Geriatric Psychiatrist
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‘ At my age, every day counts and every day is a bonus ! ’
Retirement can be the best time or the worst time of an individual’s life. Psychiatric symptoms in older adults are often treatable and quality psychiatric care can make all the difference.
At Gaba Telepsychiatry, Geriatric Psychiatrists and Neuropsychiatrists are committed to treating psychiatric illness and symptoms in our older patients.
Our Psychiatrists and patient advocates provide expert care and compassionate support to patients and caregivers. As people age, they may experience particular medical, cognitive, and social challenges, including physical illness, cognitive decline, retirement, and bereavement.
A geriatric psychiatrist (a psychiatrist specializing in treating the elderly) is attuned to addressing specific medical and psychiatric presentations that affect individuals over 75 years old.
We see patients both online and in person, depending on the location.
What is Geriatric Psychiatry?
Geriatric Psychiatry is the treatment of psychiatric illness and symptoms in individuals over 75 years old. Geriatric psychiatrists must be experts in Neurology and psychopharmacology as well as psychiatry to effectively treat older adults.
Why is Geriatric Psychiatry different from regular Psychiatry?
A Geriatric Psychiatrist should be both attuned and expert in treating the unique challenges that affect older adults. These concurrent illnesses can include:
- Dementia
- Loneliness
- Boredom
- Memory Loss
- Chronic Pain
- Bereavement
- Cognitive Decline
- Cancer and Malignancy
- Mobility Problems
- Separation from children
- Concurrent medical illness
- Stroke and Transient Ischemic Attacks
Likewise, older adults can suffer from the same psychiatric illnesses and symptoms as younger adults. These include:
- Anxiety
- Depression
- OCD
- Panic attacks
- Social anxiety
- Bipolar disorder
- Insomnia
- Agitation
- Psychosis.
A geriatric psychiatrist should be an expert in treating common psychiatric illnesses that affect all age groups, as well as those that typically affect the elderly.
Geriatric Psychiatry requires special expertise for the following reasons
Geriatric Psychiatry includes understanding the challenges that affect older adults.
Aging gracefully means taking care of mental health and living one day at a time.
Geriatric Psychiatrists should be willing to collaborate with primary care doctors.
A Geriatric Psychiatrist should be able to educate older adults, but at the same time be sensitive to their beliefs and wishes.
Geriatric Psychiatrists should demonstrate maturity, compassion and respect for their patients’ life experiences.
A geriatric psychiatrist has to be an expert in physiology, neurology, pharmacology, and psychotherapy to provide optimum care to older adults.
Older people are more likely to suffer from medical illnesses and take multiple medications. A geriatric psychiatrist has to ensure that there are no drug-drug interactions when prescribing.
Older Adults metabolize medications differently and may suffer from mild renal and hepatic insufficiency. Medications have to be prescribed carefully, and with close follow-up and communication to avoid side effects.
A Geriatric Psychiatrist should be able to collaborate with spouses, children, caregivers and other family members, where needed, to ensure that older adults receive optimum support.
Optimistic At GABA Telepsychiatry, we believe that the memories created as individuals reach their twilight years can be both special and magical. Our goal is to make sure that our older patients stay as well as possible for as long as possible.
Aging gracefully means taking care of mental health and living one day at a time.
Call +1(833)312-4222
and our patient advocates will help you connect to Geriatric Psychiatrists of your need.
Geriatric Psychiatrists
Dr. Lynn Alison Bornfriend
Board Certified Psychiatrist with Multiple State Licenses (MD)
Special interest in Child and Adolescent psychiatry
Dr. Bornfriend is a triple board certified geriatric psychiatrist (Adults, Older adults, Child and Adolescent, and Forensic Psychiatry) who has been treating young and adult patients for more than 30 years in a variety of clinical settings. She is currently licensed in Illinois, South Carolina, California, Pennsylvania and Hawaii.
She is passionate about supporting patients dealing with a variety of disorders, including:
- Generalized Anxiety Disorder, separation anxiety, social anxiety disorder, phobias, panic disorder
- Mood Disorders, disruptive mood dysregulation disorder, major depressive disorder, premenstrual dysphoric disorder, bipolar affective disorder and cyclothymia
- OCD, body dysmorphic disorder, trichotillomania, excoriation
- Autism Spectrum Disorder Reactive Attachment Disorder, adoption-related issues
- PTSD, acute stress disorder, adjustment disorder, prolonged grief disorder
- Oppositional Defiant
- Disorder, intermittent explosive disorder, conduct disorder
- Eating Disorders, Sleep Disorders
- Gender Dysphoria
- Substance Dependence and Abuse
- Psychiatric Disorders Secondary to Medical Illness
Medical School:
Pennsylvania State College of Medicine–Hershey, PAPsychiatric Residency Program:
Timberlawn Psychiatric Hospital–Dallas, TXChild and Adolescent Psychiatry Fellowship:
Timberlawn Psychiatric Hospital–Dallas, TXBoard Certifications (American Board of Psychiatry and Neurology):
Psychiatry; Child and Adolescent Psychiatry; Forensic PsychiatryCurrently licensed in IL, SC, CA, PA, HI.
