Geriatric Medicine

Geriatric Psychiatry

Questions discussed in this category

How do you choose among SSRIs and dosing strategies for the management of behavioral and psychological symptoms of dementia?

What factors might drive decisions for different SSRIs and/or doses?

1 Answer available

How do you approach treating depressive symptoms in an older adult already taking an SSRI?

Would you consider adding a second medication versus uptitrating the original SSRI?

1 Answer available

What is your approach to initiation of mirtazapine for appetite stimulation and depression in older adults, both in terms of starting dose and titration?

2 Answers available

What is your antipsychotic of choice and general titration regimen in the outpatient setting for a patient with dementia and behavioral disturbances (assuming reversible causes such as urinary retention, constipation, etc. have been addressed)?

2 Answers available

Do you consider using buspirone for the management of anxiety in older patients?

4 Answers available

What is your approach to deprescribing gabapentinoids so as to prevent withdrawal effects?

1 Answer available

How do you decide when to initiate medical workup (e.g., thyroid, B12, infection) in a geriatric patient experiencing new onset or worsening low mood?

2 Answers available

Papers discussed in this category

Archives of general psychiatry, 2008 Dec

Incidence and recurrence of late-life depression.

Current nutrition reports, 2022 Sep 13

Is Vitamin D Important in Anxiety or Depression? What Is the Truth?

Journal of pain and symptom management, 2002-05

An open-label, crossover trial of mirtazapine (15 and 30 mg) in cancer patients with pain and other distressing symptoms.

Annals of internal medicine, 2025 Sep 30

Trends in Dispensed Gabapentin Prescriptions in the United States, 2010 to 2024.

British journal of clinical pharmacology, 2023 Jun 13

Deprescribing interventions for gabapentinoids in adults: A scoping review.

Journal of the American Geriatrics Society, 2013 Sep

Gabapentin withdrawal: case report in an older adult and review of the literature.

The Cochrane database of systematic reviews, 2006-07-19

Azapirones for generalized anxiety disorder.

Psychiatry and clinical neurosciences, 2010 Feb 01

Randomized, single-blind, trial of sertraline and buspirone for treatment of elderly patients with generalized anxiety disorder.

Basic & clinical pharmacology & toxicology, 2023 Jun 20

Serotonin syndrome-A focused review.

Ochsner journal, 2013 Winter

Serotonin syndrome.

The American journal of psychiatry, 2016-05-01

Heterogeneity of Treatment Response to Citalopram for Patients With Alzheimer's Disease With Aggression or Agitation: The CitAD Randomized Clinical Trial.

The American journal of psychiatry, 2016-05-01

Effects of Citalopram on Neuropsychiatric Symptoms in Alzheimer's Dementia: Evidence From the CitAD Study.

JAMA, 2014 Feb 19

Effect of citalopram on agitation in Alzheimer disease: the CitAD randomized clinical trial.

Frontiers in aging neuroscience, 2023 Mar 03

Comparative efficacy and safety of antidepressant therapy for the agitation of dementia: A systematic review and network meta-analysis.

Journal of Alzheimer's disease : JAD, 2020

The Efficacy of Sertraline, Escitalopram, and Nicergoline in the Treatment of Depression and Apathy in Alzheimer's Disease: The Okayama Depression and Apathy Project (ODAP).

Journal of the American Geriatrics Society, 2025 Apr 28

Treatment of Inappropriate Sexual Behavior in Persons With Dementia: A Systematic Review.

JAMA, 2011-09-28

Efficacy and comparative effectiveness of atypical antipsychotic medications for off-label uses in adults: a systematic review and meta-analysis.

Geriatric Medicine

Geriatric Psychiatry

Questions discussed in this category

Papers discussed in this category

Related Topics in Geriatric Medicine