The Curbsiders Internal Medicine Podcast

#116 Geriatric Psychiatry: Sleep, Dementia, and Behavioral Disturbances

September 27, 2018
29 min

Geriatric psychiatry returns. We tackle sleep problems and behavioral disturbances in patients with dementia with returning guest, and Geriatric Psychiatrist Dennis Popeo MD, Clinical Associate Professor of Psychiatry at NYU Langone Medical Center. Topics include: pharmacologic and nonpharmacologic management of insomnia; treating agitation and irritability; medical management of psychotic symptoms and paranoia; ethical concerns about the treatment of challenging behaviors in dementia; and the shortage of geriatricians and geriatric psychiatrists.

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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 Intro and guest bio
  • 01:55 Case of sleep disturbance in a patient with dementia; medications for sleep disturbances; nonpharmacologic strategies for sleep
  • 11:32 Irritability and agitation versus paranoia, or psychotic symptoms; benzodiazepines in older adults
  • 15:40 Antipsychotic medications, the black box warning and ethical concerns
  • 23:50 Geriatricians, geriatric psychiatrists in short supply; Behavioral interventions
  • 28:16 Outro


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