Dr. Gundu Reddy
Integrative and Forensic Psychiatrist
Board Certified Psychiatrist with Multiple State Licenses MBBS (MD)
Dr. Gundu Reddy is a board-Certified geriatric psychiatrist with over fifteen years of experience practicing clinical psychiatry. She also has over a decade of experience in practicing forensic psychiatry. She is trained in managing medication, psychodynamic therapy and cognitive behavioral therapy. She is a well-known top psychiatrist in Charleston, SC.
Dr. Reddy is interested in integrative psychiatry and believes that multiple factors should be considered when evaluating and treating an individual. She considers multiple factors like genetic and developmental factors, medical illness, nutrition, hormones, and environmental and dynamic factors, relationships and life experiences when treating an individual.
Medical School
The United Medical Dental Schools of Guys Kings and St Thomas’ at King’s College LondonPsychiatry Residency Training
Mount Sinai School of Medicine, New YorkPsychodynamic Psychotherapy Training
NYU Psychoanalytic InstituteBoard Certification
American Board of Psychiatry Neurology Same Day Psychiatrist Appointment
Dr. Beena Saad
Child and Adolescent Psychiatrist
Triple Board Certified Psychiatrist (MD) with licenses in Rhode Island, California, New Mexico, and New York
Dr. Beena Saad is a triple-board-certified geriatric psychiatrist. She also has two fellowships in child and adolescent psychiatry and child psychosomatic medicine.
She is passionate about treating psychiatric disorders in children as well as older adults, such as:
- Anxiety disorders (Generalized Anxiety, OCD, Health Anxiety, Panic Disorders)
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Autism Spectrum Disorder (ASD)
- Mood disorders, including Childhood Bipolar Disorder and Depression
- PANDAS and Obsessive-Compulsive Disorder (OCD)
- Post-Traumatic Stress Disorder (PTSD)
- Tic Disorders
- Childhood Schizophrenia
- Sleep Disorders
- Learning Disabilities
- Substance Use Disorders
- Psychiatric symptoms related to chronic pain and long-term illnesses
Dr. Saad understands the unique emotional and developmental needs of children and adolescents. She believes in empowering young patients and their families through a personalized and collaborative treatment approach. She carefully assesses environmental influences, family dynamics, and developmental history to create tailored treatment plans for each child.
Her expertise in psychopharmacology allows her to provide safe and effective medication management when necessary.
Additionally, she is skilled in various evidence-based therapies, including:
- Cognitive Behavioral Therapy (CBT)
- Psychodynamic Psychotherapy
- Supportive Psychotherapy
- Childhood Therapy
- Family and Parent Counseling
As one of the best online psychiatrists for children and adolescents, Dr. Saad offers convenient and accessible telepsychiatry services that allow families to receive expert mental health care from the comfort of their homes. Her compassionate and patient-centered approach ensures that children receive the support they need to thrive socially, emotionally, and academically.
Languages Dr. Saad speaks: English, Urdu, Hindi and Sindhi
Medical Education
M.B.B.S. – Sind Medical College, Pakistan
Postgraduate Training
Child Psychiatry Fellowship – University of New Mexico
Child Psychosomatic Medicine Fellowship – Albert Einstein School of Medicine
Dr. Tony Issac
Addiction Recovery and Adult Psychiatrist
Board Certified Psychiatrist in New York & New Jersey (MD)
Dr. Tony Issac is an experienced, double Board Certified geriatric psychiatrist with a particular interest in evaluating and treating mental health conditions such as insomnia, panic attacks, depression, anxiety, OCD, bipolar disorder, and schizophrenia.
Dr.Issac specializes in addiction recovery treatments and medication management and uses a unique approach by combining psychotherapy and sensitive medication titration to help his patients achieve a collaborative treatment plan.
Dr. Issac’s patients admire him for his kindness, empathy, and attentiveness. He provides a safe, supportive space for them, and is especially skilled in conducting suicide assessments and acute stabilization. In these critical situations, he collaborates closely with the patient’s family and, when needed, their employer, to ensure comprehensive care and support.
Medical School
St. George’s University: School of Medicine
Psychiatry Residency Training
Richmond University Medical Center: affiliate of Mount Sinai Health Network
Bachelors of Science (B.S.) in Psychobiology
Binghamton University – State University of New York
Board Certification
American Board of Preventative Medicine – Addiction Medicine, Board Certification
American Board of Psychiatry & Neurology – Psychiatry, Board Certification
Dr. Cathleen Jane Gomez
Board Certified Psychiatrist
with Multiple State Licenses MBBS (MD)
Dr. Cathleen Jane Gomez is a board-certified geriatric psychiatrist and has worked as a medical supervisor. Her clinical experience spans a wide range of mental health settings. She is an expert in medication management, transcranial magnetic stimulation (TMS), and holistic approaches to treating mental health conditions.
