Psychiatry

Geriatric Psychiatry

Questions discussed in this category

How do you approach evaluating sudden mental status changes in telepsychiatry patients, particularly older adults, when medical causes such as infection or metabolic disturbance may be contributing factors?

What red flags prompt you to recommend urgent in-person evaluation? Are there particular strategies or screening questions you have found helpful to d...

1 Answer available

What strategies do you find helpful to stop zolpidem in patients who have been taking the medicine for months or years?

1 Answer available

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

4 Answers 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

How do you manage problematic disinhibited behaviors in patients with neurocognitive disorders?

This includes how to manage hypersexuality, hyperorality, recklessness, and other socially inappropriate behaviors separate from agitation/physical ag...

7 Answers available

How do you approach firearm safety counseling for outpatients with elevated suicide risk who do not meet the criteria for involuntary psychiatric hospitalization?

3 Answers available

What factors influence your decision to continue or taper antipsychotics for behavioral symptoms of dementia after the acute phase resolves?

1 Answer available

When do you consider using valproate to manage behavioral disturbances in patients with delirium?

1 Answer available

What is your approach to addressing dementia-related agitation for patients living at home with family?

7 Answers available

What are your concerns regarding long term stimulant use in geriatric patients with ADHD?

4 Answers available

How do you approach deprescribing psychiatric medications in elderly patients with polypharmacy concerns?

1 Answer available

What are your preferred strategies for managing sundowning in patients with moderate Alzheimer’s disease?

2 Answers available

How do you manage REM sleep disorder in geriatric patients with dementia associated with periods of catatonia?

Do you have any recommendations when benzodiazepines, antipsychotics, and melatonin have been tried with limited effect?

1 Answer available

In your outpatient practice, which antidepressants do you most prefer for treating depression in older adults?

1 Answer available

What unique factors do you take into consideration for geriatric patients with a first lifetime episode depression?

3 Answers available

When do you select cholinesterase inhibitors vs NMDA-antagonist medications in patients with moderate Alzheimer’s dementia?

1 Answer available

How do you counsel elderly patients who demonstrate mild cognitive impairment but do not meet the criteria for a neurocognitive disorder?

2 Answers available

How do you implement antipsychotics in the management of agitation in Alzheimer’s patients?

3 Answers available

How do you approach anxiety management for patients who have been on long-term (years or more) daily benzodiazepines?

How do you approach this in patients who are approaching or are over 65 given the contraindications of benzodiazepine use in geriatric populations? Wh...

7 Answers available

What do you do if a patient with ADHD on dexamfetamine for many years develops Alzheimer's disease?

Do you switch to an acetylcholinesterase inhibitor or combine?

2 Answers available

What approach to antipsychotics do you take with patients with primary thought disorder who are now geriatric?

e.g. for schizophrenia. What would be the best treatment options to minimize long term impacts related to cognition?

1 Answer available

How do you treat a patient with moderate dementia who experiences a recurrence of depression?

3 Answers available

How will your approach to screening and diagnosis of early dementia change given newly available therapies for early Alzheimer's disease?

5 Answers available

In what clinical situation would you consider using benzodiazepines in patients with dementia?

2 Answers available

How do you evaluate patients with suspected pseudo-dementia?

1 Answer available

Below what eGFR would you consider discontinuing lithium in a bipolar disorder patient with chronic kidney disease?

1 Answer available

Do you taper memantine after completion of 24 weeks of therapy?

There does not appear to be any guidance from the most recent published protocols on this topic. For individuals with dementia, recommendations call f...

3 Answers available