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Home » Topics » Geriatric Psychiatry

Geriatric Psychiatry
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Learning Objectives, Substance Disorders in Older Adults, CGPR, April/May/June 2023

May 11, 2023
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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Expert Q&A

Substance Use Disorders in Older Adults: A Growing Concern

May 11, 2023
Olivera J. Bogunovic, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

QA2_OliveraBogunovicHeadshot.jpegOlivera J. Bogunovic, MD.

Medical director of ambulatory services in the Division of Alcohol, Drugs, and Addiction at McLean Hospital, Belmont, MA; assistant professor of psychiatry, Harvard Medical School, Boston, MA.

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

Older adults with substance use disorders present to clinicians in various stages of change. Dr. Bogunovic discusses brief clinical interventions including motivational interviewing and how to approach harm reduction.


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Clinical Update

Medication Treatments for Alcohol and Opioid Use Disorder in Older Adults

May 11, 2023
Rehan Aziz, MD.
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Rehan Aziz, MD. Associate program director, Geriatric Psychiatry Fellowship Program, Jersey Shore University Medical Center, Neptune, NJ; associate professor of psychiatry and neurology, Hackensack Meridian School of Medicine, Nutley, NJ.

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

With three FDA-approved medications for alcohol use disorders and three FDA-approved medications for opioid use disorders, it can be hard to know where to start. Here we review the pros and cons of these six medications—and provide recommendations for their use in older adults.


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Research Update

Does Coffee Consumption Increase Risk of Dementia and Stroke?

May 9, 2023
Talya Shahal, MD.
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Talya Shahal, MD. Dr. Shahal has no financial relationships with companies related to this material.

Drinking more than six cups of coffee daily is associated with higher odds of dementia.


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Research Update

Assessment of Stimulant Use and Cardiovascular Event Risks Among Older Adults

May 9, 2023
Talya Shahal, MD.
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Talya Shahal, MD. Dr. Shahal has no financial relationships with companies related to this material.

Stimulants may not significantly increase cardiovascular adverse events in older adults after the first month.


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Research Update

Accelerated Aging

May 9, 2023
Dax Volle, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Dax Volle, MD. Dr. Volle has no financial relationships with companies related to this material.

This study tests whether mental illness itself (independent of lifestyle factors) accelerates biological aging. 


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Expert Q&A

Managing Substance Use in Older Adults

May 9, 2023
Louis Trevisan, MD.
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Louis Trevisan, MD. 

Clinical professor of psychiatry, Creighton University School of Medicine, Omaha, NE; associate professor of psychiatry, adjunct, Yale School of Medicine, New Haven, CT.

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

How do we best approach screening for substance use disorders in older adults? Dr. Trevisan walks us through his approach to choosing the right screening tools and speaking with patients.


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Clinical Update

Screening Tools, Assessment, and Brief Interventions for Substance Use Disorders in Older Adults

May 9, 2023
Julia Cromwell, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Julia Cromwell, MD. Inpatient geriatric psychiatrist, Mass General Brigham Salem Hospital, Salem, MA.

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

How do you choose a screening tool for substance use disorders in older adults, and what do you do when a patient screens positive? We discuss common screening tools, assessments, and interventions based on an older adult’s risk level.


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Depression.jpeg
CARLAT WEBINAR

Treating Depression Collaboratively

April 21, 2023
Garrett Rossi, MD.

0.50 CME Credits. Discover how primary care providers can effectively treat depression with the help of guidelines and algorithms, and learn when to refer patients to a psychiatrist in this informative webinar.


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Saks-BookCover_Whisler-Higgins.jpg
BOOK REVIEWS FOR PSYCHIATRISTS

Using Stories to Color the Stark Lines of Evidence-Based Medicine: Elyn R. Saks

February 9, 2023
Emily E. Whisler, DO and Edmund S. Higgins, MD.

The first in a series of interesting reading for psychiatrists


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