Dr. Gomez is deeply interested in integrative psychiatry. She primarily focuses on the intersection of traditional psychiatry methods and innovative therapies. She emphasizes a comprehensive understanding of her patient’s unique needs and addresses various factors like biology, environmental influences, developmental history, and lifestyle choices. All these approaches and support help older adults to recover fast.
- Anxiety and Panic Disorders
- Depression and Mood Disorders
- Obsessive-Compulsive Disorder (OCD)
- Bipolar Disorder
- Post-Traumatic Stress Disorder (PTSD)
- Insomnia and Sleep Disorders
- Attention Deficit Hyperactivity Disorder (ADHD)
- Treatment-Resistant Psychiatric Conditions
Medical School
Ross University School of Medicine, DominicaPsychiatry Residency Training
Richmond University Medical Center, Staten Island, New YorkIntegrative Psychiatry Training
Integrative Psychiatry Institute, Boulder, ColoradoBoard Certification
Psychiatry Board Eligible Florida State Medical License New York State Medical LicenseSchedule an Appointment with one of our Online Psychiatrists
Clinical Services: California, Florida, Illinois, New Jersey, New York, South Carolina, Tennessee , Long Island
Forensic Psychiatry Services: All of the US and Canada
Geriatric Neuropsychiatrist
Dr. Valeria Serban
Neuropsychiatrist Specializing in Anxiety
Board Certified Psychiatrist with Multiple State Licenses MBBS (MD)
In order to treat psychiatric conditions in the elderly, a geriatric neuropsychiatrist or neurologist should complete medical school, complete psychiatry or neurology residency, and be certified by the American Board of Psychiatry and Neurology.
Dr Valeria Serban is trained in Neurology and completed an Electrophysiology fellowship at Harvard. She later continued to certify with the American Board of Psychiatry and Neurology.
Dr Serban is passionate about treating psychiatric illness in older adults and adults suffering from neurological illness, including stroke, Parkinson’s, memory loss, chronic pain and other concurrent conditions affecting older adults.
Her training in Neurology and internal medicine means that she is equipped to prescribe medicine to older adults, as she can consider medical factors, as well as psychiatric symptoms.
Dr Serban has a warm personality and loves both treating and learning from her older patients. She collaborates with patient advocates, pharmacy technicians, caregivers, spouses and relatives to help ensure her patients receive the support that they need.
Dr Serban believes that aging is a natural process and can sometimes be challenging. She states, ‘ It is important to take care of mental health as well as physical health in later years of life,’ and believes that every person deserves respect, love, care and support.
Medical School
University of Medicine and Pharmacy “Carol Davila” Bucharest, Romania
Neurology Residency Training
University of Medicine and Pharmacy “Carol Davila” Bucharest, Romania
Master of Philosophy (M.Ph.) – Neuroscience
NYS Institute for Basic Research, New York
Internal Medicine Residency
Temple University Hospital, Pennsylvania
Neurology Residency
Temple University Hospital, Pennsylvania
Doctor of Philosophy (Ph.D.) – Neuroscience
NYS Institute for Basic Research, City University of New York – Graduate Center
Clinical Neurophysiology Fellowship
Massachusetts General Hospital – Harvard Medical School, Massachusetts
Board Certification
American Board of Psychiatry and Neurology (ABPN)
Electromyography – American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM)
Neuromuscular Medicine – American Board of Psychiatry and Neurology (ABPN)
Recertification – American Board of Psychiatry and Neurology (ABPN)
What is a geriatric neuropsychiatrist?
A Geriatric Neuropsychiatrist treats psychiatric illness from a neurological perspective. A geriatric neuropsychiatrist is an expert in psychopharmacology and treats psychiatric symptoms in patients suffering from neurological disorders, dementia and memory loss.
A geriatric neuropsychiatrist understands the changes that occur in the aging brain and works towards optimum psychiatric care.
Geriatric Neuropsychiatry Services
We Provide at GABA Telepsychiatry
Why See A Geriatric Neuropsychiatrist?
At GABA Telepsychiatry, we are on a mission to spread awareness that mental health care is crucial for older adults. Our geriatric psychiatrists are mental health specialists who focus on the unique needs of aging adults. They understand that mental health can sometimes feel overwhelming and work closely with patients and families to provide psychiatric care that supports both mental and emotional health.
Studies show that many older adults live with mental health conditions and may struggle with other mood disorders, emotional disorders, or behavioral health disorders. These disorders and challenges can disrupt daily functioning but with the right support, recovery and stability are possible. In some cases, inpatient treatment may also be recommended for individuals who need more intensive care and monitoring.
