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Home » Topics » Geriatric Psychiatry

Geriatric Psychiatry
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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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Deprescribing Anti-anxiety Meds in Older Adults

March 25, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

All sorts of medications are prescribed for anxiety in older adults. Today, we look at when and how to discontinue them.



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Hypnotic Depression Throwback

February 22, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

Here's a Throwback Thursday episode originally cast in March of 2021, where we're going to look at the question of whether adding a z hypnotic improves antidepressant response. And stay tuned to the very end where I'm going to update it with new research. We all know that when you sleep better, you feel better.


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Stimulant Dosing

February 19, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

Dosing is not a collaborative venture when it comes to controlled substances, and here we look for the safe upper limits of stimulant dosing.


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Throwback Benzos

February 15, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

The release of the fast-acting antidepressant Auvelity got us thinking about an older strategy to speed up antidepressants: benzodiazepines. So we're bringing you this Thursday throwback, do benzodiazepines treat depression? Benzos and sleep meds rarely earn a mention in textbooks on depression these days, but that has not always been the case. (Part 1 of a 2 part series)


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Auvelity: 4 Controversies

February 12, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

Auvelity, a new rapid acting medication for depression, is a branded combination of two generic drugs. We look at its side effects, addictive potential, and whether you can just use the generic components.


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Auvelity A Fast Acting Antidepressant

February 5, 2024
Chris Aiken, MD and Kellie Newsome, PMHNP

Auvelity, a new rapid acting medication for depression, is a branded combination of two generic drugs. We look at how it works and the clinical trials, including new data in treatment resistant depression



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