Late-Life Depression
Major depression in older adults often shows up as withdrawal, fatigue, sleep change, and memory complaints. We evaluate the full picture before we adjust anything.
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ADULTS 60+ · WESLEY CHAPEL · FLORIDA TELEHEALTH
Geriatric Psychiatry for Older Adults in Florida
Late-life depression, anxiety, grief, sleep, and medication review. Board-certified psychiatric mental health nurse practitioner. In-person and Florida telehealth.
Accepting New Patients · Ages 60 and older
CARE BUILT AROUND OLDER ADULTS
Care that takes the whole picture seriously.
Tell us what is going on. A care coordinator will match you with the right provider and get you on the calendar, usually within one business day.
Got it. We will be in touch.
A care coordinator will reach out within one business day. If you would rather not wait, call (813) 670-3005.
Or call directly: (813) 670-3005
Your information is kept confidential.
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Geriatric Psychiatry
Mental Health Care Built Around Older Adults
Mental health in later life does not look the same as mental health at 35. Depression can present as fatigue or memory complaints. Anxiety can show up as worsening sleep. Grief can change appetite, energy, and identity. And the medication list, often built across decades and multiple specialists, may be doing more than anyone realized.
Our geriatric psychiatry visits are built around that reality. Initial evaluations are 60 minutes. The full medication list gets reviewed. Family is welcome with the patient's consent. The goal is clarity, not just a prescription.
Adults 60 and older
Conditions We Treat in Adults 60 and Older
Late-life mental health concerns deserve care that respects the rest of your medical picture. We focus on conditions where careful evaluation and steady follow-up change outcomes.
Anxiety in Later Life
Generalized anxiety and panic in older adults, often around health, family, and independence. Careful medication choices that respect interactions and fall risk.
Learn MoreGrief and Bereavement
After loss of a spouse, sibling, or close friend, grief can blur into depression. We help distinguish the two and support what is normal, while treating what is not.
Learn MoreSleep, Energy, and Appetite Changes
When sleep is broken, energy is gone, or appetite has dropped, the answer is rarely "just a sleep aid." We look for what is underneath.
Learn MorePolypharmacy Review
Medication review for patients on multiple prescriptions. We flag interactions that may be driving mood, sleep, or cognitive symptoms and coordinate with the primary care prescriber.
Book a VisitMood Symptoms vs Cognitive Concerns
Depression and anxiety in later life can be confused with early cognitive decline. We evaluate the mood piece carefully and coordinate with memory care specialists when a dedicated workup is the next step.
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Lifespan PMHNP
Your provider
Meet Margot Krahn, PMHNP-BC
Margot Krahn is a board-certified psychiatric mental health nurse practitioner with 12 years of clinical experience and lifespan training. She sees older adults regularly, and the work reflects that. Slower-paced visits, attention to the full medication list, family in the room when the patient wants them there.
Patients tend to describe Margot as steady. She does not rush, she does not condescend, and she does not pile on medication changes in a single visit. She listens for what has shifted, asks where the changes started, and then makes one careful decision at a time.
Margot Krahn provides lifespan psychiatric care at Ascend. For child and teen care, see her child and adolescent psychiatry service line.
Medication review and polypharmacy
Medication Review and Polypharmacy
The full list.
Prescriptions, over-the-counter, supplements. We need the whole list, not just the psychiatric ones. Bring everything to the first visit.
Interactions flagged.
We look for medications that may be driving fatigue, mood change, sleep change, or cognitive symptoms, then bring those flags to your primary care prescriber.
One change at a time.
In older adults, fewer simultaneous changes means clearer signal. We adjust carefully and re-check before adding anything else.
Telehealth follow-up available.
After an in-person evaluation, many medication-check visits work well over HIPAA-secure video. Less transportation stress, same provider on the other side.
Late-life depression, anxiety, and grief
Late-Life Depression, Anxiety, and Grief
In older adults, depression often shows up quietly. Withdrawal from people, less interest in things that used to feel like home, sleep that has shifted, energy that never quite returns. It can look like "just getting older." It usually is not.
Anxiety in later life often centers on health, family, and independence. Panic episodes are common after a medical event or a hospital stay. Treatment respects fall risk, drug interactions, and the rest of your medical picture.