Benefits of consulting geriatric psychiatrists
Early detection of memory-related concerns in older adults
Guidance for families to support mental health care at home
Help in managing stress and life transitions in later years
Professional evaluation of medications
Help in developing coping strategies
Creating a safe and supportive space for open communication
Should I see an online geriatric psychiatrist or find a
Geriatric psychiatrist near meSearch for a geriatric psychiatrist by state :
We understand that old age can be difficult but the right support makes it easier. A geriatric psychiatrist focuses on understanding the mental health needs of seniors. They analyze the symptoms and current situation to create a personalized plan that improves overall well-being.
There are advantages and disadvantages to both in-person and online geriatric psychiatry. In-person care allows for face-to-face connection and physical exams. Online care gives you easier access and saves travel time. Both can be effective depending on your needs.
At GABA Telepsychiatry, our board-certified geriatric psychiatrists offer trusted, professional and judgment-free care. Some of them are current or former program directors and medical directors.
Our geriatric psychiatrists are board-certified and highly educated with years of experience in treating psychiatric and neurological disorders in the elderly. You can choose the psychiatrist you feel most comfortable with and book an appointment directly through the website without any hassle. You can also search by state to find a trusted geriatric psychiatrist near you.
Geriatric Psychiatry California
Many older adults in California face challenges related to mental health as they age. A Geriatric Psychiatrist at GABA Telepsychiatry creates a personalized treatment plan and offers online care from the comfort of your home.
Book an appointment with our board-certified Geriatric Psychiatrists in California
Geriatric Psychiatry Chicago
Many older adults in Chicago struggle with mental health challenges. These may include stress, mood concerns or difficulty adjusting to life transitions. A Geriatric Psychiatrist at GABA Telepsychiatry understands these needs and provides care that supports both seniors and their families.
Book an appointment with our board-certified Geriatric Psychiatrists in Chicago
Geriatric Psychiatry Colorado
Many older adults in Colorado experience health issues like memory disorders as they age. A Geriatric Psychiatrist at GABA Telepsychiatry offers personalized care through telepsychiatry, making treatment accessible anywhere in the state.
Currently, our board-certified Geriatric Psychiatrists are not available in Colorado, but stay connected for updates. Our telepsychiatry services are available 24/7, and you can book a same-day appointment at any time, including weekends.
Geriatric Psychiatry Florida
Living in Florida can be beautiful but older adults may also face unique challenges as they age. Mental health care for seniors is important to support balance, stability and wellness. A Geriatric Psychiatrist at GABA Telepsychiatry offers personalized treatment through online care so you can get support from the comfort of home. We now have an office at 734 Irma Ave. Orlando, FL 32803, to reach and support more individuals in Florida.
Book an appointment with our board-certified Geriatric Psychiatrists in Florida
Geriatric Psychiatry Long Island
Many older adults in Long Island face mental health challenges related to aging, lifestyle and life transitions. Rising cases of mental health conditions in aging adults are a major cause of concern in Long Island. A Geriatric Psychiatrist at GABA Telepsychiatry focuses on providing personalized care from the comfort of your home. We now have an office at 70 Glen Cove Rd, Roslyn Heights, NY 11577, USA, to reach, help and support more individuals in Long Island.
Book an appointment with our board-certified Geriatric Psychiatrists in Long Island
Geriatric Psychiatry Long Island
Mental health of older adults is a serious health concern in Michigan. A Geriatric Psychiatrist at GABA Telepsychiatry focuses on providing compassionate care and effective treatment, including talk therapy and lifestyle changes, that help older adults in the recovery process.
Currently, our board-certified Geriatric Psychiatrists are not available in Michigan, but stay connected for updates. Our telepsychiatry services are always available and you can book a same-day appointment anytime, even on weekends.
Geriatric Psychiatry NJ
Older adults in New Jersey suffer from several common mental or neurological disorders. They prefer personalized care that understands their local lifestyle and common stressors. A geriatric psychiatrist at GABA Telepsychiatry focuses on understanding these stressors and root causes to help in the recovery process.
Book an appointment with our board-certified geriatric psychiatrists in New Jersey
Geriatric Psychiatry New York
New York is actively addressing mental health issues in older adults through comprehensive services. Geriatric Psychiatrists at GABA Telepsychiatry offer specialized care and expert support to aging adults in New York.
Book an appointment with our board-certified Geriatric Psychiatrists in New York
Geriatric Psychiatrist Near Me South Carolina
South Carolina is facing challenges in the realm of mental health, particularly among its older adult populations. They experience symptoms of depression, anxiety and dementia, often exacerbated by factors like social isolation and chronic health issues. A Geriatric Psychiatrist at GABA Telepsychiatry focuses on addressing these symptoms and treating them.
