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Home » Topics » Geriatric Psychiatry

Geriatric Psychiatry
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Expert Q&A

Innovative Psychiatric Treatments in Older Adults

October 1, 2025
Fernando Espí Forcén, MD, PhD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Fernando Espí Forcén, MD, PhD. Psychiatrist, McLean Depression Residential Program, Lincoln, MA; Assistant Professor, Harvard Medical School, Boston, MA.

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

Dr. Espí Forcén discusses how psychedelics, new TMS protocols, and ketamine can help older adults with depression. Learn what’s realistic, what’s safe, and how accelerated neuromodulation is changing late-life mental health care.


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Clinical Update

When Does Involuntary Treatment Become Coercive?

October 1, 2025
Carmen G. Black, MD, MHS, Leigh Nathan, MD, Denielle McCarthy, APRN, and Joanna ­ Fogg-Waberski, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Carmen G. Black, MD, MHS; Leigh Nathan, MD; Denielle McCarthy, APRN; Joanna ­Fogg-Waberski, MD. Institute of Living at Hartford Hospital, Hartford, CT.

Dr. Black, Dr. Nathan, Ms. McCarthy, and Dr. Fogg-Waberski have no financial relationships with companies related to this material. 

How do we balance autonomy and safety in older adults? We examine the fine line between necessary intervention and coercion and how shared decision making helps preserve dignity and trust in care.


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Expert Q&A

Metabolic Approaches to Mental Health and Cognitive Decline

October 1, 2025
Christopher Palmer, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Christopher Palmer, MD
Founder and President, MH²; Founder and Director, Metabolic and Mental Health Program, McLean Hospital; Assistant Professor of Psychiatry, Harvard Medical School, Cambridge, MA. 

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

Can better metabolism improve brain health? Dr. Palmer explains how diet, insulin resistance, and mitochondrial function affect mental illness and why the ketogenic and MIND diets may support cognitive resilience in aging.


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Risks in Older Adults

Psychiatric Medication Considerations in Severe Medical Diseases

October 1, 2025
Rebecca Trojan, PharmD, Michael J. Mandarino, PharmD, BCPS, BCPP, and Talia Puzantian, PharmD, BCPP
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Rebecca Trojan, PharmD. Clinical Psychiatric Pharmacist, McLean Hospital, Belmont, MA.

Michael J. Mandarino, PharmD, BCPS, BCPP. Clinical Pharmacist, Neurology and Complex Internal Medicine, Massachusetts General Hospital, Boston, MA.

Talia Puzantian, PharmD, BCPP. Professor, Keck Graduate Institute School of Pharmacy, Claremont, CA; Deputy Editor, The Carlat Geriatric Psychiatry Report.

Dr. Trojan, Dr. Mandarino, and Dr. Puzantian have no financial relationships with companies related to this material.

This article reviews safe psychotropic use in older patients with heart, lung, kidney, or liver disease, helping you avoid dangerous interactions and dosing pitfalls.


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Research Update

Diagnosing Delirium in Dementia

October 1, 2025
Jaime A.B. Wilson, PhD, ABN
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Jaime A.B. Wilson, PhD, ABN, ABPP, MSCP. 
Dr. Wilson has no financial relationships with companies related to this material. 

When dementia patients suddenly worsen, is it delirium or disease progression? Learn the key behavioral and motor clues that can help you spot delirium superimposed on dementia earlier.


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Research Update

A New Biomarker for Tau Tangle Pathology in Alzheimer’s Disease

October 1, 2025
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Research Update Edited by Carlat Staff

A new plasma test, eMTBR-tau243, could revolutionize Alzheimer’s diagnosis by detecting tau tangles with precision and offering a faster, less invasive window into disease progression.


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In Brief

Palliative Psychiatry

October 1, 2025
Victoria Hendrick, MD
From The Carlat Hospital Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Victoria Hendrick, MD. Editor-in-Chief, The Carlat Hospital Psychiatry Report. 

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

Palliative psychiatry is an emerging and thought-provoking approach that challenges us to rethink how we care for individuals with severe and persistent mental illness.


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Research Update

Choosing the Right Antidepressant for Older Adults: What Works Best in the Real World

August 19, 2025
Kathryn Kieran, MSN, PMHNP-BC
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

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

Large-scale real-world data analysis reveals no single antidepressant consistently outperforms others across all outcomes. However, fluvoxamine and venlafaxine showed higher rates of discontinuation, augmentation needs, and psychiatric hospitalization in older adults.


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Research Update

Augment or Switch It Up? Antidepressant Treatment in Older Adults

August 19, 2025
Kathryn Kieran, MSN, PMHNP-BC
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

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

Research findings favor augmentation over switching strategies in treatment-resistant depression. Aripiprazole augmentation showed superior efficacy and lower fall rates compared to other approaches in older adults.


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Fact Sheet

Dementia General Prescribing Tips

August 2, 2025
Rehan Aziz, MD, FAPA
Dr. Aziz has no financial relationships with companies related to this material.
Full Fact Sheet Editorial Information
Older adults undergo substantial changes in drug metabolism and elimination.
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