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Expert Q&A

Applications of Brief Behavioral Treatment for Insomnia in Geriatric Psychiatry

April 1, 2025

Daniel J. Buysse, MD, Distinguished Professor of Psychiatry, Medicine, and Clinical and Translational Science; UPMC Endowed Chair in Sleep Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA. Co-author of Treating Sleep Problems: A Transdiagnostic Approach (Guilford Press; 2017).

Dr. Buysse receives licensing fees for the Consensus Sleep Diary, Pittsburgh Sleep Quality Index (PSQI), Pittsburgh Sleep Quality Index Addendum for PTSD (PSQI-A), Brief Pittsburgh Sleep Quality Index (B-PSQI), Daytime Insomnia Symptoms Scale, Pittsburgh Sleep Diary, Insomnia Symptom Questionnaire, and Ru-SATED. He receives consulting fees from Sleep Number and Synchronicity Pharma. Relevant financial relationships have been mitigated.

Dr. Buysse discusses the advantages of Brief Behavioral Treatment for Insomnia (BBTI) in geriatric populations. Learn how this time-efficient, evidence-based approach helps older adults improve sleep without medications—ideal for busy clinical settings.

Expert Q&A

Pharmacological Treatment of Bipolar Disorder in Older Adults

January 31, 2023

John Beyer, MD

John Beyer, MD. Professor of psychiatry, Duke University Medical Center. Durham, NC. Dr. Beyer has consulted for Express Scripts. Relevant financial relationships listed for the author have been mitigated.

With numerous treatment options available for bipolar depression and mania, clinicians often struggle to navigate between medication classes in balancing side effects, efficacy, and costs. Dr. Beyer shares his expertise in choosing first-, second-, third-, and fourth-line options based on their evidence in older adults.

Clinical Update

Mania in Older Adults

January 31, 2023

Julia Cromwell, MD

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.

In older adults, mania is more likely to be secondary to a medication or due to a neurological or
medical illness. We provide a mnemonic to help systematically think through the most likely
causes of secondary mania, which can help guide our workup.

Expert Q&A

New-Onset Bipolar Disorder in Older Adults

January 31, 2023

Susan Lehmann, MD

CGPR_JanFebMar 2023_LehmanQA_headshot.jpg Susan Lehmann, MD. Patricia B. and William T. Bright Professor in Mental Wellness. Clinical director, Division of Geriatric Psychiatry and Neuropsychiatry; director, geriatric psychiatry clinic, Johns Hopkins Hospital. Associate professor of psychiatry and behavioral sciences, Johns Hopkins University School of Medicine. Baltimore, MD. Dr. Lehmann has no financial relationships with companies related to this material.

If an older adult has a first episode of mania, how do we differentiate bipolar disorder from other causes? Dr. Lehmann provides us with an overview of the course of the illness over a patient’s lifespan with helpful considerations in approaching the differential diagnosis.