Book an appointment with our board-certified Geriatric Psychiatrists in South Carolina
Geriatric Psychiatrist Near Me Tennessee
Mental health issues in older adults are one of the major public health concerns in Tennessee due to rising cases of anxiety, depression or dementia among both urban and rural communities. Geriatric Psychiatrists at GABA Telepsychiatry offer diagnosis and evidence-based treatment plans to help aging adults manage and overcome disorders related to aging.
Book an appointment with our board-certified Geriatric Psychiatrists in Tennessee
| State | Dr. Beena Saad | Dr. Tony Issac | Dr. Valeria Serban | Dr. Lynn Alison Bornfriend |
Dr. Cathy Gomez | Dr. Gundu Reddy |
|---|---|---|---|---|---|---|
| California | Yes | – | Yes | Yes | – | Yes |
| Chicago | – | – | Yes | Yes | – | Yes |
| Colorado | – | – | – | – | – | – |
| Florida | – | – | – | – | Yes | Yes |
| Long Island | Yes | Yes | Yes | – | Yes | Yes |
| Michigan | – | – | – | – | – | – |
| New Jersey | – | Yes | Yes | – | – | Yes |
| New York | Yes | Yes | Yes | – | Yes | Yes |
| South Carolina | – | – | Yes | Yes | – | Yes |
| Tennessee | – | – | – | – | – | Yes |
Geriatric Psychiatrist NYC
New York is known for its healthcare services and has more top-ranked hospitals than any other U.S. city. In recent years, the mental health care needs of older adults have been rapidly growing. Due to healthcare services, many seniors here are living longer but also facing mental health issues that require professional attention. Studies show that late-life mental disorders such as depression, anxiety, memory disorders and other memory-related conditions indicate the importance of expanding access to behavioral health services for older individuals.
At GABA Telepsychiatry, our geriatric psychiatrist NYC proudly offers support across New York with dedication, trust and compassion for every individual. They bring specialized training in geriatric medicine and additional training to manage complex mental and emotional disorders, along with other health disorders that come with aging. We also provide access to a full range of treatment options, which may include therapy, medication management and advanced methods such as transcranial magnetic stimulation when appropriate.
You deserve to feel better. Connect with an experienced geriatric psychiatrist by searching by state. We are here to help you find the right support.
Best Geriatric Psychiatrist Near Me
Criteria of the best geriatric psychiatrist
Experience in treating mild cognitive impairment
Creates personalized programs for recovery and prevention
Dedication to awareness of mental health issues in later life
Creates personalized programs for recovery and prevention
Ability to provide access to clinical trials and new treatments
Specialized training in geriatric medicine and mental health care
Geriatric Psychiatry
Geriatric Psychiatry is a branch of psychiatry that focuses on diagnosing and treating mental health conditions in older adults and aging adults. It addresses psychiatric disorders and the psychological aspects that often come with aging.
This field also considers the link between physical health and mental well-being in the aging population. Geriatric psychiatry helps in dealing with complex conditions through the treatment of mental and emotional struggles so that older adults can live happily.
Elderly mental health services
Depression is a common problem among older adults. Many older adults experience symptoms like persistent sadness, fatigue or changes in sleeping patterns. Studies show that the risk of depression is higher in older adults who live alone and have chronic illness. A geriatric psychiatrist provides treatment for depression in elderly with careful evaluation and tailored plans. They offer:
- Cognitive behavioral therapy
- Interpersonal therapy
- Antidepressant medication
- Lifestyle changes
Anxiety disorders are a common mental health condition in older adults. Its symptoms may include constant worry, fear, stress, restlessness or poor sleep. Studies show that the risk of anxiety is higher in people with chronic medical problems or those facing isolation and life changes. A geriatric psychiatrist may provide treatment for anxiety in elderly by analysing the symptoms and creating a personalized treatment plan including:
- Cognitive behavioral therapy
- Antidepressant medicine such as SSRIs
- Lifestyle changes
- Relaxation techniques
Panic attacks can happen in older adults and are often sudden and distressing. Some of the common symptoms include intense fear, fast heartbeat, shortness of breath, dizziness or sweating. Studies show that panic symptoms can sometimes be confused with medical problems. Geriatric psychiatrists can treat panic attacks by offering therapies and medicines that are safe in late life. They focus on reducing the frequency of attacks and improving daily functioning.
- Cognitive behavioral therapy
- Antidepressant medicines such as SSRIs
- Breathing and relaxation techniques
OCD is common in younger people but can also affect older adults. Symptoms of OCD include unwanted thoughts and repeated behaviors such as checking or cleaning. Studies show that OCD is often missed in the elderly because its symptoms are mistaken for memory issues or part of the normal aging process. A geriatric psychiatrist offers OCD treatment to the elderly by assessing symptoms and creating a tailored plan to improve daily functioning.
- Cognitive behavioral therapy
- Antidepressant medicines such as SSRIs
- Stress management techniques
Family therapy
Memory loss is common in older adults and is usually considered a normal part of aging. It may also indicate more serious conditions like Alzheimer’s disease or dementia. The risk of significant memory problems is higher in people with chronic illness or a family history of dementia. A geriatric psychiatrist evaluates memory loss with a detailed assessment and medical tests to find the underlying cause. They create a treatment plan that may slow the decline and contribute to overall well-being.
