- Geriatric Psychiatry · Manhattan
Geriatric Psychiatric Care in Manhattan
Evaluation and management of memory loss, behavioral change, delirium, and complex medication regimens — focused on stability, safety, and quality of life.
Overview
Care for older adults requires a different lens
New confusion, agitation, mood changes, sleep changes, or memory loss may reflect dementia, delirium, medication side effects, depression, anxiety, substance use, medical illness, or several of these at once.
This practice focuses on sorting out those overlaps and creating a plan that is clinically sound and practical for everyday life. Patients may be seen at home, in the office, or by telehealth depending on what is most appropriate and safe.
Care is often coordinated with adult children, spouses, care managers, assisted living staff, and other clinicians when appropriate and permitted by the patient.
Visit Types Available
- House calls in Manhattan
- Office visits at 1115 Broadway
- Telehealth when appropriate
For Families & Care Managers
This practice welcomes coordinated care with families, care managers, assisted living staff, and medical teams. Coordinated communication requires patient or appropriate guardian consent. care
Evaluation and management areas
Memory & Cognitive Decline
- Evaluation of memory loss and cognitive changes
- Assessment and management of dementia
- Differentiation of reversible and irreversible causes
- Coordination of diagnostic workup
Delirium & Acute Confusion
- Identification and treatment of delirium
- Evaluation of sudden behavioral change
- Assessment of underlying medical contributors
- Guidance on management in home or facility settings
Mood, Sleep & Anxiety
- Depression and anxiety in older adults
- Sleep disruption and insomnia
- Irritability and mood instability
- Behavioral symptoms in dementia
Medication Review
- Review of complex medication regimens
- Identification of medications worsening cognition
- Deprescribing when appropriate
- Reduction of avoidable side effects
Care Coordination
- Communication with adult children and spouses
- Coordination with care managers
- Liaison with assisted living and home health staff
- Collaboration with primary care and specialists
Substance & Medication Misuse
- Alcohol use in older adults
- Benzodiazepine and sedative concerns
- Prescription medication overuse or misuse
- Cognitive effects of substance use
Medication & Deprescribing
When medication is part of the problem
Many older adults are taking several medications that may worsen cognition, balance, blood pressure, sleep, or mood — sometimes without anyone having reviewed the full picture.
This practice focuses on identifying medications that may be unnecessary or harmful, simplifying regimens when possible, reducing avoidable side effects, and aligning treatment with safety and function rather than just diagnosis counts.
Deprescribing is not always the answer, but it is regularly underconsidered. A careful review is often one of the most impactful parts of a geriatric psychiatric evaluation.
Medication Review Focus Areas
Cognitive effects
Anticholinergics, benzodiazepines, sedatives, and other agents that impair memory and thinking
Fall and balance risk
Medications affecting blood pressure, coordination, or alertness
Sleep disruption
Agents that suppress or fragment restorative sleep architecture
Polypharmacy interactions
Complex regimens where drug interactions drive unexpected symptoms
Is this a good fit?
This may be the right care when there is:
- New or worsening memory loss
- Repeated confusion or sudden behavior change
- Medication confusion, side effects, or a complicated regimen that has never been reviewed
- Recurrent emergency room visits or hospital stays
- Family conflict about what is really going on
- A need for a clear plan that supports safety and independence
- Difficulty finding a clinician willing to make house calls in Manhattan
- A need for discreet, coordinated care across a family system
Start with a confidential call
If you are concerned about a parent, spouse, or older family member, the best place to start is a brief call. We can discuss what you are seeing, what level of care may be appropriate, and whether this practice is a good fit.