Older adults | CARLAT PUBLISHING

Research Update

High-Dose Aspirin and Age Are the Only Convincing Depression Risk Factors in Late Life

October 1, 2024

Kathryn Kieran, MSN, PMHNP-BC

Kathryn Kieran, MSN, PMHNP-BC. Ms. Kieran has no financial relationships with companies related to this material.

This umbrella review looked at modifiable risk factors for late life depression—and only two stood out.

Clinical Update

Considerations in Prescribing Lithium in Older Adults

October 1, 2024

Shireen Wissa, PharmD and Talia Puzantian, PharmD, BCPP

Shireen Wissa, PharmD Candidate 2025. 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.

Smart dosing and vigilant monitoring can turn the often-feared lithium into a safe, effective solution for older adults.

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Clinical Update

Causes of Psychosis in Older Adults

July 1, 2024

Julia Cromwell, MD and Christianne Gonzalez Davidson, MD

Julia Cromwell, MD. Medical Director, Senior Adult Psychiatry Unit, Salem Hospital, Salem, MA.

Christianne Gonzalez Davidson, MD candidate 2024. Tufts University School of Medicine, Boston, MA.

Late-life psychosis has many causes—we’ll walk you through this important differential.

Clinical Update

Failure to Thrive in Older Adults

April 1, 2024

Julia Cromwell, MD and Diana S. Kim, MD

Julia Cromwell, MD. Medical Director, Senior Adult Psychiatry Unit, Salem Hospital, Salem, MA.

Diana S. Kim, MD Candidate 2024. Tufts University School of Medicine, Boston, MA.

Dr. Cromwell and Ms. Kim have no financial relationships with companies related to this material.

Many older adults labeled with FTT eventually receive a medical diagnosis. Beyond addressing depression and treating the underlying medical illnesses, we suggest additional interventions to improve a patient’s functioning.

Deprescribing Anti-anxiety Meds in Older Adults

March 25, 2024

Chris Aiken, MD and Kellie Newsome, PMHNP

All sorts of medications are prescribed for anxiety in older adults. Today, we look at when and how to discontinue them.

Mood Stabilizers in Older Adults

January 29, 2024

Chris Aiken, MD and Kellie Newsome, PMHNP

How to choose a mood stabilizer in older adults.

Bipolar in Older Adults

January 22, 2024

Chris Aiken, MD and Kellie Newsome, PMHNP

Mania is different in the elderly, and today we look at the medical causes to watch out for.

Clinical Update

Safe Driving for Older Adults

October 31, 2023

Francisco Covino-Deaso, MSN, CNP, PMHNP-BC and Jennifer Holiman, MSN, CNP, PMHNP-BC

Francisco Covino-Deaso, MSN, CNP, PMHNP-BC. Psychiatric nurse practitioner, Partial Program (PHP) at HRI Hospital, Brookline, MA.

Jennifer Holiman, MSN, CNP, PMHNP-BC. Psychiatric nurse practitioner, geriatric psychiatry outpatient program and geriatric psychiatry research program, McLean Hospital, Belmont, MA.

Mr. Covino-Deaso and Ms. Holiman have no financial relationships with companies related to this material.

Understanding when patients are no longer safe to drive is no easy task. We’ll show you how to estimate driving abilities from your clinic, and what to do when you’re concerned.

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.