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Topics:
Geriatric Psychiatry
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Geriatric Medicine
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?
Related Questions
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?
How would you recommend cross-titrating from paroxetine to another SSRI with less anticholinergic burden in an older adult?
What is your approach to deprescribing gabapentinoids so as to prevent withdrawal effects?
What is your approach to tapering SSRIs/SNRIs in older adults?
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)?
Do you consider using buspirone for the management of anxiety in older patients?
What is your approach to initiation of mirtazapine for appetite stimulation and depression in older adults, both in terms of starting dose and titration?
How do you select an SSRI and dosing strategy for older adults newly being treated for depression?
Should we be recommending a specific daily protein intake to prevent sarcopenia in geriatrics patients, or do you find it more beneficial to focus on encouraging activity within their mobility limitations to preserve muscle mass?
How do you counsel a previously ambulatory older adult admitted with a hip fracture and status-post hip replacement regarding functional recovery following a hospitalization?