- Cognitive therapies
- Lifestyle changes
- Memory exercises
Insomnia is a sleep disorder that is common in older adults, characterized by trouble falling asleep or waking up many times at night or waking too early. Poor sleep can lead to fatigue or low mood. A geriatric psychiatrist treats insomnia by identifying underlying causes and using safe methods to improve sleep. They provide a treatment plan including medication, therapies and lifestyle adjustments.
- Cognitive behavioral therapy
- Sleep hygiene education
- Medication management
Paranoia can occur in older adults and it can lead to strong feelings of mistrust or false beliefs that others want to cause harm. Symptoms of paranoia include suspicion of family or believing people are watching them. The risk of paranoia is higher in elderly patients with dementia or psychosis. Geriatric psychiatrists treat paranoia by creating a safe treatment plan that reduces fear and improves trust.
- Supportive therapy
- Antipsychotic medicines
- Environmental adjustments
Agitation is common in older adults and is associated with symptoms such as restlessness, anger or irritability. Studies show that it can happen in people with dementia, depression or medical illness. It has been observed that the risk of agitation is higher in those with memory loss, pain or sudden changes in the environment. A geriatric psychiatrist offers treatment for agitation by analyzing the underlying cause and prescribing appropriate medications to manage symptoms.
- Antidepressants or antipsychotics
- Behavioral strategies
- Environmental changes
Auditory hallucinations in older adults can manifest as hearing voices or sounds that are not present, often indicating underlying health issues or cognitive decline. The risk of auditory hallucinations is higher in elderly patients with dementia or Parkinson’s disease. A geriatric psychiatrist treats auditory hallucinations by analyzing family or medical history and creating a treatment plan based on the individual’s needs.
- Antipsychotic medicines
- Supportive therapy
- Psychotropic medications
- Cognitive behavioral therapy
Bipolar disorder can affect older adults. It is characterized by extreme mood swings, including emotional highs (mania) and lows (depression). Studies show that the risk of bipolar disorder in late life is higher in people with a history of mood illness. A geriatric psychiatrist treats bipolar disorder with careful evaluation of mood patterns and safe treatment plans. They focus on stabilizing mood and improving quality of life.
- Mood stabilizers
- Antipsychotic medicines
- Cognitive behavioral therapy
- Interpersonal therapy
Online Psychiatrist for the Elderly
Patients
Individuals over seventy-five often find it difficult to find a psychiatrist who can understand or meet their needs or find it hard to get to the doctor’s office. An online psychiatrist for elderly care services can be a convenient and effective solution.
An online psychiatrist for the elderly can provide the following services:
- Medication management
- Individual psychotherapy
- Screen for medical causes of psychiatric illness
- Family therapy
- Screen for medical causes of psychiatric illness
Why is GABA Telepsychiatry different from other online psychiatric services?
- Our psychiatrists are all Board Certified Experts. They are Experts in Neurology and Psychopharmacology as well as knowing psychiatry.
- Our online geriatric psychiatrists are all attuned to the challenges affecting treating older adults, and committed to assisting our older patients improve their quality of life through expert care and compassionate support.
- Our Patient advocates and psychiatrists coordinate with family members.
- Family members can join sessions via zoom.
- Our HIPAA-compliant platform does not require a download. Therefore, as long as you can use email, the link works. This is easier for older adults.
- Our patient advocates will submit claim forms for our out-of-network benefits, as elderly patients often struggle with out-of-network reimbursements.
- Our Patient advocates coordinate with the pharmacies and assist with pill boxes, and other pharmacy issues.
An Online Psychiatrist for elderly patients at Gaba Telepsychiatry will co-ordinate with family and caregivers.
Some Elderly patients can have difficulties navigating both in person and online care. Our online psychiatrists will co-ordinate with family members, social workers and home health aids as needed.
How much does it cost to see an online psychiatrist at GABA Telepsychiatry?
Visiting a geriatric psychiatrist is ideal if you are dealing with:
- Death of close family/sibling/friend
- Caring for an ill spouse or parent
- Experiencing cognitive difficulties
- Experiencing marital conflict with the empty-nest syndrome
- Dementia
- Drug interactions
- Chronic pain from other medical conditions
- Medication sensitivity and titration due to compromised kidney or liver functions
- End-of-life troubles such as writing wills, testaments, etc.
- Boredom, not feeling useful or productive
- Unable to tackle daily challenges
- Loss of independence, loss of identity
- Concerns about spirituality, mortality, and life purpose.
Lower doses of medication should be prescribed for people above the age of sixty-five, as often medications do not clear through the kidneys and liver fast enough. The high doses of medication can then accumulate and cause side effects.
