Geriatric Psychiatry in the Digital Age: Part 2

2015 AAGP Annual Meeting Faculty Disclosures: Alvaro Camacho Nothing to disclose Veronica Cardenas No Answer Daniel E. Jimenez Nothing to disclose Bernardo Ng Nothing to disclose

GAY AND GRAY V: COMING OUT LATER IN LIFE Session 211

Kevin K. Johnson1; Brandon Yarns, M.D.2; Mark Fettman, M.D.3; Daniel D. Sewell4 1

Yale University, New Haven, CT University of New Mexico, Albuquerque, NM 3 Ohio University College of Osteopathic Medicine, Athens, OH 4 University of California, San Diego, San Diego, CA 2

Abstract: This session will review the complications that accompany coming out of the closet later in life, a process which involves exploring one’s sexual orientation or gender identity and disclosing it others. A brief overview of how coming out while aging has been represented in the media and popular culture will be presented followed by a short clip that chronicles the coming out process of an older transgender woman. The rates of disclosure among LGBT older adults and the social and psychiatric ramifications of nondisclosure and the need for further research on these topics will be reviewed. The session will provide specific best practices for clinicians regarding how to support older patients who are coming out and clinicians will be directed to helpful clinical resources. Dr. Mark Fettman, an established psychiatrist who came out as a gay man at age 57, will share his personal coming out story and give suggestions for clinicians who are working with aging clients who are coming out as LGBT. The session will conclude with an opportunity for the audience to ask questions and/or share their experiences. Faculty Disclosures: Mark Fettman Nothing to disclose Kevin K. Johnson Nothing to disclose Daniel D. Sewell Nothing to disclose Brandon Yarns Nothing to disclose

GERIATRIC PSYCHIATRY IN THE DIGITAL AGE: PART 2 Session 212 Ipsit Vahia1; Steve Koh1; John Torous2; Laura B. Dunn3 1

UCSD, La Jolla, CA Harvard Medical School, Boston, MA 3 University of California, San Francisco, San Francisco, CA 2

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Am J Geriatr Psychiatry 23:3, Supplement 1

2015 AAGP Annual Meeting Abstract: The rapid growth in usage and utility of communication technology and social media has led to a major paradigm shift in how doctor-patient communication is conducted and how clinical information is disseminated. Moreover, as social media becomes ubiquitous, there are few guidelines on how this may be utilized as a tool by clinicians. This session is the second of a 2-part session, and will focus on social media and professionalism. In this session, Steve Koh, M.D., will provide an overview of the various webbased media platforms that have a role and relevance for geriatric psychiatrists, including websites, blogs, and social media sites like Facebook, Linked-in and Twitter. John Torous, MD, will then provide a demonstration of the fundamentals of using these sites. We will request availability of wi-fi in the meeting room, and participants may bring laptops or tablets to this session, so they may gain hands-on experience and familiarity with commonly used web forums. The session will conclude with a presentation by Laura Dunn, on professionalism in the digital age. Dr. Dunn will also serve as primary discussant for the combined session. Faculty Disclosures: Laura B. Dunn Nothing to disclose Steve Koh Nothing to disclose John Torous Nothing to disclose Ipsit Vahia Nothing to disclose

PSYCHOTHERAPY IN LATE-LIFE Session 213

Alexander Threlfall1,2; Richard G. Key3; Jeremy Doughan1,2; Grace Niu2 1

SFVAMC, California, CA UCSF, San Francisco, CA 3 Memorial Sloan Kettering Cancer Center, New York, NY 2

Abstract: Most psychiatrists working in geriatrics understand the threat of an ever-dwindling workforce in the face of our expanding geriatric population. Managing this population effectively through direct and indirect efforts of consultation and peer education requires a comprehensive understanding of non-pharmacological treatment options, especially with given the limited effectiveness of psychotropics and/or their relatively high risk profile in the elderly population. In order to effectively manage the risk and benefits of treatment, this session will focus on expanding the clinician’s knowledge of effective models of psychotherapy for depression and anxiety within the setting of chronic and terminal illness and cognitive impairment. Psychotherapy for depression and anxiety in late life can offer many challenges unique to the geriatric patient. Whether compromised by executive dysfunction, limited mobility and access to care, chronic medical disorders or terminal illness, models of psychotherapy exist that have proven effective in this population. This session will educate the mental health provider on how to identify, diagnose, and predict outcomes in the management of geriatric patients based on the appropriate methods of screening and evaluation, selection of targeted psychotherapies, and implementation of augmentation strategies. The attendee will gain an appreciation of these elements and an understanding of the effectiveness of psychotherapy for mood and anxiety disorders in the context of palliative care, chronic or terminal illness and cognitive dysfunction. Faculty Disclosures: Jeremy Doughan Nothing to disclose Richard G. Key Nothing to disclose

Am J Geriatr Psychiatry 23:3, Supplement 1

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