Older adults & those who care for them
A lifetime of stories.
A person, always.
Thoughtful psychiatric care that honors experience, supports independence, and makes room for the people who care for you. At home or in a care community, your story still comes first.
01 / The person comes first
Geriatric Mental Health
Growing older should never mean feeling overlooked. At Marenova, we consider emotional health, physical health, relationships, and everyday function together — with time to listen and a plan made with you.
02 / Understanding changes together
Dementia / Alzheimer's Behavioral Care
Agitation, anxiety, disrupted sleep, apathy, or distressing beliefs can occur with dementia. Often called behavioral and psychological symptoms of dementia (BPSD), these changes may also communicate discomfort, fear, or an unmet need.
Sudden changes are not simply “the dementia.”
New confusion over hours or days, fever, a sudden change in alertness, or a sharp decline in eating, drinking, or mobility needs prompt medical assessment for causes such as delirium. If someone is difficult to wake, has trouble breathing, shows signs of stroke, or is in immediate danger, call 911. Do not wait for a routine psychiatric visit or referral response.
03 / A different condition. A careful approach.
Lewy Body Dementia Support
Lewy body dementia can involve changes in attention and alertness, visual hallucinations, disrupted sleep, and movement symptoms. These fluctuations can be unsettling for the person and their care partners; they deserve a coordinated, condition-aware response.
Important: severe antipsychotic sensitivity
People with Lewy body dementia may have severe reactions to antipsychotics, even at low doses. Reactions can include profound sedation, worsened confusion or movement, marked rigidity, and potentially life-threatening neuroleptic malignant syndrome.
Typical antipsychotics such as haloperidol should generally be avoided in Lewy body dementia. Any antipsychotic consideration requires careful specialist review, shared decision-making, and close monitoring. Antipsychotics also carry a boxed warning for increased risk of death in older adults with dementia-related psychosis.
Make every treating clinician aware of known or suspected Lewy body dementia. Fever with severe rigidity or reduced responsiveness after medication is an emergency: call 911. Do not start, stop, or change medicines without the treating clinician's guidance.
04 / Continuity, wherever home is
Nursing Home /
Assisted-Living Services
A change in care setting should not mean starting your story over. Facility-supported telepsychiatry connects the resident, nursing staff, and authorized care partners around a consistent psychiatric plan.
We plan scheduled follow-ups, review changes over time, and coordinate medication decisions with the medical team. Ongoing care means continuity and shared understanding — not continuous monitoring or 24-hour emergency coverage.
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