People over sixty-five are significantly more likely to suffer from concurrent medical illness, chronic pain, and drug interactions if the psychiatrist does not have expertise in treating this age group.
Delirium, serotonin syndrome, and EPS are also common if medications are not dosed and prescribed correctly.
Serotonin syndrome can occur due to too much serotonin in the body because of adverse drug interactions.
Extrapyramidal side effects (EPS), or EPS is a drug-induced movement disorder. It is most commonly a result of the drug interactions from dopamine-receptor blocking agents.
An experienced geriatric psychiatrist should consider the above issues when providing psychotherapy or prescribing medication to individuals over 65 years old.
Geriatric Psychiatrist Dementia
Treatment
A geriatric psychiatrist should be expert in the evaluation and treatment of dementia.
Many forms of dementia are treatable or reversible . Therefore, it is important to complete a through evaluation.
Reversible causes of Dementia include :
- B12 deficiency
- THyroid disease
- Pseudodementia secondary to depression
- B1 deficiency
- Alcohol abuse
Slow progressing dementias include microvascular dementia.
More serious forms of dementia include
- Alzheimer’s Dementia : Progression takes several years and prompt expert treatment can slow progression and dramatically improve quality of life
- Lewy Boday dementia
Accurate diagnosis is required to provide the correct treatment.
Expert Geriatric Psychiatrist Dementia evaluation
After the initial screening with Dr. Valeria Serban, where symptoms and medical history are discussed, she will conduct a series of tests to measure the degree of cognitive impairment. The most widely used assessments for dementia care are
This is a brief test that evaluates various factors of the cognitive abilities of the elderly. The MMSE is very basic and easy to understand; it involves doing simple calculations and following instructions.
This test involves a very common dementia assessment called the “clock drawing test,” which tests a person’s memory. It requires the person to draw a clock; they are asked to point out the correct times that are being called out.
This test is meant for family and friends of the person being evaluated, also known as the informant. It asks them to consider their behavior from a decade ago and compare it to what it is now. It is meant to highlight the differences and problem areas.
A medical professional reviews the informant’s evaluations and also considers the “clock drawing test” to conclude the patient’s cognitive abilities and others’ perceptions of them.
A Geriatric Psychiatrist can provide older adults with the guidance and support they deserve. Book an appointment today.
FAQ
What is Reversible Dementia?
Reversible dementia is a condition that mimics the behavioral and cognitive decline of dementia; however, the symptoms are not severe enough for a clinical dementia diagnosis.
These symptoms can be treated and are curable. Some of the causes of reversible dementia are
- Vitamin deficiencies
- Metabolic diseases or abnormalities
- Drug effects and interactions
- Depression
- Smoking
- Excessive alcohol consumption
- Inflammation
- Lung Problems
- Sleep issues
- Stress
A patient suffering from any of the above conditions may experience symptoms that mimic dementia. Dr. Valeria Serban will evaluate by asking and discussing symptoms, medical history, and any medications that may result in psychiatric symptoms.
Many elderly people experience age-related cognitive decline and suffer alone; reaching out to a geriatric psychiatrist for support can drastically improve their lives.
What is Reversible Dementia?
Irreversible dementia refers to conditions where there’s been irreversible brain damage. Irreversible dementia can be categorized as slow, medium, and fast progression types.
Irreversible dementia comprises
Getting Used to Getting Older
Therapy
Geriatric Psychiatry includes elderly therapy for elderly patients as well as medication management. While some individuals seem to age without too many hiccups for others it is a struggle.
There are obvious advantages to getting older
- Maturity
- Appreciation
- Retirement
- Children need less work
- Grandchildren
- Time to spend on hobbies and interests
- Time to focus on yourself
- Time for spiritual development.
However, for many, there are significant challenges.
- Loss of identify
- Self-image
- Empty nest syndrome
- Change in appearance
- Feelings of usefulness
- Finding a sense of purpose
- Divorce
- Bereavement – death of a spouse, but also siblings and friends.
- Previous attitudes about aging and older people.
Getting used to getting older involves :
- Embracing the good
- Managing challenges
Sometimes, having to reinvent yourself, your sense of purpose, your sense of identity and how you spend your time.
Moveover getting used to getting older therapy also involves helping others come to terms with their mortality. What they believe will happen after one passes away.
Types of therapy for elderly
Patients
CBT is a structured, evidence-based therapy that helps elderly patients recognize and change negative thought patterns that contribute to psychiatric disorders. This approach is effective for managing age-related conditions such as Dementia, enabling patients to develop healthier behaviors and outlooks.
Relationship therapy helps elderly individuals and their partners work through interpersonal issues that may arise with age-related changes or health concerns. This form of therapy strengthens emotional bonds and improves communication, enhancing the quality of long-term relationships.
What is the
Best anti anxiety medication for elderly
Patients?