Grief is its own category. After the loss of a spouse, sibling, or lifelong friend, the line between normal grief and depression can blur. We help distinguish them. We support what is normal, and we treat what is not.
Wesley Chapel office
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Cognitive concerns
Cognitive Concerns and Memory Care Coordination
If you or your family has noticed memory changes, the most important first step is figuring out what is actually driving them. Mood symptoms in older adults can be confused with early cognitive decline. Untreated depression can look like memory loss. Sleep problems, thyroid changes, and medication side effects can do the same.
Our role is the mood piece. We evaluate depression, anxiety, and grief that may be presenting as cognitive symptoms, and we coordinate with memory care specialists when a dedicated dementia workup is the right next step. We do not treat dementia as a primary specialty.
Family welcome
Working with family
Working With Family and Caregivers
Older adults are not children. The visit centers on the patient. With the patient's consent, family and caregivers are welcome in the room, and often it helps. Context, history, what has changed at home, what is working.
For adult children calling on behalf of a parent, the first call usually starts with us. We walk through the practical pieces, what an evaluation looks like, what to bring, how the medication list gets reviewed, and how follow-up works. Then we bring the patient in.
Medicare, self-pay, and scheduling
Medicare, Self-Pay, and Scheduling
We work with Medicare-eligible patients on a self-pay basis and provide a superbill that many patients use to seek Medicare reimbursement. We do not currently bill Medicare directly for psychiatric visits at this location. Self-pay reimbursement varies by plan and circumstance, so we verify your specific options with you before your first visit.
Self-Pay Rates
Transparent
Initial psychiatric evaluation60 minutes · comprehensive intake + medication review
$260
Follow-up visit30 minutes · ongoing care + medication
$160
Medicare-eligible patients can use self-pay with a superbill for reimbursement. Call to confirm your specific situation.
In-Network Carriers
8 active
Aetna
Cigna
UnitedHealthcare
Medicaid
TRICARE
AARP
ChampVA
Oscar Health
Don't see your carrier? Call (813) 670-3005. Additional carriers added regularly.
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Where to be seen
Wesley Chapel and Telehealth
In-person geriatric psychiatry visits are conducted at our Wesley Chapel office. The space is quiet and easy to access, with parking on site. Patients near our Lakeland office are served via HIPAA-secure telehealth or in person at Wesley Chapel.
For follow-up visits anywhere in Florida, HIPAA-secure video lets us stay in care without putting transportation in the way. Initial visits are in-person; controlled-substance prescribing always requires an in-person visit first.
Common questions
Frequently Asked Questions
What is geriatric psychiatry, and who is it for?
Geriatric psychiatry is psychiatric evaluation and medication management built around the realities of later life: medication interactions, sleep changes, grief, late-life depression and anxiety, and mood symptoms that can be confused with cognitive decline. We see adults 60 and older at our Wesley Chapel office and via HIPAA-secure telehealth across Florida.
Do you accept Medicare?
We work with Medicare-eligible patients on a self-pay basis and provide a superbill that many patients submit to Medicare for partial reimbursement. We do not currently bill Medicare directly for psychiatric services. Call (813) 670-3005 and our team will walk through your specific reimbursement path before your first visit.
My mom is on a lot of medications. Can you review them?
Yes. Polypharmacy review is a routine part of our geriatric psychiatry visits. We look at the full medication list, flag interactions that may be driving mood, sleep, or cognitive symptoms, and coordinate any changes with the prescribing primary care provider.
Do you treat dementia?
We do not treat dementia as a primary specialty. We do evaluate mood symptoms that may be confused with cognitive decline, and we coordinate with memory care specialists when a dedicated dementia workup is the right next step.
Can adult children be involved in the visit?
Yes, with the patient's consent. Family involvement is often helpful in geriatric care, both for context and for follow-through. We structure the visit so the patient stays at the center while family stays informed.
Can older adults do visits over video?
Yes. Many follow-up visits work well over HIPAA-secure video, especially for patients who have limited transportation. For controlled-substance prescribing, an in-person visit at our Wesley Chapel office is required first.
Now Accepting New Patients
Start with a careful conversation.
Tell us what is going on. We will match you with the right provider, walk through Medicare and self-pay options, and quote a real next-available appointment.
Wesley Chapel in-person, plus Florida telehealth follow-up