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Home » Topics » Geriatric Psychiatry

Geriatric Psychiatry
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Expert Q&A

Treatment Challenges in Atypical Parkinsonism

July 1, 2024
Alice Flaherty, MD, PhD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CGPR_QA1_Alice-Flaherty_photo.jpgAlice Flaherty, MD, PhD. 

Neurologist, Massachusetts General Hospital; associate professor of neurology and psychiatry, Harvard Medical School, Cambridge, MA.

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

Patients with atypical parkinsonism are less responsive to levodopa, and psychiatric medications can exacerbate motor symptoms. Dr. Flaherty advises how to choose the right treatment in patients with parkinsonism accompanied by psychosis, apathy, anxiety, and depression.


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older woman_Kristo-Gothard Hunor_shutterstock_390085417.jpg
Clinical Update

Causes of Psychosis in Older Adults

July 1, 2024
Julia Cromwell, MD and Christianne Gonzalez Davidson, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Julia Cromwell, MD. Medical Director, Senior Adult Psychiatry Unit, Salem Hospital, Salem, MA.

Christianne Gonzalez Davidson, MD candidate 2024. Tufts University School of Medicine, Boston, MA.

Late-life psychosis has many causes—we’ll walk you through this important differential.


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CME Post-Test, Ethical Issues in Geriatric Psychiatry, CGPR, April/May/June 2024

April 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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Research Update

Therapy in Dementia? Choose CBT

April 1, 2024
Timothy J. Legg, PhD, PsyD, MSN, MPA, MSc
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Timothy J. Legg, PhD, PsyD, MSN, MPA, MSc. Dr. Legg has no financial relationships with companies related to this material.

In MCI or dementia, CBT is the only psychological intervention that improves depression, quality of life, and ADLs.


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Research Update

Can a Ketogenic Drink Improve Cognition in Mild Cognitive Impairment?

April 1, 2024
Susan L. Siegfreid, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Susan L. Siegfreid, MD. Dr. Siegfreid has no financial relationships with companies related to this material.

Drinking a proprietary ketogenic drink appears to improve cognition in mild cognitive impairment.


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Risks in Older Adults

Antidepressants and Hyponatremia

April 1, 2024
Heather Robles, PharmD and Talia Puzantian, PharmD, BCPP
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Heather Robles, PharmD candidate, and Talia Puzantian, PharmD, BCPP. Ms. Robles and Dr. Puzantian have no financial relationships with companies related to this material.

A brief review of hyponatremia including medications that cause it, symptoms to look out for, and how to prevent and treat this common side effect.


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Expert Q&A

Managing Behavioral and Psychological Disturbances in the Nursing Home

April 1, 2024
Maureen C. Nash, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CGPR_QA2_Maureen-Nash.jpgMaureen C. Nash, MD.

Medical Director, Providence ElderPlace PACE Oregon. Co-editor, Neurocognitive Behavioral Disorders: An Interdisciplinary Approach to Patient-Centered Care (Springer; 2019). All comments are Dr. Nash’s personal views and not those of any organization.

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

Dr. Maureen Nash shares how CMS regulations for using antipsychotics in nursing homes affects quality of care.


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Clinical Update

Failure to Thrive in Older Adults

April 1, 2024
Julia Cromwell, MD and Diana S. Kim, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Julia Cromwell, MD. Medical Director, Senior Adult Psychiatry Unit, Salem Hospital, Salem, MA.

Diana S. Kim, MD Candidate 2024. Tufts University School of Medicine, Boston, MA.

Dr. Cromwell and Ms. Kim have no financial relationships with companies related to this material.

Many older adults labeled with FTT eventually receive a medical diagnosis. Beyond addressing depression and treating the underlying medical illnesses, we suggest additional interventions to improve a patient’s functioning.


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Expert Q&A

Ethical Principles and Capacity Assessment in Dementia Care

April 1, 2024
Paul Appelbaum, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

CGPR_QA1_Paul-Appelbaum.jpgPaul S. Appelbaum, MD

Dollard Professor of Psychiatry, Medicine, & Law; Director, Center for Law, Ethics, and Psychiatry, Columbia University, New York, NY. Co-author of Assessing Competence to Consent to Treatment (Oxford University Press; 1998).

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

Dr. Appelbaum provides suggestions on adapting a capacity assessment for people with dementia. 



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ethics
Clinical Update

Navigating Ethical Challenges in Geriatric Psychiatry

April 1, 2024
Meera Balasubramaniam, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Meera Balasubramaniam, MD. Associate Medical Director, Penn Medicine Princeton House Behavioral Health, Hamilton, NJ.

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

Treatment of older adults comes with specific ethical challenges. Here we show you how to evaluate an older adult’s capacity to live independently, manage their finances, and drive safely. We also discuss advance healthcare planning and how to spot elder abuse.


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