episode-header-image

Sep 2018

45m 46s

#115 Geriatric Depression

The Curbsiders Internal Medicine Podcast

About this episode

Up next

REBOOT #518: Cardiology Meets Longevity

We have another classic episode for you. Level up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before diabetes declares itself, and how to make smarter lipid decisions beyond the standard panel. We’re j ... Show More

#534: Supplements in Primary Care

Separating Signal from HypePatients bring us lists. Greens powders, magnesium for everything, vitamin D “for immunity,” fish oil, creatine, curcumin… so how do we separate signals from hype without becoming the office that just says “no” to everything? In this home-grown deep div ... Show More

#533: What’s the Tea on Kratom?

Caring for patients using mitragynine-derived substancesFamiliarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by Dr. Jonathan Tanawan (P ... Show More

Recommended Episodes

Signs of Depression

Depression in older adults is under-recognized and under-treated. Sidney Zisook, MD shares the warning signs. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 34116]

Treating Resistant Depression in Elders - Add or Switch Meds?

Today's episode we look at a study of 60+ year olds who have poorly controlled depression. Is it better to add on medications? Switch medications? Does it matter? Study link: https://pubmed.ncbi.nlm.nih.gov/36867173/

<p>This episode covers depression.<br/><br/>Written notes can be found at <a href='https://zerotofinals.com/moremedicine/psychiatry/depression/'>https://zerotofinals.com/moremedicine/psychiatry/depression/</a> or in the psychiatry section of the Zero to Finals More Medicine book ... Show More

Essentials: Understanding & Conquering Depression

In this Huberman Lab Essentials episode, I explore major depression, including its underlying biology and discuss science-based approaches to alleviate symptoms and improve mood. I describe the wide-ranging symptoms of depression and explain how key neurotransmitters, hormones, s ... Show More

2.8 Depressive Disorders

Dr. Roger McIntyre, Professor of Psychiatry and Pharmacology at the University of Toronto and Head of the Mood Disorders Psychopharmacology Unit at the University Health Network in Toronto, Canada, returns to introduce depressive disorders. We differentiate normal "low mood" from ... Show More

Depression in adults

Depression can describe both a mood and an illness. Major depressive disorder is a clinical syndrome involving mood, neurovegetative functions, cognition, and behaviour. It affects 5% to 10% of patients in the primary care setting. Dean F. MacKinnon, Associate Professor, Psychiat ... Show More

Overcoming Depression: Causes, Interventions, Mindfulness, and Depressed Mood

Dr. Hanson and Forrest continue their exploration of depression and depressed mood with an episode focused on some of the tactics and strategies people can use, both in their own mind and out in the world, to help manage, and even overcome, a depressed mood. Depression and depres ... Show More

Mental Health, Anxiety and Anti-depressants

Anti-Depressants On today’s episode of Red Pill Your Healthcast with Dr. Charlie and Nurse Practitioner Lauren- A topic we have been wanting to discuss for some time now - mental health, depression and SSRIs. Dr. Charlie Website Instagram Membership Nurse Lauren Website Instagram ... Show More

Treating the Depressed Brain

Nearly one in five US adults are diagnosed with depression at some point in their lives. As the use of antidepressants have steadily risen since their introduction in the 1980s, what have we learned about depression? Is depression truly a “chemical imbalance” of the brain? And wh ... Show More

896-Tips to Help Someone With Depression _ Relationship Skills

Chapters: 00:00:00 - Being in a Relationship with Someone With Depression 00:01:15 - Identifying Triggers and Vulnerabilities 00:02:38 - Triggers and Irritability in Depression 00:03:50 - Mitigating irritability and vulnerability to triggers 00:05:07 - Vulnerabilities in Sleep Pa ... Show More

Summary

Geriatric depression got you down? Boost your spirits with tips and tactics from Geriatric Psychiatrist, Dennis Popeo MD, Clinical Associate Professor of Psychiatry at NYU Langone Medical Center. Topics include: suicide in the older adults; how to diagnosis depression in older adults; how to counsel patients about antidepressants, how to choose an antidepressant, how to monitor and titrate medications, and how long to continue therapy. Stay tuned for part two of our discussion with Dr Popeo on managing sleep and behavioral problems in older adult patients with dementia.

Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

Written & Produced by: Jordana Kozupsky NP, Matthew Watto MD

Artwork by: Kate Grant MD

Hosts: Jordana Kozupsky NP, Matthew Watto MD

Editor: Matthew Watto MD

Guest: Dennis Popeo, MD

Time Stamps

00:00 A question for you, the listeners
01:12 Disclaimer, intro and guest bio
05:00 Getting to know our guest, recommendations for reading, and career advice
14:13 Case of geriatric depression; effective history taking; recognizing associated symptoms; depression scales
19:03 Suicide in older adults; firearm safety
24:26 Choice of therapy; Pharmacologic agents; Counseling patients and managing expectations; Dose titration and tracking symptoms
34:41 Augmenting therapy versus cross-titration to another agent; When is it okay to stop an antidepressant
40:50 Take home points
44:40 Outro

Tags: psychiatry, psych, geri, geriatrics, depression, mdd, sleep, insomnia, appetite, agitation, suicide, SSRIs, side, effects, therapy, diagnosis, serotonin, mirtazapine, bupropion, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student