Geriatric Psychiatry for Older Adults in NYC
The sleep is shorter, the calls to friends have stopped, and everyone keeps calling it age. Integrative Psych provides geriatric psychiatry in Manhattan, treating older adults for what's actually treatable: one clinician handling therapy, medication, and cognitive monitoring together, with your full picture in view.
- In-person · Manhattan
- Telehealth · New York
Start with an assessment
Short, private check-ins that help you put words to what you're noticing before your first conversation.
Child ADHD
A check on a child's focus, follow-through, and emotional reactions.
Adult ADHD
A check on focus, organization, and follow-through in adults.
Anxiety
A check on worry, tension, and how much they shape your days.
Depression
A check on mood, energy, and interest in everyday life.
Our clinicians are affiliated with
What Older Adults Experience
Late-life changes rarely announce themselves. They build slowly, become the new normal, and get filed under "just getting older" before anyone names them. These are clinical signals worth investigating, not an inevitable part of aging. You or a parent might recognize some of these:
These point to real, treatable conditions. The first job of good care is telling them apart from normal aging.
The short version
- Aging is not a diagnosis. Changes in mood, sleep, energy, and thinking have specific causes, and most of those causes are treatable.
- Late-life depression is highly treatable and often shows up as fatigue, withdrawal, and physical complaints rather than sadness.
- One clinician handles your therapy and medication in a single plan, and reviews your full regimen for interactions and age-related dosing.
- Validated cognitive checks help separate depression-related fog, medication effects, and early cognitive change. This is monitoring, not a dementia diagnosis.
- Care is in-person at our Manhattan office, or by telehealth anywhere in New York State.
It tends to show up like this
You might recognize some of these.
- Sleeping and enjoying less, with the energy for daily things quietly gone.
- Withdrawal: fewer calls to friends, abandoned hobbies, stopped initiating.
- Fatigue, aches, and physical complaints with no clear medical cause.
- Worry or restlessness that's harder to settle than it used to be.
- Grief after a loss, a move, or retirement that isn't lifting on its own.
- Memory or focus lapses that worry you or the people around you.
- A long medication list that no single doctor seems to be reviewing as a whole.
- A family member saying you seem "different," with no one able to name what.
Common Conditions in Older Adults
These frequently co-occur. The Sigmund Assessment maps the full picture first, so the plan targets what's actually driving it, not the loudest symptom.
Late-life depression
Depression in older adults often looks nothing like the textbook. Sadness and tearfulness are less common; fatigue, cognitive fog, physical complaints, and social withdrawal are more typical, which is why it's so often missed or written off as age. It's one of the most treatable conditions in later life once it's correctly identified. See our depression page.
Anxiety
Anxiety in later life can surface as restlessness, health worries, trouble sleeping, or a constant low-grade unease that's new or worse than before. It frequently travels alongside depression and medical conditions, and it responds well to evidence-based care. See our anxiety page.
Grief, loss, and life transitions
Loss of a spouse, retirement, a move from a long-time home, or declining independence are real stressors, and the line between expected grief and a treatable condition isn't always obvious. When low mood, withdrawal, or hopelessness lingers and deepens rather than easing, an evaluation helps clarify what you're dealing with.
Sleep changes
Sleep often shifts with age, but persistent insomnia is not something you simply have to live with. Poor sleep can drive low mood, worsen memory, and mimic other conditions, so it gets assessed as part of the full picture rather than treated in isolation. See our sleep problems page.
How We Care for Older Adults
Every patient's care is informed by the Sigmund Assessment, a structured digital evaluation your clinician reviews before your first appointment. It maps your symptom history, your full medication history, your medical context, and what life looks like when you're functioning well, so session one starts with a plan instead of paperwork.
From there, one clinician handles all of it: therapy, medication when it's indicated, and the cognitive monitoring that keeps the picture honest over time. There's no prescriber-and-therapist split to leave gaps, which matters most when a regimen is complex. Medication management here means reviewing your complete regimen, including prescriptions from other providers, for interactions, redundancies, and starting doses chosen carefully for how an older body processes medication. Therapy draws on evidence-based methods including CBT, and validated cognitive checks help distinguish depression-related fog, medication effects, and early cognitive change. That is baseline and monitoring, not a dementia diagnosis.
With the patient's consent, an adult child coordinating care can join consultations. The practice houses clinicians affiliated with the National Institutes of Health, Columbia University, and New York-Presbyterian Hospital, and you can explore the research behind how we assess and treat. Care is available in person at our Manhattan office and by telehealth anywhere in New York State.
Assess
The Sigmund Assessment captures your symptoms, history, and goals before your first appointment, so your clinician already understands your case.
Match
We match you on clinical fit, not the next open slot, and family is welcome.
Treat
One clinician coordinates medication, therapy, and lifestyle care, including sleep, exercise, and daily structure, from the start.
Track
Progress is tracked with validated measures, so you can see what's changing rather than wonder.
Clinicians who treat older adults
Board-certified psychiatrists and psychiatric nurse practitioners. The practice houses clinicians affiliated with NIH, Columbia, and New York-Presbyterian.
What Our Patients Say
Insurance and Billing
Integrative Psych is an out-of-network practice. You pay at the time of service and receive a monthly superbill to submit for potential out-of-network reimbursement. Many PPO plans reimburse a portion, and your insurer is the best source for what your plan covers. We are not a Medicare provider. Medicare does not reimburse for out-of-network outpatient psychiatry, so older adults relying on Medicare should weigh that before booking.
Billing, simply
- Out-of-network; you pay at the time of service.
- Monthly superbill provided for reimbursement.
- Many PPO plans reimburse a portion of out-of-network care.
- Call the number on your card to confirm your benefits.
Frequently Asked Questions
What's the difference between normal aging and a treatable condition?
Normal aging may bring occasional forgetfulness or mild slowing. A treatable condition looks different: persistent loss of interest, disrupted sleep, fatigue that rest doesn't fix, trouble concentrating, and withdrawal from people and activities. The distinction matters, because depression and anxiety are highly treatable at any age.
How do I know if my parents need psychiatric care?
Watch for sustained changes in mood, sleep, appetite, social engagement, or daily functioning lasting more than two weeks. If a once-active parent has withdrawn or seems consistently confused or irritable, an evaluation can clarify whether a treatable condition is driving the change. Trust the instinct that something has shifted.
Can you manage medications prescribed by other doctors?
Yes. A careful review of your full regimen is central to our work. We coordinate with your primary care physician, cardiologist, or any other prescriber so everything works together safely, with doses chosen for how your body processes medication now. Bring every current prescription and supplement to your first appointment.
Do you diagnose or treat dementia?
We provide cognitive baseline assessment and ongoing monitoring, and we treat the depression, anxiety, and sleep problems that often accompany cognitive change. We are not a memory-care or dementia-treatment program. If a formal dementia workup is needed, we help you understand next steps and coordinate referrals.
Where can I find geriatric psychiatry near me in NYC?
Our office is at 80 8th Ave in Manhattan, where we see older adults in person. For those who find travel difficult, telehealth anywhere in New York State provides the same unhurried consultation with the same clinician.
How long does treatment take?
Many older adults with late-life depression see measurable improvement within several weeks, though timelines vary by person and condition. Ongoing care continues at intervals that match your needs, with validated tools confirming the plan is working and guiding any adjustments.
Ready to Talk About What's Next
Whether you're an older adult noticing changes you can't quite explain or a family member watching someone you love struggle, the first step is a conversation. No referral, no long waitlist. You'll learn what a realistic plan looks like and decide from there. Appointments are in person at our Manhattan office or by telehealth anywhere in New York State.