Elderly patients can develop sedation, agitation, delirium and even respiratory depression when prescribed some anti-anxiety medications. In order to prescribe anti-anxiety medications safely a geriatric psychiatrist must
- Consider drug-drug interactions
- Consider other medical conditions
- Adjust the dose safely
There is no single best medication for anxiety in the elderly. It is a case-by-case basis and everyone responds differently. This is why expert advice is recommended before starting or titrating anti-anxiety meds.
What is the
Best medication for depression in elderly
Patients?
There is no single best medication for depression in the elderly. As with younger patients, it is on a case-by-case basis. However, certain antidepressant medications should be avoided in the elderly, such as tricyclic antidepressants. Tricyclic antidepressants are more likely to cause cardiac side effects, sedation, confusion and urinary retention in elderly patients.
Care should also be taken with SNRIs in elderly patients, as they can potentially increase blood pressure. Although SSRIs are typically safe in elderly patients, they also need to be dosed carefully and drug-drug interactions considered.
Newer antidepressants and serotonin modulators look promising but on a case-by-case basis. There are many antidepressant medications that are safe and effective in elderly patients. However, careful titration is required to avoid side effects and interactions. This is why it is important to see a psychiatrist and get an expert opinion.
A geriatric psychiatrist can support mental health care for older adults by:
- Providing treatment for depression, anxiety and mood changes
- Supporting memory and cognitive health in conditions like dementia
- Offering therapy to cope with grief, loneliness or other major life changes
- Creating personalized care plans based on individual needs
A geriatric psychiatrist must complete their psychiatry residency; the best psychiatrists also have board certification. While they can treat everyone above the age of 18 years, they have a special interest in caring for elderly patients and are comfortable treating people over 75 years of age.
Yes, depression is one of the most common psychiatric illnesses affecting individuals over 65. Depression in the elderly is usually treatable but is often left untreated. Low moods, low energy, low productivity, loss of interest in activities, and somatic symptoms such as aches and pains are often attributed to old age.
As a result, depression diagnosis, unfortunately, is missed in elderly patients. Many with their depression under control lead happy, active, and engaging lives.
With age may come the onset of various physical and mental ailments; however, many of them are curable with the correct diagnosis, therapy, and medications. No one should suffer silently.
If you or your loved ones are struggling, experiencing confusion, memory loss, hallucinations, loss of interest in activities or social interactions, or any other mood or psychological symptoms, then it is advisable to get in touch with a geriatric psychiatrist without delay. The correct diagnosis and treatment can drastically improve lives.
Dementia is not a final sentence. Reach out to a geriatric psychiatrist for support for yourself and your loved ones.
Yes, a geriatric psychiatrist can help in treating the mental and emotional challenges that follow a stroke. Medical clinicians mainly manage the pathology of stroke, but the geriatric psychiatrist can support the emotional weight and mental health concerns after stroke. They can determine the right psychiatric treatment plan and may work with social work and other licensed providers to create a supportive care team.
Psychiatric issues following stroke can include:
- apathy
- agression
- personality change
- paranoia
- agitation
- anxiety and depression
- panic attacks
Yes, a geriatric psychiatrist does treat dementia. This specialty in psychiatry services is focused on older adults who have mental and emotional disorders. They work with a care team that may include physicians, social workers and primary care physicians.
They provide psychiatric treatment for dementia as well as other mental health concerns like depression, anxiety and addiction. Many geriatric psychiatrists are in private practice and some also take part in research and education. They may work with the American association that supports guidelines for daily living and supportive environment for older adults.
A geriatric psychiatrist may offer group therapy, online therapy or online counseling services. They can also provide diagnostic evaluations and psychiatry services through telehealth appointments and online services. Their primary goal is to give psychiatric treatment in a supportive environment and help with daily care. This helps manage dementia along with other mental health concerns.
There is no difference; geropsych is another term for a geriatric psychiatrist. Geropsych is a short form or slang for geriatric psychiatrist. It can be a Google search term. Geropsychiatrist and geropsychiatric are other slang terms meaning the same thing as geropsych or geriatric psychiatrist.
A geriatric psychiatrist can treat all adults above the age of 18. However, they also specialize in treating age-related cognitive decline.
They are comfortable and experienced in treating patients with a medical history, age-related illnesses, multiple medications, and other concurrent comorbid conditions that may result in psychiatric symptoms.
They also consider drug interactions and titrate medication stringently, keeping in mind other coexisting conditions that may be present.
A geriatric psychiatrist trains for at least a year after the four years of adult psychiatry residency training. The geriatric psychiatrist gets an additional qualification from the American Board of Psychiatry and Neurology in the general psychiatry certification exam.
They then clear a Geriatric Psychiatry certification, specializing in late-life psychiatric illnesses. During this extended period of training, psychiatrists learn how to evaluate, diagnose, and treat age-related illnesses. They are also educated on patient care, medical knowledge, professionalism, and practice-based learning for older people.
