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Home » Topics » Geriatric Psychiatry

Geriatric Psychiatry
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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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Risks in Older Adults

Gun Safety

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

Stephanie Collier, MD, MPH. Director of Education, Geriatric Psychiatry, McLean Hospital; Instructor in Psychiatry, Harvard Medical School, Boston, MA; Editor-in-Chief, The Carlat Geriatric Psychiatry Report.

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

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Clinical Update

Prescribing Medications for Sleep Disorders in Older Adults

June 12, 2025
Evelina Sterina, MD, MSc, Julia Golden, MD, and Grace Ma, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Evelina Sterina, MD, MSc; Julia Golden, MD; Grace Ma, MD. Brigham & Women’s Hospital/Harvard Medical School Psychiatry Residency, Boston, MA.

Drs. Sterina, Golden, and Ma have no financial relationships with companies related to this material.

Sleep disorders affect nearly half of adults over 65, impairing quality of life and increasing risks of cognitive decline, mood disorders, falls, metabolic syndrome, heart disease, stroke, and cancer.


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Risks in Older Adults

Impacts of Climate Change on Mental Health

April 1, 2025
Suellen Breakey, PhD, Kathryn Kieran, MSN, PMHNP-BC, and Patrice K. Nicholas, DNSc, DHL (Hon)
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Suellen Breakey, PhD. Distinguished Teaching Associate Professor; Associate Director, Center for Climate Change, Climate Justice, and Health; School of Nursing, MGH Institute of Health Professions, Boston, MA.

Kathryn Kieran, MSN, PMHNP-BC. Instructor, School of Nursing, MGH Institute of Health Professions. 

Patrice K. Nicholas, DNSc, DHL (Hon). Distinguished Teaching Professor; Director, Center for Climate Change, Climate Justice, and Health; School of Nursing, MGH Institute of Health Professions, Boston, MA.

Dr. Breakey, Ms. Kieran, and Dr. Nicholas have no financial relationships with companies related to this material. 

Rising temperatures and extreme weather aren’t just environmental concerns—they’re mental health risks. We explore the growing evidence linking climate change to psychiatric symptoms in older populations and strategies to mitigate these stressors in vulnerable communities.


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Expert Q&A

Sleep and Senescence: Managing Sleep Disorders in Older Adults

April 1, 2025
Ellen Lee, MD
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Ellen Lee, MD, Estelle and Edgar Levi Memorial Chair in Aging, Associate Professor, and Chief of Geriatric Psychiatry at the University of California, San Diego; Staff Psychiatrist, San Diego VA Healthcare System, San Diego, CA.

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

Dr. Lee shares her clinical experience on identifying and managing sleep issues as part of aging, including her algorithms to prioritize treatments.


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Learning Objectives, Sleep Disorders, CGPR, April/May/June 2025

April 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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Enhancing Antidepressant Efficacy in Older Adults

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

It’s not just finding the antidepressant—dose, duration, and augmentation strategies matter.


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Research Update

Lithium Therapy in Older Adults: Expert Recommendations

April 1, 2025
Eli Neustadter, MD, MSc.
From The Carlat Geriatric Psychiatry Report
Issue Links: Editorial Information | PDF of Issue

Eli Neustadter, MD. Dr. Neustadter has no financial relationships with companies related to this material. 

What are the best practices for using lithium in older adults? This update outlines dosing strategies, monitoring protocols, and emerging safety data.


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