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Home » Topics » Geriatric Psychiatry

Geriatric Psychiatry
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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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Geriatric Psychiatry Fact Book

PDF/eBook and CME Post-Test for Online Product
July 22, 2025
Rehan Aziz, MD

Dr. Aziz is currently Associate Professor of Psychiatry and Neurology at Hackensack Meridian School of Medicine in Nutley, NJ. He is the Program Director for the Psychiatry Residency Program and Associate Program Director for the Geriatric Psychiatry Fellowship Program at Jersey Shore University Medical Center in Neptune, NJ.

Dr. Aziz has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Everything you need to help your older adult patients from the unbiased clinical experts who publish The Carlat Geriatric Psychiatry Report.


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Geriatric Psychiatry Fact Book

PDF/eBook and CME Post-Test for Regular Bound Product
July 21, 2025
Rehan Aziz, MD

Dr. Aziz is currently Associate Professor of Psychiatry and Neurology at Hackensack Meridian School of Medicine in Nutley, NJ. He is the Program Director for the Psychiatry Residency Program and Associate Program Director for the Geriatric Psychiatry Fellowship Program at Jersey Shore University Medical Center in Neptune, NJ.

Dr. Aziz has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Everything you need to help your older adult patients from the unbiased clinical experts who publish The Carlat Geriatric Psychiatry Report.


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Geriatric Psychiatry Fact Book

PDF/eBook and CME Post-Test for Spiral Bound Product
July 18, 2025
Rehan Aziz, MD

Dr. Aziz is currently Associate Professor of Psychiatry and Neurology at Hackensack Meridian School of Medicine in Nutley, NJ. He is the Program Director for the Psychiatry Residency Program and Associate Program Director for the Geriatric Psychiatry Fellowship Program at Jersey Shore University Medical Center in Neptune, NJ.

Dr. Aziz has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Everything you need to help your older adult patients from the unbiased clinical experts who publish The Carlat Geriatric Psychiatry Report.
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Learning Objectives, Suicide Risk in Older Adults, CGPR, July/August/September 2025

July 1, 2025
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

Addressing Elder Abuse and Promoting Dignity in LGBTQIA+ Older Adults

July 1, 2025
Kathryn Kieran, MSN, PMHNP-BC
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Kathryn Kieran, 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. 

LGBTQIA+ older adults face unique vulnerabilities including discrimination, forced detransition, and family estrangement. Learn practical strategies for creating inclusive care environments and recognizing red flags of abuse in this vulnerable population.


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Expert Q&A

Suicidal Ideation in Older Adults

July 1, 2025
Mark Schechter, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Dr. Schechter shares expert insights on distinguishing between expressions of distress and true suicidal intent in older adults. Learn assessment strategies, validation techniques, and approaches to restore hope in terminally ill patients.


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Expert Q&A

Borderline Personality Disorder in Older Adults

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

Francine Moss, FRANZCP, Older Adult Psychiatrist; Director, St. Vincent’s Older Persons Mental Health Service, Melbourne, Victoria, Australia.

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

Dr. Moss discusses the underdiagnosed presentation of BPD in older adults, including changed symptom patterns, diagnostic challenges, and treatment approaches. Discover how somatic complaints and emotional dysregulation manifest differently in geriatric populations.


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Clinical Update

Pain and Opioid Use in Older Adults

July 1, 2025
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. 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.

Age-related changes affect opioid metabolism and increase fall risk in older adults. Learn evidence-based approaches to pain management, safer prescribing practices, and deprescribing strategies while managing drug interactions and side effects.


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