinicians to provide more equitable treatment by considering cultural context and addressing unconscious biases in psychiatric assessments.




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