Geriatric Psychiatrist Florida Telehealth
A geriatric psychiatrist for Florida adults 60 and older, by video. Same-week intake, real medication review, and a clinician who actually knows how late-life depression, sleep changes, and polypharmacy interact. The number one access barrier in later-life psychiatric care is transportation. Telehealth removes it.
Care that comes to your living room.
Tell us what is going on. A care coordinator will walk through telehealth setup, your Medicare reimbursement options, and a real next-available appointment, 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.
Why statewide telehealth is the right mode for most Florida older adults
The single biggest reason a Florida adult over 65 does not get psychiatric care is the drive. Whether it is the inability to drive at night, post-stroke mobility, a spouse who cannot be left alone, or simply being tired of the windshield time, transportation has become the barrier that decides whether someone gets a real evaluation or quietly suffers. Telehealth was built for this.
By video, we can do everything most older adults need: late-life depression evaluation, anxiety treatment, grief work, sleep evaluation, medication review (including polypharmacy that may be making things worse), and a careful look at mood symptoms that can sometimes be confused with early cognitive change. The one situation where in-person is still required is the first prescription of a controlled substance (and most older-adult psychiatric care does not involve controlled substances).
What older Florida adults get from a real geriatric-focused PMHNP
Geriatric psychiatry is not a smaller version of adult psychiatry. The medication list is longer. The body handles drugs differently. Late-life depression can hide as cognitive complaints. Grief and depression can look identical for the first six months. A real evaluation takes time, takes the medication list seriously, and takes the family member who is on the call seriously too.
Margot Krahn, PMHNP-BC is lifespan-trained, which means she has the explicit geriatric curriculum and clinical training that a strictly adult-focused PMHNP does not have. She works in close coordination with our supervising physician where Florida scope-of-practice rules require it. Spouses, adult children, and home health aides are welcome to join visits with the patient's consent.
How telehealth actually works (and what we set up before the first visit)
Visits run in a HIPAA-secure video room. You get a calendar link by email, plus a phone number to call if anything technical goes sideways. Most older adults join from a tablet or a laptop in a quiet room; some prefer a smartphone. We always do a 5-minute tech check before the first appointment so you are not troubleshooting Zoom for the first time on the clock.
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. We verify your specific reimbursement path with you before the first appointment so there are no billing surprises.
Margot Krahn, PMHNP-BC
Board-certified Florida-licensed psychiatric mental health nurse practitioner. Lifespan-trained, which means her formal training covers child, adolescent, adult, and geriatric psychiatric care. She sees patients in person at our Wesley Chapel office and across Florida via HIPAA-secure telehealth.
Margot believes the first visit is for listening. Sixty minutes, the medication list out on the table, the family in the room when it helps. The treatment plan comes from what she actually learns about you, not from what fits a template.
Read Margot's full bioFrequently Asked Questions
Do you accept Medicare for telehealth psychiatry?
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 you through your specific reimbursement path before your first visit.
My parent is not great with technology. Will telehealth still work?
Yes, with one preparation call. We do a 5-minute tech check before the first appointment to make sure the camera and microphone work and that you (or the family member helping) know where to click. Most older adults do well by the second visit. If video is genuinely not workable, we can do voice-only with a Florida-licensed exception for established patients.
Can a family member be in the room for the visit?
Yes, with your permission. We actively welcome a spouse, adult child, or home health aide on the call. With older adults, having someone who knows the patient well in the room often makes the evaluation significantly more accurate.
What medications do you prescribe for late-life depression?
We start by reviewing the entire medication list. A surprising number of older adults are depressed in part because of drugs already on the list. When medication is added, we lean toward SSRIs and SNRIs with clean side-effect profiles in older adults, and we start low. We avoid benzodiazepines in the elderly when possible per Beers criteria.
My mom is 78 and on 14 medications. Can you really untangle that by telehealth?
Yes. We ask you (or a family member) to take photos of every pill bottle and email them in before the first appointment. The entire first visit is built around medication review and history, and we coordinate with the primary care physician on any changes.
Do you handle dementia and memory loss diagnoses?
We do cognitive screening and treat the psychiatric symptoms that come with dementia (agitation, depression, sleep disturbance). For a comprehensive dementia diagnostic workup, we refer to neurology or a memory-disorder clinic, and we coordinate care with that specialist.
Real psychiatric care, for the years that matter.
Same-week intake, real 60-minute first visits, and the same provider every time. Call us or send the form at the top of the page; a care coordinator will get back to you within one business day.